Droidal Insurance Verification AI Agent

Use Cases

• Instantly verify patient insurance eligibility in real time.
• Reduce claim denials and minimize errors automatically.
• Keep EHR and billing systems updated with accurate insurance data.
• Detect expired coverage, mismatched details, and potential fraud.
• Connect seamlessly with all major payer portals.
• Send real-time notifications to staff and patients about coverage changes.
• Operate 24/7 to handle high verification volumes.
• Maintain full audit logs for compliance and reporting.
• Eliminate manual data entry and repetitive verification tasks.
• Scale effortlessly with growing patient volumes without workflow disruption.

Works for pediatric coverage, including children insured under major payer plans. Support for public plans such as Medicaid or CHIP, depends on the payer portal availability.

1. Front desk staff
2. Patient access teams
3. Insurance verification specialists
4. Billing and claims teams
5. Pre-authorization teams
6. Revenue cycle management teams
7. Practice administrators

Top Differentiators

Real-time payer verification: Droidal retrieves live coverage and benefits directly from payer sources so teams always have the most accurate information.

Complete benefit details: The agent returns co-pays, deductibles, out-of-pocket amounts, and plan limits that most EHR tools do not capture.

Detection of additional insurance: Droidal identifies secondary and tertiary coverage early, which helps prevent common COB related denials.

Authorization requirement alerts: The system checks payer rules and notifies staff when a service requires authorization before the visit.

Simple subscription setup: Organizations can start quickly with minimal IT effort and no long implementation cycles, using a simple monthly subscription model.

Accurate documentation in the EHR: Verification results are written directly into the patient record with clear notes, reducing manual entry and supporting audits.