HealthAxis deployed a specialized AI Agent to validate provider information and update credentialing records within its portal. Across 513 validations, the Agent saved approximately 60 labor hours per month while achieving a 99.5% success rate.
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HealthAxis provides healthcare management solutions for payers, providers, and third-party administrators. Its services include core administrative processing systems, business process as a service, business process outsourcing, staff augmentation, and consulting.
The claims team managed provider credentialing by manually reviewing licensing, accreditation, specialization, and demographic information.
Staff spent significant time manually verifying provider details and specializations.
Growing credentialing workloads made it harder to maintain process accuracy.
Droidal developed a Credentialing AI Agent to move provider information from source files through validation, portal updates, and business-team reporting.
Locates and opens provider files in the shared drive.
Captures licensing, specialization, and demographic information.
Searches the EHR using patient identifiers, updates matching profiles, and creates profiles for new patients.
Cross-checks licensing and accreditation details against requirements.
Updates verified records and reports exceptions to the business team.
Map your patient referral workflow to identify where AI Agents could handle record retrieval, profile validation, EHR updates, patient confirmation, and reporting while keeping exceptions visible to staff.
