Agentic Index
Hyro vs Innovaccer (2026)
Both put AI agents on a health system's patient calls. That verdict is the Agentic Index coverage score, graded from each vendor's own published materials.
The difference is what sits behind the call. Hyro is a patient access layer. Its agents answer calls, web chat, SMS and app messages around the clock, drawing on a knowledge graph built from the organization's own webpages, APIs and Epic data. They book, reschedule and cancel through Epic scheduling and refill prescriptions through Epic's Willow Ambulatory module. Staff can unpack any conversation to the logic and sources behind each answer. Innovaccer is a platform. Gravity unifies data from hundreds of systems into one model, and its Comet access center agents share that context with agents for prior authorization, revenue cycle and care management. Teams can build their own in AI Studio on models from Innovaccer, OpenAI or Anthropic. Choose Hyro for a traceable front door on an Epic environment, and Innovaccer when the call starts work that continues into billing and care.
On the Agentic Index healthcare agent ranking, neither Hyro nor Innovaccer clears the bar, which asks for all five chart loop capabilities documented in full. Hyro does not document security and identity governance in full, nor human oversight and guardrails; Innovaccer does not document human oversight and guardrails in full. 4 of the 69 vendors in the lane clear it. See the healthcare agent ranking
This comparison is published by Agentic Index, an independent agentic AI vendor research platform. Hyro and Innovaccer are each graded against the same 14 capability Agentic Index taxonomy, from the vendor's own public materials under the Agentic Index verification standard, alongside 955 researched vendors. No vendor pays for placement and no vendor has reviewed this page. How this evidence is graded
Choose Hyro if
- Scheduling and refills through Epic are the calls you most need off the phones, and named skills for both deploy without training data.
- Staff should be able to trace any wrong answer to the logic pathway and knowledge sources behind it.
- Answers must stay inside the sources you define, with a knowledge graph that updates itself as your website and Epic data change.
- Care Intelligence reporting on trending topics and missing terms would show where patients ask questions your content does not answer.
- Outbound campaigns through Proactive Px and coverage outreach through ARMR belong on the same platform as inbound access.
Choose Innovaccer if
- A call that turns up an eligibility gap or a prior authorization should pass that work to agents on the same patient record.
- Your teams will build their own agents in a drag and drop builder, attach models from Innovaccer, OpenAI or Anthropic, and fine tune healthcare small language models.
- New agents should run through API calls, clinical data exchanges and whole workflows in a sandbox with no real PHI before launch.
- HITRUST CSF, SOC 2 and ISO 27001 certification, plus role based access with granular permissions, are on your security checklist.
- Engineers want APIs over more than 140 FHIR and cross domain resources, and the open Healthcare Model Context Protocol with SDKs on GitHub.
| Feature | H Hyro |
I Innovaccer |
|---|---|---|
| Action & orchestration | ||
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Integrations & Tool Calling Ability to connect agents to real systems through native integrations, OAuth-authenticated actions, custom tools, APIs, webhooks, or MCP-compatible tools. |
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HyroIntegrations & Tool Calling Agents verify patients against Epic records, book, reschedule and cancel appointments through Epic scheduling and refill prescriptions through the Willow Ambulatory module. Hyro also integrates with athenahealth, Oracle Cerner, Meditech, eClinicalWorks, Salesforce, ServiceNow, Five9, Cisco, NICE, Avaya, Amazon Connect and RingCentral. Sourcehyro.ai/integration/epicread 2026-09-29 |
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InnovaccerIntegrations & Tool Calling The Data Activation Platform ingests and normalizes data from hundreds of systems, Gravity exposes 140+ FHIR and cross-domain resources through RESTful APIs, and agents act through direct integrations with EHRs, payer portals and APIs, including EHR write-back in Flow and telephony integration in Comet. Sourceget-gravity.ai/dev-studioread 2026-09-29 |
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Workflow Orchestration Ability to sequence, branch, retry, route, and combine deterministic workflow nodes with autonomous agent steps. |
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HyroWorkflow Orchestration Each skill resolves its call or chat end to end (verify, book, refill, route) in the product's own fixed flow. Hyro names no branching the customer configures, workflow builder or handoff between agents. Sourcehyro.ai/healthcare/call-center-airead 2026-09-29 |
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InnovaccerWorkflow Orchestration Agents run on one shared context and hand off work to each other, AI Studio's drag and drop agent and workflow builder lets customers prototype and deploy agent workflows, and Developer Studio's copilot guides orchestration flows, so customers configure the flows their agents follow. Sourceget-gravity.ai/ai-studioread 2026-09-29 |
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Triggers & Channel Coverage How agents wake up and where they work: schedules, webhooks, message events, CRM events, inbox events, chat, email, voice, and collaboration tools. |
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HyroTriggers & Channel Coverage The agents answer patient calls, web chat, SMS and app messages 24/7, and no staff member has to start them. Proactive Px runs outbound campaigns. Sourcehyro.ai/healthcare/call-center-airead 2026-09-29 |
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InnovaccerTriggers & Channel Coverage Comet's agents take patient calls, SMS and chat 24/7 and route them in real time, and agents such as the audit readiness agent validate documentation continuously on their own. Sourcecomethealth.airead 2026-09-29 |
