Challenge
Automating a broken workflow just makes it faster
Agnotic approach
Discovery first — we redesign the workflow before automating it, with clinical ops ownership.

Prior auth, referral routing, care gap closure, discharge planning — EHR-integrated automation that reduces administrative burden without bypassing clinical review.
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What we automate
Most "healthcare automation" tools bolt RPA onto a legacy UI and call it done. That breaks the moment the EHR updates. We build workflow automation at the data and event layer — FHIR R4 trigger events, AI-augmented clinical rules, and clean integrations with the EHR of record.
The result: automations that survive EHR upgrades, that produce audit trails, and that never bypass required clinical review.
What usually goes wrong
Challenge
Automating a broken workflow just makes it faster
Agnotic approach
Discovery first — we redesign the workflow before automating it, with clinical ops ownership.
Challenge
RPA breaks on every EHR update
Agnotic approach
Default to FHIR-triggered automation at the data layer; use RPA only as a temporary bridge.
Challenge
Automation bypasses clinical review
Agnotic approach
Every clinically consequential step has a human-in-loop gate with clear override and audit trail.
Challenge
Ops teams can't extend automations without engineering
Agnotic approach
No-code workflow builder with clinical guardrails so ops teams can own incremental changes.
Where it runs
Structured prior auth with payer integration and tracking through the auth lifecycle.
Specialty routing with availability, insurance, and clinical fit awareness.
Checklist automation with patient education and follow-up scheduling.
EHR-driven care gap identification with outreach automation and clinician review.
Patient intake form completion and insurance eligibility verification before visit.
Patient request routing, priority triage, and clinical coverage matching.
Clinicians spending hours on paperwork isn't an efficiency issue — it's a quality-of-care issue. Our automation stack tackles it at the workflow layer.
Health Insurance Portability and Accountability Act
Protect PHI with privacy-first architecture, encrypted storage and transmission, strict access controls, and traceable audit logs.
General Data Protection Regulation
Implement lawful consent flows, data minimization, retention controls, and secure processing for sensitive health data.
Fast Healthcare Interoperability Resources
Enable standardized health data exchange across apps, care teams, and systems through robust FHIR-ready APIs.
Health Level Seven International
Support enterprise-grade interoperability with HL7-based integrations for records, events, and clinical messaging workflows.
Health Information Trust Alliance
Align security programs to healthcare-specific control and risk management practices trusted by providers and ecosystem partners.
Health Information Technology for Economic and Clinical Health Act
Design with breach notification readiness, digital record safeguards, and operational controls that support regulated care programs.
FDA Software as a Medical Device
Plan software quality, traceability, and documentation pathways for products that may require SaMD review and submission.
Medical Device Regulation (European Union)
Prepare EU market-ready processes for risk classification, evidence tracking, and lifecycle governance under MDR expectations.
Substance Abuse and Mental Health Services Administration
Apply confidentiality controls and consent-aware sharing models for behavioral and mental health data experiences.
Standards we build against
Approach decision
The automation approach determines whether your stack survives EHR upgrades and audits. Here's how we think about it.
| Dimension | Screen-scraping / RPA | FHIR-triggered automation |
|---|---|---|
| How it works | Bot clicks through EHR UI | Reacts to FHIR R4 events and writes via API |
| Upgrade resilience | Breaks on UI changes | Stable across UI updates |
| Audit trail | Fragile, often missing | Native audit logs on every API call |
| Compliance posture | Risky — PHI handling often unclear | Clean — PHI handled under BAA and logged |
| Setup speed | Fast first launch | Slower first setup, faster ongoing change |
| Best for | Temporary bridge while platform evolves | Long-term, regulated clinical automation |
We will use RPA as a short-term bridge when it's the only option, but we push toward FHIR-native automation every time it's viable.
Tell us where your clinical ops team loses the most hours. We'll return a workflow redesign and automation plan with clear ROI.
contact@agnotic.com
Partnerships
contact@agnotic.com