READY-TO-DEPLOY AI AGENTS
A production-ready AI agent built for revenue integrity
Magical’s Revenue Integrity AI Agent identifies coding gaps, validates documentation, prevents underbilling, and ensures claims are accurate before submission. Runs continuously across your EHR and billing systems.
Revenue leakage happens before claims are even submitted
32%
Of claims are underpaid, representing billions in missed revenue
84%
Of denials are preventable with proper documentation and coding
$2.5M
Average annual revenue opportunity per 10,000 discharges
Continuously identify and prevent revenue leakage
This agent is pre-trained to run the entire authorization workflow. Deploy once on your systems, and it continuously processes incoming requests.
1. Ingest Clinical Documentation
Agent reviews clinical notes, charts, and encounter data from the EHR.
Agent evaluates assigned codes against documentation to ensure accuracy.
Agent detects gaps such as missing CC/MCCs, incomplete documentation, or under-coded services.
Agent checks documentation against payer rules and compliance requirements.
Agent flags issues or automatically updates coding and documentation where appropriate.
Agent ensures claims are complete, compliant, and optimized prior to billing.
Agent tracks denials, underpayments, and trends to continuously improve accuracy.
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 revenue integrity workflows and coding rules.
2. Build
Configure agent across documentation and billing systems.
3. Train
Supervised runs refine detection and correction logic.
4. Deploy
Agent continuously validates and protects revenue.
Works across your existing healthcare systems
