Magicalβs AI employees automate eligibility, scrub claims for bundling rules, and ensure correct E/M coding support. The result: cleaner claims, fewer denials, and faster reimbursement for high-volume ED groups.
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Emergency medicine groups face relentless billing chaos β patients often arrive without insurance cards, identity fraud is common, and payers scrutinize bundling and E/M coding.
Fix eligibility gaps
Automate real-time checks when patients lack insurance info.
Catch bundling denials
Detect and correct improper service combinations before submission.
Support E/M compliance
Validate E/M coding and attach supporting documentation as required.
Surface duplicate or suspicious patient identity use.
Faster claim turnaround and posting reduce AR days.
Prevent fraud leakage
Accelerate cash
Reduce denials from eligibility, bundling, and E/M level issues.
Revenue protection
Traceable evidence meets payer scrutiny.
Compliance confidence
Operational speed
Clean claims flow without manual intervention.
Scalability
Manage ED claim volume spikes without extra staff.
Chief Revenue Officer, Large Health System
Director of Revenue Cycle, Regional Healthcare Network
Magical processes all data locally with zero PHI storage
HIPAA compliant
SOC 2 Type II certified
Enterprise-grade security with regular third-party audits