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An Industry Cloud Platform Leader in Gartner Magic Quadrant
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Enabling

Autonomous Operations

for Healthcare

One integrated platform that puts data, insights, and AI agents to work across every clinical and administrative workflow.

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Request a demo

Enabling Autonomous Operations for Healthcare

One integrated platform that puts data, insights, and AI agents to work across every clinical and administrative workflow.

Request a demo
Request a demo
WHERE AGENTS WORK

Transforming every workflow with autonomous agents

Population Health
Revenue Cycle
Specialty Care
Contact Center
Risk and Quality
Pharmacy Operations
Utilization Management
Perform in every contract, from full risk to fee-for-service.
Copilots and Agents to help you close gaps, run care plans, and track quality on one set of unified data.
SOLUTIONS
Risk Adjustment
Quality Management
Contract Design and Management
CMS LEAD and TEAM
CMS ACCESS
Adventist HealthCare rebuilt care management around earlier outreach and is now winning in MSSP: $1.8M in savings and 15.8% fewer readmissions
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Maximize revenue and reduce A/R days
Automate access, coding, and collections. Experts who can step in to handle cases that need human judgment.
SOLUTIONS
Prior Authorization
Ambient Scribing
Intake
Coding and CDI
Submissions and Appeals
Cone Health agentified prior authorization and reduced prep time from 45 minutes to 3 minutes
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LEARN MORE
Keep complex patients stable between visits
Automate medication titration, symptom monitoring, and follow-up so specialists handle more complex patients.
SOLUTIONS
Adaptive Care
AI-driven Interventions
Closed-loop Referrals
Intermountain Health turned heart failure medication management into a clinical win with 65% fewer hospitalizations and 53% less ED use
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LEARN MORE
Be available for your patients 24/7
Omnichannel AI agents to handle scheduling, referrals, intake, and questions 24/7 for a smooth experience
SOLUTIONS
Omnichannel Agents
Copilot for Support Team
Knowledge Base
Telephony Integration
Franciscan Alliance automated routine call-center work and now generates $19.2M in annual value with 54% less call handling time
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LEARN MORE
Close risk and quality gaps earlier
Agents that help your team identify and close gaps with a complete audit trail — without the chase.
SOLUTIONS
Prospective and Concurrent
Retrospective
Stars and HEDIS Gap Closure
Audit-ready for RADV
Optimus Healthcare Partners embedded risk and quality at the point of care and lifted MSSP quality gap closure 27% over two years
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LEARN MORE
Improve specialty pharmacy performance
Agents that connect every step from prescription to therapy, with prior auth built into the prescribing workflow.
SOLUTIONS
340B Compliance
Prior auth and benefits
Unified visibility across pharmacies
Ascension is transforming specialty pharmacy operations with Innovaccer and LongitudeRx
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LEARN MORE
Approve the right care faster
Agents that help you intake prior auth, apply current clinical guidelines, and return most decisions in real time.
SOLUTIONS
Clinical evidence
Decision routing
CMS-0057-F readiness
CareCentrix Partners with Innovaccer to Bring Agentic AI to Utilization Management for Home-Based Care
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LEARN MORE
Agents that work as a team
Every agent runs on the same context, so they share context, hand off work, and learn from one source of truth
BUILD A CUSTOM AGENT
BUILD A CUSTOM AGENT
Fraud Detection
AI AGENT
Flags anomalous billing patterns and escalates high-risk providers for review.
Care Coordination
AI AGENT
Keeps every provider on the same page with a shared, always-current care plan.
Quality Performance
AI AGENT
Closes HEDIS and quality measure gaps proactively, before reporting deadlines.
Utilization Management
AI AGENT
Reviews medical necessity and manages authorizations with clinical-criteria logic.
Registration
AI AGENT
Captures identity, insurance, and consent for new patients end-to-end, automatically.
Prior Authorization
AI AGENT
Submits, tracks, and auto-adjudicates PA requests without manual touchpoints.
Fraud Detection
AI AGENT
Flags anomalous billing patterns and escalates high-risk providers for review.
Care Coordination
AI AGENT
Keeps every provider on the same page with a shared, always-current care plan.
Quality Performance
AI AGENT
Closes HEDIS and quality measure gaps proactively, before reporting deadlines.
Utilization Management
AI AGENT
Reviews medical necessity and manages authorizations with clinical-criteria logic.
Registration
AI AGENT
Captures identity, insurance, and consent for new patients end-to-end, automatically.
Prior Authorization
AI AGENT
Submits, tracks, and auto-adjudicates PA requests without manual touchpoints.
