READY-TO-DEPLOY AI AGENTS
A production-ready AI agent built for denial prevention and recovery
Magical’s Denials Management AI Agent identifies denial risks, prevents issues before submission, generates appeal packages, and drives recoveries automatically. Runs continuously across your billing systems and payer workflows.
Denials are rising, costly, and increasingly difficult to recover
11.80%
Average claim denial rate — and rising year over year
41%
Of providers now report denial rates above 10%
$5B+
Annual underpayments and missed reimbursements across providers
Prevent, manage, and recover denials automatically
This agent is pre-trained to run the entire authorization workflow. Deploy once on your systems, and it continuously processes incoming requests.
1. Identify Denial Risk Before Submission
Agent analyzes claims and flags issues that could result in denials.
Agent ensures coding, documentation, and payer requirements are met pre-submission.
Agent monitors payer responses and identifies denied or at-risk claims immediately.
Agent determines why the denial occurred across coding, documentation, or payer rules.
Agent creates complete appeal documentation tailored to payer-specific requirements.
Agent submits appeals and supporting materials across payer systems.
Agent continuously improves based on payer responses and appeal success rates.
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 denial workflows, payer mix, and appeal processes.
2. Build
Configure agent across billing systems and payer requirements.
3. Train
Supervised runs refine prevention logic and appeal success.
4. Deploy
Agent continuously prevents and resolves denials.
Works across your existing healthcare systems
