READY-TO-DEPLOY AI AGENTS
A production-ready AI agent built for eligibility and benefits verification
Magical’s Benefits Verification AI Agent verifies coverage, confirms benefits, identifies patient responsibility, and validates eligibility in real time. Runs 24/7 across your EHR and payer portals.
Eligibility errors are one of the leading causes of denials and lost revenue
10+ minutes
Time required for manual eligibility checks for over half of providers
42%
Reduction in denials achieved by automating eligibility (Experian Health)
$30M+
Annual coverage identified through automated eligibility workflows
Automate eligibility and benefits verification end-to-end
This agent is pre-trained to run the entire authorization workflow. Deploy once on your systems, and it continuously processes incoming requests.
1. Retrieve Patient & Insurance Information
Agent gathers patient demographics and insurance details from intake systems or EHR.
Agent confirms active insurance status across payer systems.
Agent determines in-network status, coverage details, and service-level benefits.
Agent identifies deductibles, copays, coinsurance, and out-of-pocket exposure.
Agent flags inactive coverage, missing information, or eligibility discrepancies.
Agent writes structured eligibility and benefits data back into the EHR or workflow systems.
Agent rechecks eligibility when needed to ensure accuracy leading up to service delivery.
The Patient Access Suite
Clean claims start with cleaner patient access. Deploy a team of specialized AI agents to automate everything from referral intake to eligibility and prior authorization.
Deploy your AI agent in 3-4 weeks
1. Scope
Capture eligibility workflows and payer mix.
2. Build
Configure agent across payer systems and workflows.
3. Train
Supervised runs refine accuracy and edge cases.
4. Deploy
Agent continuously verifies eligibility across systems.
Works across your existing healthcare systems
