Rinova AI home

Agentic revenue cycle management

Automate. Accelerate. Advance.

Automate your revenue cycle with AI Agents that work inside your existing systems. Rinova completes routine RCM tasks in seconds, follows your rules, and sends exceptions to your team for review.

Book a demoExplore the AI Agents

Customized for every specialty, EHR, workflow, and payer mix.

RCM command center

Synthetic appointment SIM-APPT-0417

Simulated workflow
  1. Eligibility verified00:02Active coverage confirmed through the payer sourceCompleted
  2. Authorization checked00:04No authorization required for this simulated serviceCompleted
  3. Coding reviewed00:06Suggested codes linked to supporting documentationCompleted
  4. Claim submitted00:08Accepted by the simulated clearinghouseCompleted
  5. Payment matched00:10Remittance reconciled to the approved payment recordCompleted
  6. Exception routed00:12One item sent to staff: payment below the approved rateRouted to staff

Last updated 00:12 ยท 6 of 6 stages

Exception routed. One item sent to staff: payment below the approved rate.

Revenue cycle performance without the manual drag

Rinova helps teams submit cleaner claims, respond earlier, and spend less time moving information between systems.

98%+
More than 98 percent first-pass claim acceptance
<2%
Rinova-reported denial rate
Up to 5x
Faster reimbursements
Up to 90%
Lower RCM operating costs

Results vary by organization, specialty, payer mix, claim volume, system access, workflow scope, and starting performance.

One connected AI workforce

AI Agents across the revenue cycle

Each AI Agent handles a defined part of the workflow. Together, they move work from the appointment schedule through reimbursement while preserving your rules, approval points, and audit trail.

  1. Stage 1Eligibility VerificationConfirm coverage and benefits before the visit through payer APIs and portal workflows.View agent
  2. Stage 2Prior AuthorizationGather requirements, prepare routine requests, submit through payer portals, and monitor status.View agent
  3. Stage 3Medical CodingRead documentation, apply organization-specific coding guidance, and route low-confidence cases for review.View agent
  4. Stage 4Claim SubmissionCheck required fields, submit clean claims, capture confirmations, and respond to front-end rejections.View agent
  5. Stage 5Payment Posting and ReconciliationRead remittance data, post payments, compare expected and received amounts, and flag mismatches.View agent
  6. Stage 6Rejection and Denial ManagementIdentify root causes, prepare corrections or appeal work, and keep every next action visible.View agent
  7. Stage 7Claim Status and Follow UpCheck payer and clearinghouse status, update work queues, and surface claims that need action.View agent

Deploy the full suite or begin with the workflows that create the most friction today.

Built around the way your team already works

Rinova does not impose a generic billing process. We map how your staff works across the EHR, practice management system, clearinghouse, payer portals, documents, and approved financial tools. We then configure each AI Agent to follow those steps, apply your guidelines, and hand off the cases that require judgment.

  • Existing systems remain in place
  • Customer-specific rules and approval thresholds
  • Human review for sensitive, unusual, or low-confidence work
  • Auditable steps and clear status visibility
  • Roughly 80 to 90 percent automation potential with the full suite, depending on scope
Simulated workflow

Step 5 of 5

Today

A staff member moves between systems

  1. ScheduleOpen tomorrow's appointment list
  2. Payer portalSign in and look up coverage
  3. EHRRetype benefits into the patient record
  4. SpreadsheetLog what was checked and what was missing
  5. Work queueLeave a note for the next person

With Rinova

AI Agents complete the same transitions

  1. ScheduleAgent reads the appointment list on a set interval
  2. Payer sourceAgent checks the API, then the approved portal
  3. EHRAgent writes verified benefits to the approved field
  4. Audit trailSource, timestamp, and response recorded automatically
  5. Human review queueOnly the exception reaches a personRouted to staff

Choose the operating model that fits your team

Start with a workflow and prove it in your environment

Rinova maps the current process, configures agents inside approved systems, validates the work with your team, and expands only after the first workflows are performing as expected.

  1. Discover

    We document your systems, payer mix, task volumes, guidelines, handoffs, and exception rules.

  2. Configure

    We build customer-specific instructions and connect each AI Agent to the approved parts of your workflow.

  3. Validate

    Your team reviews test cases, confirms outputs, and approves the first agents for live work.

  4. Expand

    We monitor performance and deploy additional agents one workflow at a time.

Full-suite customers typically begin with two agents during an approximately two-month onboarding and validation period. Standalone eligibility deployments are typically about one week for eClinicalWorks and Modernizing Medicine and about two weeks for most other EHRs. Timing depends on access, workflow complexity, and customer responsiveness.

Keep the systems your team already knows

Rinova is designed to work across existing EHRs, practice management systems, clearinghouses, payer portals, and approved operational tools. The integration approach is selected around each customer's environment rather than forcing a system replacement.

  • EHR
  • Practice management
  • Clearinghouse
RinovaAI Agents
  • Payer portals
  • Documents
  • Approved financial tools

Supports all specialties and EHRs, subject to technical and workflow review.

Security and accountability

Automation your team can inspect

Rinova is designed for healthcare workflows where access, traceability, and review matter. Each deployment follows customer-approved permissions and maintains visibility into the work an AI Agent performs.

Rinova's AI Agents and AI products are designed with HIPAA compliance requirements and SOC 2-aligned controls in mind. Rinova signs a Business Associate Agreement with every customer.

Discuss security with our team
  • SOC 2 controls aligned
  • HIPAA compliant
  • Data encrypted in transit and at rest
  • Auditable activity with human review for exceptions

Designed for every specialty

Every deployment is configured around the clinical documentation, coding patterns, payer rules, and workflow preferences of the organization it supports.

  • Cardiology
  • Dermatology
  • Endocrinology
  • Gastroenterology
  • Internal medicine
  • Neurology
  • Obstetrics and gynecology
  • Pediatrics
  • Psychiatry
  • Rheumatology

Do not see your specialty? Rinova supports all specialties. Book a demo to discuss your workflow.

Our partners

Rinova works with healthcare and technology organizations that share our focus on practical, measurable improvement.

OKIPA
Techmatter
Wise Medical Billing
K1 Medical
Practice Health

Questions healthcare teams ask first

Rinova automates high-volume, repeatable tasks and routes sensitive, unusual, or low-confidence cases to people. Many organizations use the AI Agents to grow without adding billing headcount at the same rate, while keeping their existing team focused on exceptions and higher-value work.

See what your revenue cycle can run without the manual queue

Bring us the workflows consuming your team's time. We will show you where AI Agents can help, how they would operate in your systems, and which cases should remain with people.

Book a demo

30 to 45 minute conversation with a workflow walkthrough, integration discussion, and live questions.