Innovaccer Inc
10/26/2026 | Press release | Distributed by Public on 10/26/2026 05:02
Agentic AI for Health Systems: Running the Revenue Cycle, Care Gaps, and Patient Access
Mastek and Innovaccer have partnered to bring agentic healthcare AI to health systems, payers, public sector, and life sciences organizations across the US, UK, Europe, and the Middle East. For health systems specifically, that partnership runs across three products built on Gravity, Innovaccer's Healthcare Autonomy Platform™: Flow for revenue cycle, Atlas for population health, and Innovaccer's patient access solution for the contact center, all deployed and supported within each organization's existing environment by Mastek.
The administrative load on health systems
Health systems are running revenue cycle operations that cost more to run every year. McKinsey's January 2026 analysis puts industry-wide revenue cycle spend above $140 billion annually, and estimates that an agentic AI back-end RCM deployment reducing cost-to-collect by even one to two percentage points could save a $6 billion-revenue health system $60 million to $120 million a year. HFMA's 2025 reference data puts the first-pass claim denial rate at roughly 11.65%, meaning more than one in ten claims comes back before it ever gets paid.
Staffing isn't going to close that gap. The same administrative work, like coding, claim assembly, denial rework, and patient scheduling, keeps landing on fewer people, and physicians and their staff already spend an average of 14.6 hours a week on prior authorization alone, according to the American Medical Association's 2025 survey.
What Innovaccer gives providers
Flow handles revenue cycle: coding, claim assembly, and denial management, with AI agents working the repeatable majority and certified RCM professionals stepping in on what needs judgment. Atlas unifies clinical, claims, and SDOH data into a single longitudinal record so care gaps and rising-risk patients surface before they become costly. Innovaccer's patient access solution runs the access center: AI agents handle scheduling, eligibility, FAQs, and referral intake across voice, web, and SMS, with AI copilots supporting live staff on the calls that need a person.
Innovaccer builds and maintains all three. Mastek configures each to the health system's EHR, payer mix, and existing workflows, integrates it with current systems, and supports it after go-live.
Use case 1: Revenue cycle management
Revenue cycle management covers everything between a patient encounter and a paid claim: coding, claim submission, denial rework, and underpayment recovery. Flow's agents read documentation, map codes, assemble and submit claims, and work denials before they age, while certified RCM professionals handle the cases that need payer-specific judgment.
Mastek integrates Flow with the health system's existing billing and EHR systems and runs it against the organization's actual payer mix. As a result, the automation reflects real claim patterns rather than a generic ruleset.
Use case 2: Population health and care gaps
Population health work depends on seeing a patient's full record, not just the piece that sits inside one system. Atlas unifies clinical, claims, financial, and supplemental data into one longitudinal view, so care gaps, rising-risk patients, and quality measures surface early enough to act on, across value-based contracts and fee-for-service alike.
Adventist HealthCare's physician alliance used this approach to succeed in its MSSP program: readmission rates fell 15.8%, total expected cost of care for MSSP patients dropped 16.4%, MSSP savings reached $1.8 million, and 81.5% of hospital discharges were successfully reached by a care navigator.
Mastek connects Atlas to the health system's EHR, claims systems, and care management workflows, and configures the care gap and outreach logic to the organization's specific VBC contracts and quality programs.
Use case 3: Patient access and contact center
Patient access is the front door to a health system, covering everything from the first scheduling call to the reminder before a visit. Innovaccer's patient access AI agents handle scheduling, eligibility checks, and referral intake across voice, web, and SMS, resolving routine interactions end to end and escalating the rest to a live agent with full context already assembled.
Orlando Health applied Innovaccer's patient outreach and engagement capabilities across its engagement and screening workflows: patient engagement increased 86%, 3,000 additional screenings were generated, and the health system saw $907,000 in incremental revenue alongside $65,000 in workflow savings.
Mastek deploys the patient access solution across the health system's existing telephony and CRM, so the access center runs on top of what the organization already owns instead of requiring a system replacement.
Why Mastek is the delivery partner
Flow, Atlas, and the patient access solution solve the technical half of this problem. Getting each one to integrate with a specific health system's EHR and run against its payer contracts and existing workflows is a separate job, and it's the one that determines whether a deployment reaches production or stalls in a pilot. Mastek, as Innovaccer's Platinum GSI partner, handles that half.
Founded in 1982, Mastek operates more than 4,700 specialists across 40-plus countries and serves 275-plus healthcare and life sciences customers spanning providers, payers, and public health agencies. For health systems specifically, that means EHR integration, configuration to existing workflows, staff training, and ongoing support after go-live, backed by four decades of delivery experience rather than a team assembled for this partnership alone.
Getting started
Most health systems running Innovaccer start with the workflow causing the most pain today, whether that's a denial rate that keeps climbing, a VBC contract at risk, or an access center buried in call volume, prove the outcome, and expand from there.
See how Innovaccer would integrate with your health system's own EHR and existing workflows.
Innovaccer Inc published this content on October 26, 2026, and is solely responsible for the information contained herein. Distributed via Public Technologies (PUBT), unedited and unaltered, on October 26, 2026 at 11:05 UTC. If you believe the information included in the content is inaccurate or outdated and requires editing or removal, please contact us at [email protected]