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Agentic AI for Revenue Cycle Automation

Agentic AI for Revenue Cycle Automation

Agentic AI for Revenue Cycle Automation

2 verified clients

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Agentic AI for Revenue Cycle Automation
Agentic AI for Revenue Cycle Automation

Overview


Select which hospital or health system you work at and see a personalized compatibility level.

Avia Summary

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Agentic AI for Revenue Cycle Automation is a solution provided by Magical. It belongs to multiple categories of digital health solutions including Revenue Cycle Management (RCM), Payer Intelligence, and Prior Authorization.
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It has 2 verified clients.
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Agentic AI for Revenue Cycle Automation integrates with major EMRs such as Epic, Cerner, and Meditech.
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Some other resource(s) that may be helpful in learning about Agentic AI for Revenue Cycle Automation include: Unlocking the true potential of healthcare RCM: How a digital front door makes all the difference and Top Revenue Cycle Management (RCM) Companies Report | Fall 2024
DESCRIPTION

Agentic AI employees for healthcare

Explore our custom AI employees for critical back office, revenue cycle, and administrative healthcare workflows. Some of our most popular include full automations for:

  1. Prior authorizations
  2. Claims processing
  3. Insurance verification
  4. Payment posting
  5. Patient enrollment
  6. Denial management
  7. Claim scrubbing
  8. Credentialing
  9. Charge reconciliation

How Magical works

Fully automate rev cycle workflows

Use an AI employee trained specifically in revenue cycle management to automate entire processes end-to-end. (No human oversight required.)

Lower your cost to collect

Unlock the efficiency of a machine. Magical pulls patient patient data directly from one system into another, to minimize insurance denials and delays.

Built for enterprise security

Maintain the highest levels of security and privacy. We never store any personal health info on our servers. 

Daily Automated Testing | Automation Logs | SOC2 & HIPAA Compliant

Best-in-class reliability

Get over 90% success rates on end-to-end automations of any complex workflow. Magical uses multi-agent evaluation infrastructure to ensure your automations are running smoothly. 

Performance monitoring

Dive into complete logs of every single step of every single automation to give your team clear visibility into success rates and edge cases. 

Who we are

A blended team of 40+ technology and healthcare experts. Not only will you be working with agentic AI engineers, but also seasoned rev cycle experts. 

Why we’re trusted

Over 100,000+ companies—including WebPT, Phreesia, SonderMind, and Curalta—trust Magical automations for the following reasons:

  1. Fast: 1 week average implementation time
  2. Reliable: 90%+ average success rate end-to-end
  3. Proven: 100% agentic automation (no bots)
  4. Scalable: Magical runs entirely on virtual machines
  5. Interoperable: Magical can rapidly integrate with any system
  6. Compliant: Magical is SOC 2 and HIPAA-compliant
Read more
Product capabilities

Intelligent Automation

Make your workflow automations self-driving Traditional automations (RPA) is rigid and fragile, like driving manually to a destination using printed directions. If you miss a turn or make an error, everything quickly breaks. Agentic AI is like a self-driving car that understands your goal and the nuance it takes to get there. This is intelligent automation that course-corrects, identifies shortcuts, and gets smarter over time.

AVIA GUIDE
What is intelligent automation?
Utilizes AI and machine learning to automate routine tasks Employs robotic process automation (RPA) for repetitive, rule-based processes Reduces manual data entry and associated errors Example: An RCM solution that automatically codes encounters based on clinical documentation and updates claims in real-time.
EHR integration

Acute care EMR, Ambulatory EMR, Ancillary EMR, ERP system, Patient portal, Pop health platform, Home health, Behavioral health, Community based organizations, ADT, Access +/or revenue cycle, Credentialing, Website / public online sources, Other
Use case dependent
Epic, Cerner, Meditech, Allscripts, NextGen, athena, GE, eClinicalWorks, McKesson, Other, Allscripts/Eclipsys, Athenahealth, Azalea Health/Prognosis, CPSI, Evident, Healthland, MEDHOST, MedWorx, QuadraMed, Self-developed, Would prefer not to disclose, Point Click Care
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Use cases and differentiators

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  • End user
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Reviewer’s Org Size
  • XL ($5B+ NPR)
  • L ($3-5B NPR)
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  • S ($0.2-1B NPR)
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Reviewer’s Org EMR compatibility

Reviewer’s Org Type
  • AMC
  • Pediatric Facilities
  • ACO
  • Rural Presence

Reviewer’s Org Safety Net
  • Used by Safety Net organizations

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