MAGICAL FOR HEALTHCARE PAYERS
Meet Your Fastest, Most Reliable AI Team Member
Use agentic AI employees that work 24/7 to accelerate prior authorizations, cut admin costs, and strengthen provider trust — while keeping you compliant with the CMS 2026 transparency mandates.
AI employees for healthcare payers
Explore our custom AI employees for critical utilization management and administrative healthcare workflows.
How Magical works
AI Employees, Not Just Automation
Magical delivers agentic AI Employees that reason, learn, and act.
They handle complex utilization management, claims edits, and correspondence end-to-end, with full auditability.
Built for Compliance
Every action, rationale, and outcome is visible — in real time.
Meet 72-hour SLAs for urgent requests and seven-day standards with confidence.
Built for enterprise security
Maintain the highest levels of security and privacy. We never store any personal health info on our servers.
Daily Automated Testing | Automation Logs | SOC2 & HIPAA Compliant
Agentic AI for prior authorizations, claims management, and more
Prior authorizations
Magical’s agentic AI Employees review requests, check medical necessity, and return determinations in minutes — not days. Meet 72-hour and seven-day CMS turnaround rules automatically, with full reasoning and documentation for every decision.
AUTOMATE
Coding
PDF Extraction
Phone Calls
Claims adjudication
Fewer pends. Faster payments. Magical AI Employees catch errors, apply policy, and resolve exceptions automatically — with full reasoning you can audit to ensure accuracy and compliance.
AUTOMATE
Data Entry
Verifications
Compliance
Eligibility verification
Pull, cross-check, and reconcile eligibility data across systems and sources in real time — verifying plan status, benefits, and authorization requirements before claims ever hit your queue.
AUTOMATE
Claim Submissions
Claim Processing
Payment Posting
Why do payers choose Magical?
Reduce admin overhead and compliance risk
Transform provider
relationships through
faster, clearer decisions
Improve operational margins — without adding staff
I have tried several apps and extensions but nothing has been this effective and worked so seamlessly.
Mohammad A., MD
Physician @ Digital Nomad Health
Magical has made updating my medical records take a fraction of the time.
Zeyla B.
Physical Therapist @ Therapydia
We save 10 hours per week using Magical to speed up auto completion of forms and records in our patient lab portal.
Eric B.
Business Ops @ Rupa Health
Works with
your healthcare
web tools
Your next best hire isn't human
Frequently asked questions
Is Magical HIPAA compliant?
Yes, Magical is HIPAA compliant. HIPAA compliance refers to the adherence to the Health Insurance Portability and Accountability Act, a US federal law designed to protect patient health information (PHI). It sets standards for handling, storing, and transmitting PHI to ensure its privacy and security, and applies to various organizations involved in healthcare.
Magical's AI and automation platform meets the full requirements for HIPAA compliance, and has additional security compliance measures in place to keep all customer data safe and secure at all times.
What can a payer automate using Magical?
Payers use Magical to automate prior authorizations, claims adjudication, eligibility checks, provider correspondence, and audit reporting — all while maintaining compliance.
Any repetitive, rule-based workflow that requires human reasoning can be handled by an AI Employee — from reviewing clinical documentation to generating determination letters.
Does Magical work with my existing systems?
Yes. Magical is system-agnostic and integrates seamlessly with your existing portals, APIs, and legacy platforms — no rip-and-replace required.
AI Employees can log in, pull data, and act across multiple environments just like your staff — only faster and with perfect consistency.
Is Magical designed for payers or providers?
Both — but our payer AI Employees are built specifically for the unique complexity of utilization management, claims review, and compliance. They understand payer policies, apply medical necessity rules, and generate full audit trails for every action.
How do you set up Magical for healthcare?
Setup is simple. No infrastructure changes, no long integrations.
Book a demo, and we’ll configure your first AI Employee to automate a specific workflow — typically prior authorizations or claims review — in just a few weeks.
