READY-TO-DEPLOY AI AGENTS
A production-ready AI agent built for underpayment detection and recovery
Magical’s Underpayments AI Agent identifies underpaid claims, validates expected reimbursement against payer contracts, and initiates recovery workflows automatically. Runs continuously across your billing systems and payer data.
Underpayments are widespread and often go unnoticed
32%
Of claims are underpaid across providers
$5B+
Annual underpayments and missed reimbursements
Manual
Most underpayments are never detected or recovered
Continuously detect and recover underpaid claims
This agent is pre-trained to run the entire authorization workflow. Deploy once on your systems, and it continuously processes incoming requests.
1. Ingest Remittance Data
Agent retrieves ERAs, EOBs, and payment data from payer systems.
Agent looks up payer contracts, fee schedules, and reimbursement rules.
Agent determines expected reimbursement based on contract terms and claim details.
Agent identifies discrepancies between actual payment and expected allowable amounts.
Agent determines if the claim was underpaid, partially paid, or incorrectly paid.
Agent flags underpayments, generates supporting documentation, and initiates recovery or appeal actions.
Agent monitors resolution status and ensures claims are corrected and reimbursed.
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 payer contracts and reimbursement logic.
2. Build
Configure agent across billing and contract systems.
3. Train
Supervised runs refine calculation and detection accuracy.
4. Deploy
Agent continuously detects and recovers underpayments.
Works across your existing healthcare systems
