Droidal Eligibility Verification

Capture the patient window, run payer portal eligibility checks via RAKDAT and track live results.

RAK Hospital AI Insurance Verification Agent – Chrome Extension Description The RAK Hospital AI Insurance Verification Agent is an agentic AI-powered Chrome Extension developed by Droidal Systems FZ LLC for RAK Hospital, UAE. The extension enables authorized hospital front-desk teams to perform real-time patient insurance eligibility verification through a single, simplified browser-based workflow. The solution brings AI directly into the existing front-desk workflow, helping staff verify insurance eligibility without manually accessing multiple insurance portals, repeatedly entering patient information, or switching between different systems. How the AI Agent Works The AI Agent connects the hospital's Hospital Information System (HIS) with supported insurance and payer portals. When a verification is initiated, the agent uses AI-powered information extraction to identify the relevant patient and insurance details and then performs the required verification workflow. The agent can interact with supported payer systems through available APIs or browser-based automation, retrieve the relevant eligibility information, and present the results back to the authorized hospital user through a unified workflow. This allows the AI Agent to act as a digital teammate for front-desk staff, taking care of repetitive verification activities while keeping human users involved in reviewing and validating the results. Key Capabilities - Real-Time Insurance Eligibility Verification: Enables front-desk teams to verify a patient's insurance eligibility at the point of registration, helping reduce delays in the patient intake process. - AI-Powered Information Extraction: Uses Vision Language Model (VLM) capabilities to extract relevant patient and insurance information from the hospital workflow, reducing the need for repetitive manual data entry. - Intelligent Agentic Workflow: Uses Large Language Model (LLM) capabilities and an agent orchestration layer to coordinate the steps required to complete insurance verification. - Automated Insurance Portal Interaction: The AI Agent can interact with supported insurance and payer portals on behalf of authorized users, reducing manual navigation and repetitive form entry. - HIS and Payer Integration: Connects the hospital's HIS environment with supported payer systems through APIs and browser-based integration approaches. - Unified Verification Workflow: Retrieves and consolidates relevant eligibility information, allowing staff to work through a simplified interface rather than manually checking multiple portals. - Human-in-the-Loop: The AI Agent assists with the verification process while authorized hospital staff remain responsible for reviewing and validating eligibility information before taking operational action. - Secure Access: Authentication and access controls restrict the solution to authorized users and support the secure handling of patient and insurance information. Key Benefits - Faster Insurance Verification: Processing time has been reduced from approximately 55 seconds to 15 seconds per insurance verification per payer portal, representing a 72.7% reduction in processing time and approximately 4x faster processing. - Reduced Manual Effort: Eliminates repetitive data entry, manual portal navigation, and the need to repeatedly transfer information between systems. - Improved Staff Productivity: Allows front-desk teams to spend less time on administrative verification tasks and more time supporting patients. - Improved Patient Experience: Faster eligibility verification helps accelerate patient registration and reduces administrative waiting time during intake. - Reduced Human Error: Automating repetitive information entry and verification steps helps minimize errors associated with manual processing. - Scalable Multi-Payer Foundation: The architecture is designed to support multiple payer environments and provides a foundation for expanding AI-powered eligibility verification across additional insurance workflows. Measurable Impact As of September 2026, the AI Agent supports insurance verification for approximately 70% of patients at RAK Hospital, significantly reducing the need for manual verification effort for covered workflows. The solution currently supports 25 users within RAK Hospital and is designed to scale across additional payer systems and healthcare workflows over time. Responsible and Secure AI The solution is designed for healthcare administrative use and does not make clinical decisions, diagnose patients, recommend treatment, or determine patient care. The AI Agent operates with human oversight. Authorized staff remain responsible for reviewing and validating eligibility information before taking operational action. The solution incorporates authentication and access controls and is designed to meet applicable organizational security and privacy requirements for handling healthcare and insurance information, including UAE healthcare information security requirements. Developed in the UAE The RAK Hospital AI Insurance Verification Agent was developed in the UAE by Droidal Systems FZ LLC for RAK Hospital. It demonstrates a practical application of agentic AI in healthcare administration by embedding an intelligent AI Agent directly into the patient intake and insurance verification workflow. The solution helps transform insurance verification from a manual, multi-portal process into a faster, AI-assisted workflow—reducing administrative friction while keeping healthcare staff in control.