AI EMPLOYEES
Simplify regulatory compliance with agentic AI
Meet CMS and state mandates for interoperability, transparency, and prior authorization without adding manual overhead.
Regulatory Compliance (Payers)
Healthcare Payers
2,150
Running
95%
Reduction in manual reporting effort
Regulatory change is accelerating—and payers are struggling to keep up
Expanding CMS mandates
New interoperability and prior authorization rules require faster turnaround times and more transparency across all payers.
3–5 major federal rule updates released each year impacting payers
Manual reporting burden
Teams spend countless hours assembling documentation, monitoring timelines, and preparing CMS and state audit reports.
40–60 hours per month spent preparing compliance reports
Fragmented data systems
Disparate systems make it nearly impossible to maintain a single source of truth for compliance reporting.
25–30% of compliance errors stem from inconsistent data sources
Automate compliance from data collection to reporting
CMS prior authorization compliance
Track turnaround times, log decisions, and generate automated reports to meet 2026 CMS prior authorization response standards.
Automatically format, validate, and share data through FHIR APIs to meet interoperability mandates.
Generate CMS and state audit documentation in minutes with built-in data lineage tracking.
AI employees track new regulation changes, alert teams, and adapt workflows automatically.
1) Capture and normalize data
AI employees ingest compliance-related data across systems, normalizing it for audit readiness.
Reduce risk and reporting overhead
95%
Reduction in manual reporting effort
Automate compliance data collection and submission.
Typical time to go live
Deploy fast without heavy integrations.
100%
Audit-ready transparency
Every action is logged for compliance and internal QA review.
90%
Reliability on end-to-end workflows
Reduce operational costs while improving provider experience.
What healthcare payers are saying
“Regulatory reporting was a nightmare. Magical now generates CMS and state compliance reports automatically—we’re always audit-ready without extra work.”
“Magical tracks every regulatory update automatically and adjusts our workflows. It’s like having a compliance analyst who never sleeps.”
Security & compliance
HIPAA compliant
Magical processes all data locally with zero PHI storage
SOC 2 Type II certified
Enterprise-grade security with regular third-party audits
Secure Authentication
Single Sign-On (SSO) and multi-factor authentication options
See how Magical automates payer compliance
What regulations does this support?
Magical supports CMS Interoperability and Prior Authorization Rule, ONC standards, and state-level audit requirements.
Does it integrate with compliance systems?
Yes—Magical works alongside your existing systems for claims, UM, and data management via APIs or browser automation.
Can it generate compliance reports automatically?
Yes—AI employees generate CMS and state-mandated reports automatically using live data.
How do you ensure data security?
All workflows run in HIPAA- and SOC 2-compliant environments with full encryption.
How long to implement?
Typical deployment is under 3 weeks with no engineering required.
