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High-Volume Specialty Providers Payers | Billing Houses

High-Volume Specialty Providers

Payers

Billing Houses

"I have tried several apps and extensions but nothing has been this effective and worked so seamlessly."

Chief Revenue Officer,  Large Health System

What healthcare providers are saying

"Our staff used to spend 6+ hours daily on prior authorizations. With Magical, we've reduced that to less than an hour while improving accuracy and approval rates."

Director of Revenue Cycle,  Regional Healthcare Network

Security & compliance

HIPAA compliant

Magical processes all data locally with zero PHI storage

SOC 2 Type II certified

Enterprise-grade security with regular third-party audits

Stop emergency
medicine revenue loss 

with AI employees

Magical’s 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.

Connect with an Magical expert by filling out the form. We will set up a personalized demo tailored to your workflow needs.

See Magical in Action

Stop emergency medicine revenue loss with AI employees

Magical’s 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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How Magical transforms healthcare operations

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.

Prevent fraud leakage

Surface duplicate or suspicious patient identity use.

Accelerate cash

Faster claim turnaround and posting reduce AR days.

How it works:

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Connect PMS/EHR, imaging, charting, billing, and payer rules into a living revenue playbook.

Step 1: Centralize & understand your model

AI employees run eligibility, generate estimates, and validate coding to prevent surprises.

Step 2: Automate pre-service & benefit complexity

Claims go out compliant, payments post automatically, and denials route with next-best actions.

Step 3: Submit clean claims & reconcile without babysitting

A human-in-the-loop console surfaces exceptions, ensures auditability, and trains the AI to improve.

Step 4: Govern, learn, and scale

The bigger challenge

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Emergency medicine groups face relentless billing chaos — patients often arrive without insurance cards, identity fraud is common, and payers scrutinize bundling and E/M coding.

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Transforming emergency medicine operations

Revenue protection

Reduce denials from eligibility, bundling, and E/M level issues.

Clean claims flow without manual intervention.

Operational speed

Compliance confidence

Traceable evidence meets payer scrutiny.

Manage ED claim volume spikes without extra staff.

Scalability

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