Inova Health deploys Notable AI Agents to automate revenue cycle and referral management across 4M+ annual patient visits

Inova Health, serving over 4 million patient visits annually with 26,000 team members, faced rising administrative burden and staffing constraints in revenue cycle and operations. Staff were spending excessive time managing Additional Documentation Requests (ADRs), payer denials, and closed-loop referral tracking — work that was largely manual, repetitive, and prone to leakage.

Inova partnered with Notable to deploy its AI Platform — including a low-code Flow Builder and customizable AI Agents — across ADR/denials management and referral management workflows. AI Agents automatically identify payer requests, surface required EHR documentation, assemble responses, and route tasks to staff for review. For referrals (initially focused on Orthopedics), agents monitor orders, identify unscheduled patients, send outreach and reminders, and close the loop upon appointment completion.

AI Agents are projected to save staff up to 80% of the time currently spent managing ADR submissions. Closed-loop referral automation is expected to reduce referral leakage by as much as 20%, while also mitigating revenue loss tied to delayed care and avoidable readmissions. The platform is designed to scale across additional service lines without burdening IT.

• Purpose-built healthcare AI Agents can dramatically reduce manual administrative workload in revenue cycle, but results are projections at partnership announcement stage — not yet retrospective outcomes.
• Closed-loop referral management with proactive patient outreach addresses both operational efficiency and revenue leakage simultaneously.
• A unified AI platform shared across workflows (vs. point solutions) enables compounding data and insights benefits as more use cases are added.