Droidal Prior Authorization AI Agent

High-Volume Requests: Manages large numbers of prior authorization requests efficiently.

Pre-Service Checks: Confirms authorization needs before scheduling care.

Payer Submissions: Prepares and submits requests to payers accurately.

Status Tracking: Monitors authorization progress and flags delays.

Denials and Appeals: Supports review and appeal of denied requests.

Multi-Payer Workflows: Handles varying payer rules across specialties.

1. Hospitals and health systems
2. Specialty and multi-specialty clinics
3. Revenue cycle management organizations
4. Ambulatory care centers
5. Managed service organizations
6. Billing companies

Purpose-Built for Prior Authorization: Designed specifically to manage the full prior authorization process, beyond basic EHR capabilities.

Active Status Tracking: Provides ongoing visibility and follow ups after submission, not just static status updates.

Payer-Specific Handling: Adapts to individual payer rules and documentation needs, unlike generic EHR workflows.

Denials and Appeals Support: Assists with denial review and appeal preparation, which most EHRs do not cover.

Scales Beyond EHR Limits: Handles higher volumes and multiple specialties without being constrained by EHR configurations.