Fraud Detection
AI AGENT
Flags anomalous billing patterns and escalates high-risk providers for review.
Care Coordination
AI AGENT
Keeps every provider on the same page with a shared, always-current care plan.
Quality Performance
AI AGENT
Closes HEDIS and quality measure gaps proactively, before reporting deadlines.
Utilization Management
AI AGENT
Reviews medical necessity and manages authorizations with clinical-criteria logic.
Registration
AI AGENT
Captures identity, insurance, and consent for new patients end-to-end, automatically.
Prior Authorization
AI AGENT
Submits, tracks, and auto-adjudicates PA requests without manual touchpoints.
Referral Intake agent
AI AGENT
Routes incoming referrals to the right provider, network, and specialty in seconds.
Scheduling
AI AGENT
Books, reschedules, and optimizes appointments across providers without staff intervention.
Patient Inquiry
AI AGENT
Answers benefits, billing, and care questions instantly using live insurance data.
Eligibility & Benefits
AI AGENT
Verifies active coverage, deductibles, and copays before every encounter.
Documentation
AI AGENT
Drafts SOAP notes, captures diagnoses, and closes documentation gaps in real time.
Underpayment Recovery
AI AGENT
Compares remits against contracted rates and pursues every underpayment.
Chart Chase agent
AI AGENT
Retrieves outstanding medical records from EHRs and fax automatically, on deadline.
Referral Intake agent
AI AGENT
Routes incoming referrals to the right provider, network, and specialty in seconds.
Scheduling
AI AGENT
Books, reschedules, and optimizes appointments across providers without staff intervention.
Patient Inquiry
AI AGENT
Answers benefits, billing, and care questions instantly using live insurance data.
Eligibility & Benefits
AI AGENT
Verifies active coverage, deductibles, and copays before every encounter.
Documentation
AI AGENT
Drafts SOAP notes, captures diagnoses, and closes documentation gaps in real time.
Underpayment Recovery
AI AGENT
Compares remits against contracted rates and pursues every underpayment.
Chart Chase agent
AI AGENT
Retrieves outstanding medical records from EHRs and fax automatically, on deadline.
Referral Intake agent
AI AGENT
Routes incoming referrals to the right provider, network, and specialty in seconds.
Scheduling
AI AGENT
Books, reschedules, and optimizes appointments across providers without staff intervention.
Patient Inquiry
AI AGENT
Answers benefits, billing, and care questions instantly using live insurance data.
Eligibility & Benefits
AI AGENT
Verifies active coverage, deductibles, and copays before every encounter.
Documentation
AI AGENT
Drafts SOAP notes, captures diagnoses, and closes documentation gaps in real time.
Underpayment Recovery
AI AGENT
Compares remits against contracted rates and pursues every underpayment.
Chart Chase agent
AI AGENT
Retrieves outstanding medical records from EHRs and fax automatically, on deadline.
Coding & CDI
AI AGENT
Suggests accurate ICD and HCC codes with specificity to maximize risk adjustment.
Claim Submission
AI AGENT
Scrubs and submits clean claims to payers with zero manual prep.
Denial & Appeals
AI AGENT
Identifies denial root causes, builds evidence-backed appeals, and files automatically.
Medication Adherence
AI AGENT
Detects missed doses and triggers personalized outreach before gaps widen.
Pre-Payment Claims
AI AGENT
Catches duplicate codes, unbundling, and billing errors before a claim goes out.
Transition of Care
AI AGENT
Coordinates discharge planning, care-plan sharing, and follow-up across settings.
Coding & CDI
AI AGENT
Suggests accurate ICD and HCC codes with specificity to maximize risk adjustment.
Claim Submission
AI AGENT
Scrubs and submits clean claims to payers with zero manual prep.
Denial & Appeals
AI AGENT
Identifies denial root causes, builds evidence-backed appeals, and files automatically.
Medication Adherence
AI AGENT
Detects missed doses and triggers personalized outreach before gaps widen.
Pre-Payment Claims
AI AGENT
Catches duplicate codes, unbundling, and billing errors before a claim goes out.
Transition of Care
AI AGENT
Coordinates discharge planning, care-plan sharing, and follow-up across settings.
Coding & CDI
AI AGENT
Suggests accurate ICD and HCC codes with specificity to maximize risk adjustment.
Claim Submission
AI AGENT
Scrubs and submits clean claims to payers with zero manual prep.
Denial & Appeals
AI AGENT
Identifies denial root causes, builds evidence-backed appeals, and files automatically.
Medication Adherence
AI AGENT
Detects missed doses and triggers personalized outreach before gaps widen.
Pre-Payment Claims
AI AGENT
Catches duplicate codes, unbundling, and billing errors before a claim goes out.
Transition of Care
AI AGENT
Coordinates discharge planning, care-plan sharing, and follow-up across settings.
The complete agent stack for healthcare
Build, govern, and scale AI across the enterprise
Health Systems
Primary Care
Pharmacies
Payers
Life Sciences
Public Sector
Health systems
One Platform to Operate All Non-EHR Infrastructure
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Closed-loop network retention

