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Solutions
Description
Compatibility Level
Clients
Product Capabilities
Use cases
EHR integrations
Client types
Awards
Differentiators
Keywords
Media
Company details
Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Product Capabilities
Use cases
EHR integrations
Client types
Awards
Differentiators
Keywords
Media
Company details

Categories

Solutions

Description

Product Description:

Claims processing is a core part of healthcare revenue cycle operations but often slows down due to manual work, inconsistent validation, and changing payer requirements. These gaps lead to denials, rework, and delayed payments.

Droidal Claims Processing AI Agent brings structure and consistency to the entire claims lifecycle. It pulls data from EHR systems, validates claims against payer rules, and prepares submission-ready claims with minimal manual effort. Required fields, codes, and documentation are checked before submission to help prevent rejections.

After submission, the system tracks claim status in real time and flags delays or errors. It supports correction, resubmission, and follow-up workflows, helping teams stay on top of claims and maintain steady reimbursement flow.

About Droidal LLC:

Droidal gives healthcare organizations a powerful advantage by offering more than 20+ AI agents that support the entire RCM process from start to finish. These agents handle insurance checks, claims, denials, Prior authorizations, and patient intake, helping teams reduce manual work and maintain smooth daily operations. With accurate data processing, cleaner claims, and faster follow-ups, organizations experience quicker reimbursements and stronger financial stability. Droidal works seamlessly with existing EHR systems, improves compliance, reduces denial risks, and ensures consistent performance even during staffing shortages. This allows healthcare organizations to achieve reliable revenue cycle results while focusing more on patient care.

Product Description:

Cedar Pay makes it simpler for patients to navigate the post-service financial journey and take control of their medical bills. We deliver enterprise-grade patient billing and payment solutions that leverage Cedar's cutting-edge consumer engagement technology, unique payer integrations and aligned incentives to help provider organizations increase collections, boost efficiency and deliver an exceptional patient experience. More than 55 of the nation's leading health systems and physician groups turn to Cedar to transform the patient financial experience. On average, Cedar Pay lifts patient collection rates by 30%, with 88% of patients reporting a positive experience.

About Cedar:

Cedar offers the first and only holistic solution that enables providers and payers to come together to offer an exceptional and affordable consumer financial healthcare experience. We’re reimagining the consumer aspects of healthcare, from the time an appointment is booked all the way to final payment. Only Cedar can take advantage of critical payer information and bring it together with provider financial and administrative processes to create the optimal experience for consumers navigating our challenging healthcare system. 

Compatibility level

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Clients

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Product Capabilities

By integrating with real-time eligibility and patient estimation tools, Cedar Pre--our pre-visit patient engagement solution--sets appropriate payment expectations and drives more collections by personalizing the communication of out-of-pocket cost estimates. Cedar Pre dynamically presents the right financial context, payment options and calls to action to drive optimal financial outcomes and patient satisfaction.

Cedar Pay provides a modern, consumer-first billing experience with clear, accurate and empathetic communications via digital (email and SMS) and paper-based channels. Cedar creates powerful digital engagement by communicating with patients at the best times to collect, using their preferred channels, and messages and calls to action that resonate, which is why our clients typically see 60-70% of payments self-serviced digitally.

Cedar Pay’s consolidated patient financial statement includes both professional and facility charges as well as bills for guarantors and their dependents. The unified bill is presented in a patient-centric design, translating complex medical information into straightforward language for improved patient comprehension.

Cedar Pay is the only patient billing and payment solution that directly integrates with payers to simplify and streamline the patient financial experience. We build confidence in the billing process by prominently displaying payer branding next to balances to indicate that a payer has finished processing a claim, as well as that a bill and EOB matches. We also present detailed EOB information alongside bills, eliminating the need for patients to call in to customer service or log in to multiple portals.

Cedar Pay allows patients to pay bills on their own terms through modern, personalized payment options. As a mobile-first platform, Cedar presents patients with several payment methods and options including credit card, debit card, ACH, Apple Pay, and Google Pay. The platform dynamically engages with patients in a personalized manner by incorporating relevant patient-specific payment options and/or amounts (e.g., discounts, payment plans, etc.). Additionally, Cedar Pay supports traditional payment methods such as check by mail via a provider’s lockbox and secure pay by phone via interactive voice response.

Use Cases

Description:
  • Process medical claims from creation to submission with less manual effort.
  • Reduce denials by validating data and payer requirements upfront.
  • Keep EHR and billing systems updated with claim status.
  • Identify delayed or rejected claims and act quickly.
  • Handle denials with correction and resubmission workflows.
  • Track claim progress across payers in real time.
  • Reduce manual follow-ups with automated tracking.
  • Maintain consistent claim quality across teams.
  • Manage high claim volumes without delays.
  • Maintain visibility across the full claims lifecycle.
Pediatric use cases:

Supports processing of pediatric claims, including Medicaid and CHIP submissions, based on payer requirements and claim formats.

