No-code workflow builder
Drag-and-drop workflow design with clinical guardrails for ops teams to own automations safely.
Provider Workflow Automation
Automate paperwork-heavy clinical workflows
Prior auth, referral routing, care gap closure, discharge planning — EHR-integrated automation that reduces administrative burden without bypassing clinical review.
FHIR-TriggeredAudit LoggedNo-Code BuilderEHR Integrated
Trusted by global innovators
Administrative burden is a clinical problem
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.
60%
Admin time reduction on prior auth
3×
Faster discharge completion
100%
Audit trail on every automation
What we automate
Real workflow automation, not RPA duct-tape
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.
Core features
What we build
A workflow automation stack engineered for clinical environments — EHR-integrated, audit-trailed, and no-code-configurable where it helps.
FHIR trigger engine
React to FHIR R4 events — Appointment, Encounter, MedicationRequest, DocumentReference, and more.
Prior auth automation
Structured payer integration, required-field extraction, and tracking through the auth lifecycle.
Referral routing
Specialty matching, insurance filtering, and availability-aware routing with fallback logic.
Care gap closure
Identify care gaps from EHR data and drive outreach workflows to close them with documented clinical review.
Discharge planning
Discharge checklist automation, patient education delivery, and follow-up scheduling.
Dashboard monitoring
Per-workflow SLAs, exception queues, and clinician-facing status dashboards.
Audit logs
Every automation step logged with user, timestamp, and input/output — HIPAA audit-ready.
Role-based access
RBAC tuned to clinical roles — MD, RN, CNA, MA, front desk, billing — with least-privilege defaults.
Approach decision
RPA bots vs FHIR-triggered automation
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.
Where it runs
Workflow automation categories we've shipped
Prior authorization
Structured prior auth with payer integration and tracking through the auth lifecycle.
Referral management
Specialty routing with availability, insurance, and clinical fit awareness.
Discharge planning
Checklist automation with patient education and follow-up scheduling.
Care gap closure
EHR-driven care gap identification with outreach automation and clinician review.
Intake & insurance verification
Patient intake form completion and insurance eligibility verification before visit.
Helpdesk & triage
Patient request routing, priority triage, and clinical coverage matching.
How we ship
Our workflow automation delivery process
Automation builds always start with workflow discovery. Automating a broken process makes it run faster — it doesn't fix it.
Step 01
Workflow discovery
Shadow clinical ops, map actual workflow, and identify automation candidates with highest ROI and lowest risk.
Step 02
Integration design
EHR integration pattern — FHIR R4 triggers, CDS Hooks, or SMART launch — tuned to the target system.
Step 03
AI augmentation design
Where LLM extraction, classification, or summarisation improves a step safely.
Step 04
Automation engineering
Workflow engine, integration layer, and no-code builder for ops-team extensibility.
Step 05
Clinical review gates
Every clinically consequential automation has a human-in-loop gate with clear override.
Step 06
Launch & calibration
Phased rollout with exception monitoring, automation health dashboards, and continuous calibration.
What usually goes wrong
Workflow automation risks — and how we handle them
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.
Standards we build against
Workflow automation standards in our SDLC
HIPAAFHIRHL7HITECHHITRUST
Engineered for Healthcare Compliance, Backed by Global Standards
Every Agnotic healthcare build is architected for privacy, interoperability, and regulatory readiness from the first commit — not retrofitted before launch.
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 reproductive and health data.
Fast Healthcare Interoperability Resources
Enable standardized health data exchange across apps, care teams, and systems through robust FHIR-ready APIs and mappings.
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 controls and risk management practices trusted by providers and 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.
Food and Drug Administration Software as a Medical Device
Plan software quality, traceability, and documentation pathways for products that may require SaMD review and regulatory 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 (42 CFR Part 2)
Apply confidentiality controls and consent-aware sharing models for behavioral and mental health related data experiences.
We Are Technology-Agnostic
With a diverse technology stack, we deliver solutions using a technology-Agnostic approach to meet your unique needs.
Wireframe & Ideation
User Experience
Real-Time Projects
Voices of Success
We don't just build products; we forge lasting partnerships. See how we've helped industry leaders transform their vision into technical reality.
"I can clearly see how Agnotic has a unique way of handling end-to-end development. They are always active on quick chat and provide support quickly."
Aaron Phelan
Founder, Benchmark
"Agnotic is the best technical team we evaluated. Their engineering excellence made our work dramatically easier and allowed us to stay focused on what matters most for maternal care outcomes. They took full ownership of the technical execution, and we are always happy to continue working together."
Kim Smith
Founder, My Lauren
"Agnotic combines deep technical expertise with strong domain knowledge. They understand the business context, anticipate challenges, and make collaboration smooth and effective."
John Pasmore
Founder, Latimer
Frequently Asked Questions
Epic, Cerner, Athenahealth, Allscripts, eClinicalWorks, and others via FHIR R4 where available and HL7 v2 for legacy systems. We also integrate with specialty behavioural health EHRs that have different consent models.
Talk to a workflow automation expert
Tell us where your clinical ops team loses the most hours. We'll return a workflow redesign and automation plan with clear ROI.