READY-TO-DEPLOY AI AGENTS
A production-ready AI agent for prior authorizations
Magical’s Prior Authorization AI Agent verifies eligibility, determines requirements, evaluates medical necessity, assembles documentation, submits requests, and monitors approvals automatically. Runs 24/7 across your EHR and payer portals.
Prior authorizations directly drive claim denials and leak revenue.
Average number of prior authorizations submitted per physician per week.
Average denial rate on prior authorizations due to accuracy.
Annual administrative cost of prior authorization and related overhead.
Automate over 90% of your prior authorizations flawlessly
This agent is pre-trained to run the entire authorization workflow. Deploy once on your systems, and it continuously processes incoming requests.
1. Verify Eligibility
Agent confirms active coverage, plan details, and patient eligibility.
Agent evaluates payer, plan, and CPT-specific rules to determine if prior authorization is required.
Agent retrieves status updates, tracks approvals, and flags any required follow-up actions.
Agent retrieves required clinical documentation from the EHR and assembles a complete submission package.
Agent completes payer forms, answers required questions, and submits the authorization package.
Agent retrieves status updates, tracks approvals, and flags any required follow-up actions.
Agent monitors for changes that could impact authorization status and ensures downstream workflows stay aligned.
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 prior authorization.
Deploy your AI agent in 4-6 weeks
1. Scope
Capture the workflow and SOP.
2. Build
Configure the AI agent.
3. Train
Supervised runs refine edge cases.
4. Deploy
Agent runs continuously across systems.
Works across your existing healthcare systems