Autonomous revenue cycle

340B optimization

Higher specialty care throughput

Population health management

‍

Primary Care
Higher earnings with less administrative drag
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Background revenue automation

Predictive scheduling and referral closure

System-level purchasing power

Pharmacies
Unlock new revenue from payer-funded clinical programs
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Access to payer-funded clinical programs

Less administrative burden

Payers
Run a plan that automates decisions and protects spend
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Real-time risk and quality

Utilization management

Payment integrity

life sciences
Accelerate evidence, access, and impact
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Real-world evidence at scale

Precision engagement

Access and market performance visibility

public sector
Modernize Medicaid and public health for better outcomes
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Learn more

Social Health Information Exchange

Case Management

Medicaid Analytics

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CUSTOMER SUCCESS

Trusted by healthcare leaders across the enterprise

"The AI agent for referral management has been very beneficial because what it takes all these referrals that are coming in with the different formats and different EMRs and pulls it all out and makes it a standardized format, which makes it a lot easier for our staff to be able to sift through a lot of this data. We've had about a 4x increase in efficiency per referral coordinator. What used to take six to eight minutes to do is now taking one to two minutes to do, and that's really helped with the flow,"

Gregory Byrd, MD
Managing Partner, Olympia Orthopaedic Associates

“IInNote saves me 30 minutes a day that I would have otherwise spent chasing down information.”

Scott Maron, MD
President, Atlantic Health ACO
see full case study
$1M
in potential incentive payments
10%
improvement in coding gap closure rate
30
minutes a day saved per provider
"Innovaccer is helping us lay the groundwork to accelerate ACO care transformation - point-of-care physician engagement is just the first step.”
Dr. James Barr
CMO, Optimus Healthcare

“IInNote saves me 30 minutes a day that I would have otherwise spent chasing down information.”

Scott Maron, MD
President, Atlantic Health ACO
see full case study
$1M
in potential incentive payments
10%
improvement in coding gap closure rate
30
minutes a day saved per provider
42%

Higher call centre productivity

"Innovaccer is helping us lay the groundwork to accelerate ACO care transformation - point-of-care physician engagement is just the first step,"
Dr. James Barr
CMO
"Innovaccer helped us prepare for MSSP participation by ensuring our Care Navigators have easy access to the right data and protocols to make timely and reliable clinical decisions,"
Dr. Mary Kim
CMO and VP Population Health Physician Enterprise
93%

