What You Should Know
– Inova Health, a non-profit provider in Northern Virginia, has announced a strategic partnership with Notable to deploy an integrated AI platform across its revenue cycle and patient access operations.
– By utilizing “Agentic AI”—autonomous agents that execute multi-step workflows—Inova aims to reclaim 80% of staff time lost to manual documentation requests and reduce orthopedic referral leakage by 20%.
How Notable’s AI Platform Automates High-Friction Workflows
While 2025 was dominated by “ambient speech” (which reached 79% adoption among clinicians), the 2026 mandate is operational automation. Most organizations have spent the last year automating lower-risk, well-defined workflows; Inova’s move into “closed-loop” referral management represents a jump into higher-stakes, system-wide AI orchestration.
Notable’s approach centers on AI Agents, purpose-built automation tools that operate within existing EHR and administrative systems rather than requiring wholesale technology replacement. Unlike robotic process automation (RPA) that simply mimics human clicks, these AI Agents apply machine learning to understand context, make decisions based on clinical and operational data, and adapt to variations in documentation formats and payer requirements.
In Inova’s initial deployment, the platform will target two specific use cases:
- Additional Documentation Requests and Denials Management: AI Agents automatically monitor incoming payer requests, identify the specific clinical documentation needed, navigate EHR systems to surface relevant records, assemble responses according to payer specifications, and route completed packages to staff for final review and electronic submission. This automation can reduce the time revenue cycle specialists spend on each ADR from an average of 45 minutes to approximately 9 minutes—an 80% reduction that allows existing staff to handle significantly higher volumes or redirect effort toward complex appeals and denial prevention strategies.
- Closed-Loop Referral Management: Beginning with orthopedics, a high-value service line prone to referral leakage, AI Agents continuously monitor referral orders and scheduling data within the EHR. When patients have not scheduled appointments within designated timeframes, the system automatically triggers personalized outreach through preferred communication channels—text, email, or phone—sends appointment reminders, and confirms when visits are completed. This proactive approach addresses the estimated 20% referral leakage rate that health systems experience, converting more referrals to completed visits while reducing the manual tracking burden on care coordinators.
The platform’s low-code Flow Builder allows Inova’s operational teams to configure workflows without extensive programming knowledge, addressing a common implementation barrier where IT departments become bottlenecks for process changes. This design philosophy reflects lessons learned from earlier healthcare automation attempts that failed because they couldn’t adapt quickly to evolving payer policies or clinical protocols.
“Inova is redefining what it means to lead in digital transformation by making intelligent automation foundational to care delivery. We’re proud to be their partner in this journey, helping them unlock scalable, system-wide impact by automating high-friction workflows across their organization,” said Pranay Kapadia, co-founder and CEO of Notable.
