Hospitalrun and Molina Healthcare Integration for Insurance Claims Processing
Automate eligibility checks and claims workflows in seconds with Magical's AI agent platform
Connect your apps with ease
How to Integrate HospitalRun with Molina Healthcare: A Step-by-Step Guide
Magical's AI agent platform empowers healthcare administrators to seamlessly integrate HospitalRun with Molina Healthcare, automating eligibility verification, claims processing, and prior authorization workflows. Deploy AI Employees that eliminate manual data entry between your hospital management system and Molina's Medicaid and Medicare insurance portals – no coding or complex integrations required.
More HospitalRun integrations with Magical
What HospitalRun Data Can You Transfer
Magical enables you to transfer a wide array of data from HospitalRun to Molina Healthcare. Here are some examples of the information you can extract:
Patient First Name
Patient Last Name
Date of Birth
Patient ID
And move more types of information by creating your own custom labels.
How to integrate Hospitalrun and Molina Healthcare for insurance claims processing
Connect your systems: Your AI Deployment Engineer establishes secure connections between HospitalRun's open-source hospital management platform and Molina Healthcare's insurance portal API, ensuring compliant data exchange for Medicaid and Medicare programs.
Define the workflow: Outline your specific requirements for eligibility verification, claims submission, prior authorization requests, and formulary checks. The AI Deployment Engineer configures automated workflows that handle the complete claims lifecycle from patient intake to reimbursement.
AI Employees take over: Once deployed, your AI Employees automatically conduct eligibility checks, submit claims with accurate patient and service information, track prior authorization requests, and manage claim status updates. They work continuously to ensure timely processing and reduce claim denials from data entry errors.
Monitor performance transparently: AI Judges verify every eligibility check and claim submission in real-time, ensuring accuracy and compliance with FHIR standards and government healthcare regulations. You receive immediate alerts for claim denials or eligibility issues requiring attention.
Scale to more workflows: After mastering claims processing, extend your AI Employees to automate appointment scheduling, billing reconciliation, and patient record management across your entire healthcare facility.
About HospitalRun and Molina Healthcare
Efficient healthcare operations are crucial to maintaining smooth workflows. HospitalRun is a comprehensive EHR platform and Molina Healthcare is a robust insurance portal solution. By leveraging Magical, you can easily move information from HospitalRun to Molina Healthcare, allowing you to focus on improving patient care and operational efficiency.
Other ways to connect HospitalRun and Molina Healthcare
Using Integration Platforms like Redox or Mulesoft for automatic data transfer
Using APIs by directly utilizing their respective APIs for real-time insights
Using HL7 Interface for automated workflows between healthcare systems
Common Questions
WHAT IS MAGICAL
Magical is an agentic AI platform that deploys AI Employees to handle complex, end-to-end workflows across your systems—without APIs, integrations, or engineering lift. Instead of simple data extraction, Magical’s AI understands your workflows, navigates interfaces, makes decisions, and completes tasks just like a trained team member would.
Whether it’s moving data between applications, verifying information, completing multi-step processes, or monitoring queues, Magical automates work reliably and transparently. You can watch every click, see every decision, and trust that your AI Employees are completing work with accuracy, speed, and full auditability.
HOW TO INSTALL MAGICAL
The first step is to book a demo. Our team will walk you through how Magical’s AI Employees work, what’s possible for your organization, and where automation can have the biggest impact.
After the demo, you’ll be paired with a dedicated AI Deployment Engineer who will guide you through setting up your first automation. Most teams go live in about a week—no integrations, no IT lift, and no lengthy configuration. Just a clear workflow, a quick build, and your first AI Employee up and running.
