Droidal Optimizes Insurance Eligibility Verification to Help Reduce Eligibility Denials by Up to 70%

Droidal, a healthcare AI company specializing in revenue cycle management technology, has developed a platform featuring over 20 AI Agents designed to automate RCM administrative workflows.

Healthcare providers regularly encounter claim denials linked to insurance eligibility issues, which represent 10-20% of initial submissions. These denials occur when coverage information becomes outdated, policy details do not match the services rendered, or when manual verification through payer portals introduces delays. The resulting administrative burden increases staff workload while extending the timeline for reimbursements.

Droidal's Insurance Eligibility Verification AI addresses these operational challenges through a unified approach that handles both digital and voice AI verification within a single agent. Unlike tools limited to payer portal scraping or requiring separate phone systems, this agent retrieves information through direct portal integrations and autonomously executes phone-based verification using Voice AI eliminating the need to toggle between multiple tools or manually complete coverage confirmation calls.

Healthcare Practices using the agent benefit from these key metrics:
• 70% drop in eligibility-related denials
• 90% automation of repetitive verifications
• 20X Reduced processing time
• Scales with volume without extra staff
• No upfront costs

"Our Insurance Verification AI Agent supports healthcare teams by handling routine verifications, allowing staff to focus on complex cases and patient care," said the Droidal CEO.

The AI agent maintains HIPAA and SOC2 Type II compliance, with patient data processing adhering to industry standards for privacy protection and audit trail documentation. Integrations with payer systems and healthcare platforms incorporate security protocols, logging all data access and modifications for regulatory review and internal auditing purposes.

For more information, visit https://droidal.com/insurance-verification-ai-agent/
Media Contact

Public Relations Team, Droidal
marketing@droidal.com
https://droidal.com

5465 Legacy Drive, Suite 650, Plano, TX 75024 USA

Droidal offers AI agents that revolutionize healthcare Revenue Cycle Management. Its core capabilities include Insurance Verification, Claims Processing, Denials Management, Prior Authorization, Claims Status, and Patient Intake AI Agents, designed to streamline billing, claims, and patient workflows. These agents help providers reduce costs, reclaim revenue, and improve operational accuracy while integrating seamlessly into existing EHR and practice management systems.

With a suite of 20+ AI agents, Droidal empowers hospitals and clinics to eliminate repetitive administrative tasks, accelerate reimbursements, and enhance compliance across the revenue cycle. By leveraging advanced AI, healthcare teams can focus on patient care, improve cash flow, and achieve better outcomes. Droidal sets a new standard for reliability in healthcare operations, supporting providers in delivering faster, more accurate, and cost-effective outcomes.

This release was published on openPR.