Reduction in prior auth time

"Point-of-care insights and patient outreach tools (from Innovaccer) have, together, helped our aligned providers close more gaps in care, improve patient experience, and deliver greater value, all with highly customized builds tailored to practice workflows,"
Brandon Burket
Vice President, Value-Based Care and Population Health
60%+

Reduction in HF hospitalisations and 53% less ED utilisation

Industry grade security and compliance
Innovaccer gives you everything you need to build smarter, faster, and fully scalable AI solutions with industry-grade security and compliance built in from day one.
#1
Data and Analytics
Platform
Learn more
#1
Customer Relationship
Management
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#1
Payer Data and
Analytics Platform
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Industry grade security and compliance
Innovaccer gives you everything you need to build smarter, faster, and fully scalable AI solutions with industry-grade security and compliance built in from day one.
Get measurable outcomes with Agentic AI built for healthcare
Start your AI transformation journey
Get measurable operational and financial results with intelligence that makes healthcare work better.
contact us
contact us

By deploying Innovaccer’s InNote and Patient Outreach solutions, Orlando Health enabled its providers to improve documentation, close care gaps more effectively, and proactively engage at-risk patients. These improvements ultimately enhanced Orlando’s healthcare outcomes and captured additional revenue for the network.

see full case study
28.2%
relative improvement in quality gap
closure and documentation accuracy
86.1%
average patient engagement rate
34.0%
average gap closure rate

“We could not have achieved these results without our strategic partnership with Innovaccer.”

Brandon J. Burket, MHA
VP of Value-Based Care, Orlando Health
see full case study
47%
closure rate for care gaps
44%
annual wellness visit complete rate
29%
closure rate of quality gaps for BCS patients

"InNote saves me 30 minutes a day that I would have otherwise spent chasing down information."

Scott Maron, MD
President, Atlantic Health ACO
see full case study
$1M
in potential incentive payments
10%
improvement in coding gap closure rate
30
minutes a day saved per provider

"Innovaccer brings together all of the data that exists in various information technology silos across our health system, giving us a true enterprise-wide unified patient record."

Randy Moore, MD
Chief Operating Officer, Franciscan Health
see full case study
$2.2M
saved across multiple Medicare plans
2.8%
improvement in coding gap closure rate
4%
reduction in readmission rates

"Innovaccer's Best in KLAS point of care solution, InNote, solved one of our largest challenges: delivering actionable insights to the providers at the point of care."

Milady Cervera, MHA, MHIA
VP of Population Health

see full case study
17%
increase in annual wellness visit completion rates
7%
increase in coding gap closure rate
145%
increase in chronic care management revenue capture

Preventable hospital readmissions cost the healthcare system approximately $25B annually. These costs are driven by readmissions without follow-up, poor medication adherence, and ineffective transition care. CHI Health partnered with Innovaccer to enhance care delivery not just for inpatient visits but also post-discharge to keep their population healthy, reduce hospital readmissions, and reduce the overall cost of care.

see full case study
$2.75M
in value realized
20%
lower PMPM costs
22%
reduction in readmission rates

Propensity scoring is a critical tool for healthcare marketers to target specific patient audiences with content that will convert. UCHealth leverages our AI-powered propensity scoring with incredible results. Learn how to implement propensity scoring to generate more engagement, appointments scheduled, and revenue.

see full case study
79%
increase in patient engagement
1.8x
more likely to schedule
4.8%
conversion rate

Banner Health is one of the nation's largest payer-provider organizations, managing 1.4M patients in value-based arrangements across Arizona and Colorado. Banner partnered with Innovaccer to integrate data from disparate sources, surface insights at the point of care, and create a system wide strategy for succeeding in value-based care.

READ THE CASE STUDY
18%
care gap closure rate
1.4M
lives covered by value-based care
$4M
saved through vendor consolidation

Commonspirit Health uses Innovaccer to aggregate and normalize claims data directly from payers and regional instances to create an All-Payer Value-Based Claims Solution. CommonSpirit leverages this platform to deliver actionable clinical, operational, and financial insights to regional Value Hubs.

Read the annual report
1.9M
value-based lives managed in Innovaccer
9
disparate systems being replaced by Innovaccer
16
states included in Innovaccer deployment