Your practice, your terms
Complete practice operations for physician groups, AI revenue cycle agents, expert services, and NovaCOS working as one system on top of the EHR
no show reduction
Up to $10k
annual uplift
Better payer rates
Fewer avoidable
denials
denials
Up to 5%
points improvement
ininitial denials
ininitial denials
New revenue
streams
streams
Faster cash
More clean claims
paid within 7 to 14 days
paid within 7 to 14 days
Lower coordination
burden
burden
Up to 30%
less back-office chasing
and follow-up work
and follow-up work
The Challenge
The administrative burden was never yours to carry.
Independent physician groups are running some of the most complex operations in healthcare with the least infrastructure to support them.
01
Revenue leaking in places you can't always see
Authorization denials, undercoded encounters, delayed collections.
02
Payer complexity that never fully resolves
Your team spends hours on hold with payers, chasing status updates and resubmitting claims — time that doesn't generate revenue or improve care.
03
Systems that don't talk to each other
An EHR from one vendor, RCM tools from another, a billing service that operates on spreadsheets. Every hand off is a gap. Every gap is a delay.
04
Growth that creates more complexity, not less
Adding providers means more credentialing, more locations, more payer contracts. The systems that got you to 10 can't scale to 50.
How Sovereign Works
Three layers. Built to work as one.
Sovereign connects your EHR, AI, and expert team into a single operating system where every layer feeds the next.
01
Clinical Operating System
Portal — on top of your EHR
74% of healthcare AI is stuck in pilots. The reason isn't the AI, it's the data architecture underneath it.
02
Agentic Execution
AI RCM Agents
RCM AI Agents cover the full revenue cycle from the first patient touchpoint to the final payment.
03
Expert Services
Human in the Loop
Innovaccer's expert team handles the workflows that require human judgment — inside the same platform, not as a separate vendor.
PORTAL - Clinical Operating System
The interface your EHR was supposed to have.
Portal sits on top of your current EHR and gives your physicians and staff a modern, AI-first interface without replacing the system they're already trained on.
No rip-and-replace. Active on day one.
Real-time bidirectional data flow
AI that surfaces at the right moment
Powered by Gravity — built for healthcare at scale
AI Execution - Flow AI Agents
Every revenue cycle step in one end to end journey.
Engage with any Flow agent directly from NovaCOS — orchestrate prior auth, kick off autonomous coding, or gain insights into denials without leaving the clinical interface.
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Up to 70% reduction in manual prior auth work
Before: Denials sit in a queue, appeals miss deadlines, underpayments go unnoticed, A/R ages out
After: Denials triaged and appealed automatically, underpayments flagged and recovered, A/R days reduced
Referral
Scheduling
Eligibility Verification
Support
Intake
Prior Authorization
First-pass claim acceptance rate improvement acrossspecialties
Before: Coders review notes after the fact, queries go back to physicians, claims lag by days
After: Codes suggested at point of care, CDI flags surfaced in context, clean claim submitted same day
Pre-Visit Prep
Claims Integrity & Submission
Ambient Scribe
Autonomous Coding
CDI
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Up to 5% improvement in initial denial rates
Before: Denials sit in a queue, appeals miss deadlines, underpayments go unnoticed, A/R ages out
After: Denials triaged and appealed automatically, underpayments flagged and recovered, A/R days reduced
Denials Management
Appeals
Underpayment Recovery
Payment Posting
Expert Services - Human in the Loop
Our experts close the gaps AI can’t.
Some workflows require judgment, accountability, and continuity that no AI can replace. Innovaccer's expert services team works as an integrated extension of your practice — not a separate vendor you have to manage.
Credentialing
Initial credentialing and re-credentialing across your full payer mix. We track expiration dates, handle CAQH updates, and manage the full PECOS and state licensing workflow so nothing lapses.
Typical turnaround: 60–90 days for new providers
Continuous monitoring for re-cred windows
Payer Enrollment
New provider enrollment, location additions, new payer contracts. We submit the applications, chase the status updates, and confirm effectivedates. You get notified when it's done, not when you need to follow up again.
Location-level and provider-level enrollment
Handles Medicare, Medicaid, commercial plans
Complex RCM Operations
When AI RCM agents flag a denial that needs human resolution, our RCM specialists handle it. They have context from the platform. They don't need you to explain the situation from scratch.
Payer-specific expertise across major commercial and government plans
SLA-bound escalation handling
Patient Account Management
Billing questions, statement disputes, payment plan setup, and balance resolution — handled by our team on your behalf. Patients get clear, accurate answers. Your front desk doesn't spend half the day explaining EOBs. Outstanding balances get resolved faster.
Payment plan management
Bad debt reduction
Omnichannel patient communication
Built for the experiences that matter most in healthcare
Every person in the care journey. Fewer dropped balls.
Sovereign doesn't just improve operations — it transforms the experience for the two people most affected by back-office complexity: the patient navigating care, and the physician delivering it.
Omni-channel communication (SMS, webchat, email, call)
AI Agents with human in the loop for high-touch needs
Journey orchestration based on events & triggers
Patient schedules a PCP visit
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AI-assisted omnichannel scheduling
Insurance & eligibility captured upfront
Automated reminders & readiness prompts
Patient visits the PCP
Real-time eligibility verification
Prior authorization (PA) initiation update
Out-of-pocket estimate for orders (referral, labs etc.)
Patient receives updates & guidance
Faster speed to therapy with first-pass PA approvals
PA status updates
Referral scheduling, reminders, and readiness checks
Omnichannel queries support
If PA is denied, patient receives guided support
Denial reason update
Digital collection of missing info
Appeal status updates
Patient visits the referred specialist
Claim submission updates
Statement notification
Omnichannel queries support
Patient pays the bill
Digital bill summary update
Omnichannel queries support
AI Agents with human in the loop for high-touch needs
Bidirectional EHR Integration — Writeback to EHRs
Physician receives patient appointment
Visit scheduled by AI Agent & appears in EHR
Coding/care gaps and documentation needs highlighted
AI-generated pre-visit summary
Physician sees the patient
Real-time eligibility verification
Ambient documentation & MEAT notes
Autonomous coding and CDI
Physician submits orders / referrals
Suggested orders (lab, referral, etc.)
Prior authorization (PA) packet created & submitted by AI Agent in real-time
Physician receives updates
Status updates & alerts for prior auth, denials
Automated patient outreach triggered for scheduling, instructions, or missing info
The solution
What Sovereign changes
Independent physician groups are running some of the most complex operations in healthcare — with the least infrastructure to support them.
Prior auth submitted automatically from NovaCOS, status tracked without manual follow-up
Coding suggestions generated from clinical documentation before the physician closes the chart
Denials flagged, routed, and appealed by RCM AI Agents— not by your billing team on the phone
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Credentialing and payer enrollment managed by Innovaccer's team — not tracked in your inbox
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One platform that connects clinical data to financial outcomes — no manual bridges between systems
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About Innovaccer
Healthcare AI built for the way care actually works.
Innovaccer is a healthcare AI company on a mission to make care more connected and every person more informed. Sovereign is the first fully integrated operating system built exclusively for physician groups.
