Patient Access OS

AI Agents for Healthcare Operations.
Automate Administrative Work.

Reduce administrative burden across intake, prior authorizations, and revenue cycle work with configurable privacy and approval controls.

Intake
Patient Registered (New)
Eligibility
Insurance Verified (Aetna)
RCM
Claim Batch #992 Submitted

The Provider's Dilemma.

Your staff spends more time fighting with payers and fax machines than caring for patients. Administrative friction is the #1 cause of burnout and revenue leakage.

Staff Burnout

EHR updates, intake review, and paperwork reduce the time clinical teams can devote to patient care.

Prior Auth Hell

Missing documentation and manual coding checks can delay claims and create avoidable follow-up work.

Patient Leakage

Long hold times and unanswered questions create a poor intake experience and additional follow-up work for front-desk teams.

Your Clinical Operations Team.

Deploy agents that handle the front desk, the back office, and the revenue cycle.

Triage AI

Patient Access

08:30:01Incoming Call: 'I have a high fever.'
08:30:05Protocol Check: Fever > 103F? (Yes)
08:30:08Action: Flagged 'Urgent'. Checking Dr. Smith's schedule...
08:30:12Reply: 'We can see you today at 10am.'
08:30:15Appointment Created in Epic.
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Example workflow • configured to your systems

Auth Automator

Revenue Cycle

10:00:00Procedure: MRI Lumbar (CPT 72148)
10:00:05Payer: BlueCross. Checking Policy...
10:00:10Requirement: 'Conservative therapy failed > 6wks'
10:00:15Scanning Chart... Found PT notes (Jan-Mar).
10:00:20Action: Auth Request Submitted (Portal).
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Example workflow • configured to your systems

Claims Engine

Billing

14:15:00Ingesting Encounter #9921 (Dr. Lee)
14:15:05Reviewing SOAP Note...
14:15:10Suggestion: Add code E11.9 (Type 2 Diabetes)
14:15:15Alert: Missing Modifier 25 on E/M code.
14:15:20Claim Flagged for Review.
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Example workflow • configured to your systems

Referral Loop

Care Coordination

11:00:00Referral Order: Cardiology (Urgent)
11:00:05Identifying In-Network Specialists...
11:00:10Selected: Heart Center of Metro City
11:00:15Compiling Packet: Labs, EKG, Demographics.
11:00:20Action: eFax sent securely.
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Example workflow • configured to your systems

Need another job automated?

Describe the role, tools, rules, and approvals. Nerova will help you customize the agents your workflow actually needs.

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Clinical Governance.

Configurable privacy, access, approval, and audit controls for healthcare administrative workflows.

Configurable Privacy Controls

Full BAA support. All data is encrypted at rest and in transit (AES-256).

EHR Interoperability

Seamless integration with Epic, Cerner, AthenaHealth, and others via HL7/FHIR.

Human-in-the-Loop

Critical clinical decisions are always routed to a provider for final sign-off.

Deterministic Guardrails

Agents adhere strictly to your company policy. Each agent is rigorously tested with strict safety guardrails.

TRUSTED INFRASTRUCTURE

HIPAA Workflow Safeguards Full Audit Trails HL7 / FHIR Ready BAA Signed Runtime Monitoring Security Control Mapping White-Label Supported Multi-Department Support Private Cloud Isolated Future-Proofed Multi-Language Support

Deployment guide

How to deploy AI agents for healthcare operations

Begin with a bounded administrative queue, minimum-necessary data, and explicit escalation rules. Validate completeness and routing before allowing the agent to update downstream systems. The workflow displays above are configuration examples, not guaranteed outcomes.

Best first workflow

Start with prior-authorization status follow-up for one payer or service line, while staff retain submission, coding, and clinical decisions.

What deployment requires

Approved system access, minimum-necessary patient fields, payer rules, escalation criteria, retention requirements, and named operational owners.

Human approval boundary

Clinical decisions, diagnosis, treatment, coding exceptions, and sensitive patient communication remain with authorized healthcare personnel.

When not to automate

An agent should not independently diagnose, prescribe, or make clinical decisions, and deployment depends on the organization’s privacy and vendor review.

How to measure the pilot

Track queue age, completed follow-ups, routing accuracy, staff touches per authorization, and exceptions requiring manual correction.

Questions teams should answer first

What is the best first workflow for healthcare operations?

Start with prior-authorization status follow-up for one payer or service line, while staff retain submission, coding, and clinical decisions.

What information and systems does this workflow require?

Approved system access, minimum-necessary patient fields, payer rules, escalation criteria, retention requirements, and named operational owners.

Which decisions must remain with people?

Clinical decisions, diagnosis, treatment, coding exceptions, and sensitive patient communication remain with authorized healthcare personnel.

Your next workflow

Customize the team around the work you need done.

Start free, share the outcomes you want, then tailor each role and connect the systems your team needs to do the work.