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| Knowledge & context | ||
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Knowledge Grounding & RAG Ability to ground agent behavior in company data through document ingestion, retrieval, external knowledge APIs, semantic search, or RAG layers. |
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HyroKnowledge Grounding & RAG A knowledge graph with NLU on top holds what Hyro scrapes from the health system's webpages, APIs and Epic data, and it stays updated as sources change. Answers are restricted to the data sources the customer defines, and the sources behind each response are visible. Sourcehyro.ai/responsible-airead 2026-09-29 |
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InnovaccerKnowledge Grounding & RAG AI Studio turns data across domains into knowledge bases and vector stores with vectorized search over structured and unstructured data and RAG, agents connect to specific knowledge bases, and the platform carries prebuilt healthcare terminology, ontologies and disease definitions over unified enterprise data. Sourceget-gravity.ai/ai-studioread 2026-09-29 |
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Memory & State Persistence Ability to persist context across a run, conversation, workflow, user, team, or longer-term memory layer. |
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HyroMemory & State Persistence The self-updating knowledge graph refreshes organizational knowledge, not interaction history. Hyro names no memory of a patient across conversations. Sourcehyro.ai/platformread 2026-09-29 |
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InnovaccerMemory & State Persistence Agents share one context and learn from one source of truth, the unified data layer, and there is no agent memory with a set scope or lifetime. Sourceinnovaccer.comread 2026-09-29 |
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| Control & trust | ||
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Human Oversight & Guardrails Approval steps, consent checkpoints, escalation rules, structured guardrails, policy constraints, and pause/resume controls. |
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HyroHuman Oversight & Guardrails Complex cases route to the right human agent or department. The customer restricts the data sources answers may draw on, and built-in safeguards apply. Hyro names no step where a person approves an agent action before it commits. Sourcehyro.ai/responsible-airead 2026-09-29 |
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InnovaccerHuman Oversight & Guardrails A guardrails engine (PHI redaction, compliance, clinical intervention) bounds agent runs, agents flag and escalate high risk cases for review, Comet escalates complex requests to human agents, and coders and RCM experts step in on exceptions. No person approves an agent action before it commits. Sourceget-gravity.ai/ai-studioread 2026-09-29 |
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Security, Identity & Governance RBAC, SSO, auditability, encryption, least-privilege tool access, compliance posture, and data handling policy. |
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HyroSecurity, Identity & Governance Hyro says it is SOC 2 compliant, uses HIPAA-compliant sources and complies with GDPR and CCPA, and it publishes its subprocessors. Hyro names no SSO, roles, role based access or permission model for the customer's users. Sourcehyro.ai/responsible-airead 2026-09-29 |
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InnovaccerSecurity, Identity & Governance Innovaccer lists HIPAA, HITRUST CSF, SOC 2 and ISO 27001 certification, with the ISO certificate and a SOC 2 Type II bridge letter available on request, and offers role-based access control with granular permissions. Gravity Shield adds identification and authentication, authorization and permissions controls, an audit trail and OAuth2 for APIs. Sourceinnovaccer.com/trust-centerread 2026-09-29 |
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Observability & Auditability Traces, logs, execution histories, metrics, audit events, and debugging detail for production agent behavior. |
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HyroObservability & Auditability Each conversation can be unpacked to the logic pathway and knowledge sources behind every response, so a team can trace the root cause of a wrong output. Care Intelligence reports channel performance, trending topics and missing terms across interactions. Sourcehyro.ai/responsible-airead 2026-09-29 |
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InnovaccerObservability & Auditability Agent Monitoring gives real-time observability into agent usage, performance, compliance and integrations to audit behavior, Innovaccer says every output is traceable and explainable, and access is logged in a comprehensive audit trail. Sourceget-gravity.ai/ai-studioread 2026-09-29 |
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Deployment & Data Residency Deployment modes and options, including SaaS, dedicated cloud, VPC, on-prem, hybrid, local runtime, and self-hosting. |
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HyroDeployment & Data Residency Every data processing subcontractor is in the United States, including Azure, Snowflake, MongoDB and Twilio, and support comes from an Israeli affiliate. Data processing stays in that single region. Hyro names no region choice, customer environment or on premises option. Sourcehyro.ai/hyro-subcontractorsread 2026-09-29 |
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InnovaccerDeployment & Data Residency Innovaccer says its global data centers meet local compliance and sovereignty requirements, and Gravity Shield's controls run across AWS and Azure. There is no region list, selection surface, customer tenant or on premises option. Sourceinnovaccer.com/trust-centerread 2026-09-29 |
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| Solution readiness | ||
