Magical

Use Case 1: Automating Patient Access Workflows

Problem: Healthcare providers struggle with manual patient registration, scheduling, and eligibility checks which are time-consuming and prone to error.
Solution: Use agentic AI employees to handle registration, appointment scheduling, and payment estimates automatically without manual intervention.
Example: A clinic deploys a Patient Access Agent to verify insurance eligibility and schedule follow-ups within minutes of a patient's visit.

Use Case 2: Optimizing Revenue Cycle Management

Problem: High rates of claim denials and billing errors lead to delayed payments and significant revenue loss for healthcare facilities.
Solution: Agentic AI automates claim scrubbing, payer submission, and denial routing with high accuracy to ensure faster reimbursement.
Example: A billing department uses Billing & Claims Agents to identify and fix errors before submission, reaching 94% accuracy in their processing.

Use Case 3: Streamlining Clinical Operations

Problem: Tracking provider credentials, license renewals, and source verification is a massive administrative burden for medical organizations.
Solution: Clinical Operations Agents handle provider enrollment, source verification, and license tracking autonomously to maintain compliance.
Example: A health network uses AI agents to monitor CAQH profiles and ensure all physician licenses are current without manual oversight.