Agentic Index
Hyro vs Notable (2026)
Both take work off a health system's front office, at different points in it. That verdict is the Agentic Index coverage score, graded from each vendor's own published materials.
Hyro answers the patient. Its agents handle calls, web chat, SMS and app messages around the clock and answer from a knowledge graph of the organization's own sources. They schedule and refill through Epic, find physicians, and route complex cases to the right staff member, and every answer can be traced to its sources. Notable automates the work behind the front desk. Agents built in Flow Builder from prebuilt skills handle registration, referrals, prior authorizations and care gap outreach, reading and writing across EHRs, payer portals and HIEs. Reviewers can sit on high risk steps, and Sidekick drafts prior authorization work from the chart with cited sources. Choose Hyro for the inbound conversation, and Notable for the tasks that follow it.
On the Agentic Index healthcare agent ranking, neither Hyro nor Notable 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; Notable does not document knowledge grounding and RAG 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 Notable 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
- Inbound calls and website questions are the volume problem, across scheduling, refills and physician search.
- Answers must stay inside sources you define and be traceable back to them.
- Care Intelligence should show trending topics and the terms patients use that your content does not cover.
- The agents need to plug into Five9, Cisco, NICE, Avaya, Amazon Connect or RingCentral, over SIP, vXML or PSTN.
Choose Notable if
- Registration, referrals and prior authorizations pile up behind the front desk, not on the phone.
- Your team wants to build and adjust agents itself, with analytics reported on each block of a flow.
- A person should review high risk tasks before they go out.
- Payer portals, HIEs and claims platforms should be written to through APIs, HL7 and RPA, with the EHR synced both ways.
| Feature | H Hyro |
N Notable |
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| 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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NotableIntegrations & Tool Calling Notable reads and writes in real time across EHRs (Cerner and Epic named in customer quotes), payer portals, CRMs, HIEs, data warehouses and claims platforms, using APIs, HL7, RPA and other methods to put data into the right fields. Sync with EHRs and payer portals runs both ways. Notable is an Epic Showroom partner and an Oracle Health build partner, also names MEDITECH Expanse, athenaOne and athenaIDX, and says it connects with more than 50 healthcare systems. SourceNotable, notablehealth.com/ai-platform/integrationsread 2026-10-05 |
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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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NotableWorkflow Orchestration Flow Builder is a drag and drop, low code interface where teams build, test and deploy logic based workflows from prebuilt skills and connectors, including dynamic flows that route high risk tasks to human reviewers. Each block carries plug ins for real time analytics, monitoring, adjustments and triage, and LLMs and OCR are available as tools inside a flow. Notable says Flow Builder covers hundreds of proven use cases, with MIT Health and Montage Health among its users. SourceNotable, notablehealth.com/ai-platform/flow-builderread 2026-10-05 |
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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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NotableTriggers & Channel Coverage Agents run automated voice calls and outreach campaigns (such as annual wellness visit outreach that drives self scheduling) and work queues without staff starting each item. Notable does not describe the trigger configuration itself. Customers report results such as no show rates down 13% at MUSC Health and 14.6% at Montage Health. SourceNotable, notablehealth.com/ai-platform/sidekick and /ai-agent-workforce/overviewread 2026-10-05 |
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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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NotableKnowledge Grounding & RAG Notable retrieves EHR data and processes it through LLM prompts, and Sidekick's recommendations cite their sources. Those sources come from the patient record. There is no stated knowledge base, policy library or search layer of the customer's own for agents to draw on. Sidekick does deep document analysis for work such as prior authorization, fax labeling and call transcripts. SourceNotable, notablehealth.com/ai-platform/sidekickread 2026-10-05 |
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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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NotableMemory & State Persistence There is no stated memory that agents keep from one task to the next, and the EHR remains the source of truth. Sidekick improves with every completed task through machine learning, but Notable does not say what it keeps or for how long. SourceNotable, notablehealth.com/ai-platform/overview and /sidekickread 2026-10-05 |