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Prebuilt Agents, Templates & Packs Ready-made workflows, packaged employees, templates, blueprints, industry solutions, and role-specific agents that reduce time-to-value. |
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HyroPrebuilt Agents, Templates & Packs Named skills each do their own job and deploy without training data. They are FAQ Resolution, Scheduling Management, Physician Search, Rx Management, IT Help Desk, Spot site search and ARMR Outreach. Sourcehyro.ai/healthcareread 2026-09-29 |
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InnovaccerPrebuilt Agents, Templates & Packs The Gravity Family of Agents is a browsable catalog filterable by market and service line (diabetes management, chronic disease, care gap closure, fraud detection, laboratory intelligence, prior authorization and more), and AI Studio offers a library of prebuilt agents. Sourceget-gravity.ai/agentsread 2026-09-29 |
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| Platform extensibility | ||
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Model Flexibility & Routing Ability to work across multiple foundation models, route tasks to different models, or let buyers bring their own providers and keys. |
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HyroModel Flexibility & Routing Model providers are Hyro's own choices by function, with Azure AI services, Anthropic's Claude web search API and GPT for Spot site search. Hyro names no routing across models and no model choice for the customer. Sourcehyro.ai/hyro-subcontractorsread 2026-09-29 |
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InnovaccerModel Flexibility & Routing Builders attach models from Innovaccer, OpenAI, Anthropic and others to their agents from a foundation models catalog, and they can fine-tune healthcare small language models. Sourceget-gravity.ai/ai-studioread 2026-09-29 |
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APIs, SDKs & MCP Extensibility Composability layer: stable APIs, SDKs, MCP tool consumption/serving, custom tools, and integration into internal systems. |
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HyroAPIs, SDKs & MCP Extensibility SIP, vXML and PSTN hookups connect Hyro to telephony, and the knowledge graph ingests customer APIs. Hyro names no API, SDK or MCP server for building on it. Sourcehyro.ai/healthcare/call-center-airead 2026-09-29 |
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InnovaccerAPIs, SDKs & MCP Extensibility Developer Studio offers out-of-the-box APIs for VBC, RCM, labs and supply chain, a visual API builder with versioned publishing, OAuth2 and API keys, and a sandbox. Innovaccer publishes the Healthcare Model Context Protocol (HMCP) as an open standard with specs and SDKs on GitHub. Sourceget-gravity.ai/dev-studioread 2026-09-29 |
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Testing, Debugging & Optimization Testing, debugging, scoring, retries, fallbacks, quality gates, and optimization loops for improving agent workflows before and after deployment. |
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HyroTesting, Debugging & Optimization Client interactions become feedback loops the system learns from. Missing terms surface knowledge gaps, and response logic can be traced to find the root cause of wrong outputs. Hyro names no test set, evaluation before release or quality gate. The benchmark report and accuracy figure are Hyro's own. Sourcehyro.ai/platformread 2026-09-29 |
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InnovaccerTesting, Debugging & Optimization Innovaccer's AI governance validates performance metrics for each use case with test scenarios before deployment, Developer Studio simulates API calls, clinical data exchanges and full workflows in a sandbox without real PHI, Gravity Shield runs continuous red teaming, and Agent Monitoring tracks performance and safety after launch. Sourceinnovaccer.com/trust-centerread 2026-09-29 |
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| Specialist automation | ||
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Browser & Computer Use Browser, desktop, or remote/local computer control for workflows that cannot be handled through stable APIs alone. |
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HyroBrowser & Computer Use Agents act through EHR and contact center integrations. The web scraping that feeds the knowledge graph only reads pages. Hyro names no browser, desktop or computer control. Sourcehyro.ai/platformread 2026-09-29 |
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InnovaccerBrowser & Computer Use Flow's prior authorization works through direct integrations via APIs, payer portals and EHRs, so it acts inside payer portals that have no API, but Innovaccer does not describe how the portals are operated, and there is no general browser or computer control. Sourcego-flow.ai/prior-authorizationread 2026-09-29 |
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Pricing snapshot
Sourced from the Index pricing dataset · open each vendor's profile for full detail.
| Pricing | H Hyro |
I Innovaccer |
|---|---|---|
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Entry price Lowest public entry point |
Contact sales | Contact sales |
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Pricing confidence How public the numbers are |
Contact only | Contact only |
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Billing Primary billing axis |
— | — |
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Variable cost Workload / overage exposure |
Medium variable cost | High variable cost |
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Free tier / trial Try before you buy |
No free tier
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No free tier
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Buying motion Self-serve vs sales call |
Sales call | Sales call |
Neither vendor publishes pricing. Hyro sells through a demo and offers a savings calculator. Innovaccer sells through a demo, with a productivity calculator and a pilot program.
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