Users:
  • Front desk staff
  • Patient access teams
  • Insurance verification specialists
  • Billing and claims teams
  • Pre-authorization teams
  • Revenue cycle management teams
  • Practice administrators
Description:
  • Patient billing and collections
  • Patient engagement
  • Statement consolidation
  • Customer service
  • Reporting and reconciliation
Pediatric use cases:

Guarantors (i.e., parents and legal guardians) can access and manage bills on behalf of their dependents (i.e., children receiving healthcare services). 

Users:
  • Patients
  • Guarantors
  • Revenue cycle leaders
  • Business office representatives (e.g. customer service; treasury)

EHR Integrations

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, ERP system, Patient portal, Home health, Behavioral health, Community based organizations, ADT, Access +/or revenue cycle, Credentialing

EMR Integration & Relevant Hardware:

Use case dependent

EMRs Supported:

Epic, Cerner, Meditech, Allscripts, NextGen, athena, GE, eClinicalWorks, McKesson, Other, Allscripts/Eclipsys, Athenahealth, Azalea Health/Prognosis, CPSI, Evident, Healthland, MEDHOST, MedWorx, QuadraMed, Self-developed, Point Click Care

Hardware Compatibility:

Desktop, Mobile / Tablet (web optimized), Mobile / Tablet (native app), Other

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, Patient portal, Access +/or revenue cycle

EMR Integration & Relevant Hardware:

Required

EMRs Supported:

Epic, Cerner, Meditech, Allscripts, NextGen, athena, GE, eClinicalWorks, Athenahealth, Self-developed

Hardware Compatibility:

Desktop, Mobile / Tablet (web optimized), Mobile / Tablet (native app)

Client Types

Awards

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Differentiators

Differentiators vs EHR Functionality:

Pre-submission claim validation: Checks claims for missing data, incorrect codes, and payer rule mismatches before submission to reduce rejections.

Payer-specific claim rules: Applies payer requirements to ensure each claim is accurate and submission-ready.

Denial handling workflows: Identifies claims likely to be rejected and supports correction and resubmission.

Real-time claim tracking: Monitors claim status across payers and highlights delays or pending actions.

Automated claim submission: Prepares and submits clean claims with minimal manual effort.

Accurate EHR updates: Writes claim status and updates back into EHR and billing systems for visibility.

Differentiators vs Competitors:

Seamless Integration: Works with existing EHR, billing, and RCM systems without major changes.

HIPAA-Compliant and Secure: Ensures encrypted data handling with healthcare-grade security standards.

Faster Implementation: Ready-to-deploy workflows enable quick setup and faster impact.

Scalable Processing: Handles high claim volumes across multiple payers and specialties.

End-to-End Visibility: Provides real-time visibility into claim status, delays, and actions.

Continuous Optimization: Improves claim accuracy and processing workflows over time.

Differentiators vs EHR Functionality:

Consumer engagement is in our DNA: Cedar was founded as a consumer-oriented company and our commitment to improving the consumer-aspects of healthcare remains unwavering. We have built a team of professionals that come from the world's leading consumer companies, and incorporate this unique expertise and perspective into the development of Cedar Pay.

Industry-leading personalization for optimal patient experiences: At the core of Cedar Pay is a personalization engine that's powered by insights from millions of patient interactions as well as direct integrations with EHR and billing systems. Through a proven process rooted in expert data science and world-class user experience design, only Cedar Pay can surface the right information and interventions at the right moments along the financial journey to drive the best patient experience and payment outcomes.

Outsized results today, ongoing value into the future: Cedar Pay customers see an immediate impact to their bottom line with high patient satisfaction, and don’t have to wait for the next product release cycle to unlock additional business value. Cedar is constantly releasing new features and optimizations in Cedar Pay as well as making focused investments in innovation.

Differentiators vs Competitors:

Unparalleled investment in the future: Unlike other point patient billing solutions that have been acquired by larger companies and competing for resources, Cedar operates independently and is investing heavily in Cedar Pay and other products to solve a very specific problem--improving the consumer financial aspects of healthcare.

Industry-leading personalization for optimal patient experiences: At the core of Cedar Pay is a personalization engine that's powered by insights from millions of patient interactions as well as direct integrations with EHR and billing systems. Through a proven process rooted in expert data science and world-class user experience design, only Cedar Pay can surface the right information and interventions at the right moments along the financial journey to drive the best patient experience and payment outcomes.

Keywords

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Company Details

Founded in 2016

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