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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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NotableHuman Oversight & Guardrails Operators build workflows that insert human reviewers wherever needed for high complexity or high risk tasks while agents handle routine work, and the review step comes before the work goes on. Sidekick prepares summaries and call transcripts for human review, and Notable describes Sidekick as working with a human in the loop. SourceNotable, notablehealth.com/ai-platform/flow-builder and /sidekickread 2026-10-05 |
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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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NotableSecurity, Identity & Governance Attestations cover HITRUST, SOC 2 Type 2, PCI DSS and ISO/IEC 27001:2022, with product-level SSO, and all access within the platform is recorded in immutable audit logs traceable to individual users. Disk encryption is among the endpoint controls, employees sign in through internal SSO, and access inside the company is monitored and controlled. SourceNotable, trust.notablehealth.comread 2026-10-05 |
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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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NotableObservability & Auditability There are immutable audit logs traceable to individual users and reviewed regularly, agent-level dashboards tracking each agent's performance and success rates, and 360-degree workflow reporting. Business insight dashboards track workflow efficiency, success rates and business outcomes, and each Flow Builder block reports analytics in real time. SourceNotable, notablehealth.com/ai-agent-workforce/overview and /ai-platform/flow-builderread 2026-10-05 |
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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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NotableDeployment & Data Residency Notable is hosted on Google Cloud Platform, and there is no stated region choice, customer environment or on premises option. Notable runs as a hosted service, and its EHR connections and RPA reach into the customer's own systems from there. SourceNotable, trust.notablehealth.com and notablehealth.com/ai-platform/integrationsread 2026-10-05 |
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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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NotablePrebuilt Agents, Templates & Packs Ready made AI skills and prebuilt AI Agents cover registration, scheduling, authorizations, referrals and care gaps, with foundation flows for contact center, revenue cycle, access and quality, and a Builder Hub marketplace for workflow templates. Named agents include a Revenue Cycle Agent, a Clinical Documentation Agent, a Referrals Coordinator Agent, a Front Desk Agent and an Authorizations Agent, and customers run others such as the HOPE AI voice assistant at Southwest General and a Chronic Condition Review Agent at Security Health Plan. SourceNotable, notablehealth.com/ai-agent-workforce/overviewread 2026-10-05 |
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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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NotableModel Flexibility & Routing LLMs and OCR are named as tool classes inside Flow Builder. No model provider, model name or customer choice is disclosed. Sourcenotablehealth.com/ai-platform/flow-builderread 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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NotableAPIs, SDKs & MCP Extensibility A Builders Partner Program lets developers and software firms build and monetize agent workflows and integrations on Flow Builder through a Builder Hub marketplace, but no API reference, SDK or MCP server for building on Notable is published. Sourcenotablehealth.com/builders-programread 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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NotableTesting, Debugging & Optimization Teams build, test, deploy and monitor agents in Flow Builder, which a customer describes as a sandbox over their EHR integrations. Sidekick lets staff evaluate voice call performance and feed back for improvement, and agent-level dashboards benchmark performance. No test set or pass criteria are itemized. Notable says Sidekick turns 20 to 30 minute prior authorization submissions into 7 minute workflows. SourceNotable, notablehealth.com/ai-agent-workforce/overview, /ai-platform/flow-builder and /sidekickread 2026-10-05 |
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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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NotableBrowser & Computer Use RPA is a named integration method for reading and writing data in systems such as payer portals, so agents act inside platforms that have no API. There is no stated general browser or computer control. Notable says it reads and writes data in any field of any system, using APIs, RPA, HL7 and other methods. SourceNotable, notablehealth.com/ai-platform/integrationsread 2026-10-05 |
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Pricing snapshot
Sourced from the Index pricing dataset · open each vendor's profile for full detail.
| Pricing | H Hyro |
N Notable |
|---|---|---|
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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 publishes pricing. Hyro sells through a demo and offers a savings calculator. Notable sells through a sales conversation.
More comparisons with Hyro or Notable
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