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Novoflow

Also known as: Novoflow, novoflow.io, Novoflow AI

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Voice agentindependentVerified 2026-07-22

AI employees for medical clinics: a multilingual voice agent answers inbound and outbound calls and schedules directly inside any EHR using Visual AI computer-use agents that operate the EHR screen like a human, no APIs needed, even on 1990s HL7 feeds and Citrix. YC-backed; reports 5-10x first-quarter ROI from cancellation recovery.

Novoflow builds AI employees that automate medical operations for clinics, led by a multilingual voice agent that answers every inbound and outbound call, schedules directly inside any EHR, and cuts no-shows. Its distinguishing mechanism is Visual AI computer-use: rather than depending on backend APIs, the agents operate visually within the EHR interface exactly as a human staffer would, understanding screens semantically instead of by brittle pixel coordinates, so they adapt to UI changes and work across nearly any system, including legacy on-prem software, 1990s HL7 feeds, and locked-down Citrix environments. The voice agent supports English, Spanish, and 20+ languages, books, reschedules, and recovers cancelled appointments, handles prescription refills and common questions, gives real-time driving directions, and documents outcomes back in the EHR. A no-code workflow builder lets clinics configure and deploy automation without long IT projects, and the team flies on-site to launch within the week. Reported outcomes include 5-10x ROI in the first quarter, backfilling 50-80% of same-day cancellations, up to $40-50k in monthly savings or recovered revenue per clinic, a lift in provider utilization, and higher call-to-appointment conversion. Founded in 2025 and backed by Y Combinator with about $3.1M raised, Novoflow positions itself as the operating system for medical clinics and stands out in the voice lane for making computer use, not API integration, its core method of acting in systems.

Vendor details

Canonical URL

https://www.novoflow.io

Category

Voice agent

Funding status

Y Combinator-backed, ~$3.1M raised including angels; founded 2025 by Georges Casassovici (CMU engineer, 5+ years in voice AI) and Mathieu Rihet (Emory scholar, ex-medical interpreter); ~6-person team in San Francisco; serves multi-location specialty groups in radiology, dermatology, rheumatology, and primary care

Company status

independent

Use cases & customers

Primary use cases

clinic phone answering and patient scheduling inside the EHRsame-day cancellation recovery and waitlist backfillprescription refill and common-question handlingno-show reduction and provider-utilization liftfront-desk workflow automation across legacy EHRs

Target customers

multi-location specialty clinics (radiology, dermatology, rheumatology)primary care groupsmedical practices with legacy or on-prem EHRsclinics facing staffing shortages or high call volume

Deployment options

cloud platform that operates visually on top of any EHR, including on-prem and legacy systemsno-code workflow builder

Integrations

Universal EHR coverage without API access: Visual AI computer-use agents operate directly inside the EHR interface the way a human would (drag-and-drop on top of the EHR, no APIs needed), understanding screen elements semantically rather than by pixel position so workflows adapt to UI changes across EHRs, payer portals, and internal tools; works with Epic, Athena, Medent, legacy and on-prem systems, 1990s HL7 feeds, and locked-down Citrix environments; a no-code workflow builder lets clinics configure automation without long IT projects.

Capability coverage

8.5 / 14 capabilities · 61%

Integrations & Tool CallingUniversal EHR coverage across Epic, Athena, Medent, legacy on-prem systems, and HL7 feeds, achieved by operating the EHR interface directly rather than via APIs, a first-class systems-access capability, Novoflow blog and Startup Intros materials 2026-07-22 Full
Workflow OrchestrationThe voice agent answers inbound and outbound calls and completes multi-step front-desk workflows end to end (booking, rescheduling, cancellation recovery, refills) and documents outcomes back in the EHR, Novoflow and YC materials 2026-07-22 Full
Knowledge Grounding & RAGThe agent answers common patient questions and gives location-aware driving directions grounded in clinic-specific configuration and screens taught during setup, short of a documented knowledge base or retrieval layer, Novoflow materials 2026-07-22 Partial
Human Oversight & GuardrailsThe voice agent pauses, asks clarifying questions, and hands the call off to human staff when necessary, and administrators define scheduling parameters and routing to prevent double-booking, a configured oversight posture short of documented approval-gate mechanics, Novoflow materials 2026-07-22 Partial
Security, Identity & GovernanceDescribed as HIPAA-aware voice agents handling patient interactions inside EHRs; HIPAA awareness is documented but no named third-party attestation is shown in retrieved materials, Novoflow blog materials 2026-07-22 Partial
Observability & AuditabilityThe platform reports operational KPIs such as cancellation backfill rate, provider utilization, and call-to-appointment conversion, giving outcome visibility short of a documented run-observability or audit dashboard, Novoflow and Startup Intros materials 2026-07-22 Partial
Memory & State PersistenceScheduling state and patient records persist in the connected EHR that the agent reads and writes, a durable system of record short of a documented agent memory layer, Novoflow materials 2026-07-22 Partial
Deployment & Data ResidencyOperates on top of on-prem and locked-down Citrix EHR environments within the clinic's own systems, implying deployment into customer-controlled environments short of a documented self-host or offering, Novoflow blog materials 2026-07-22 Partial
Prebuilt Agents, Templates & PacksShips a purpose-built clinic receptionist plus a no-code workflow builder for configuring automations, a productized starting point short of a documented template or agent library, Novoflow blog materials 2026-07-22 Partial
Triggers & Channel CoverageHandles both inbound and outbound calls (including proactive waitlist and cancellation-recovery calls) and can send follow-up text messages with map links, Novoflow materials 2026-07-22 Full
Model Flexibility & RoutingNo customer facing model choice or routing documented in retrieved materials, Novoflow materials 2026-07-22 Unable to verify
APIs, SDKs & MCP ExtensibilityA no-code workflow builder lets clinics configure and extend automations without IT projects, an extension surface short of a documented public API, SDK, or MCP, Novoflow blog materials 2026-07-22 Partial
Testing, Debugging & OptimizationSetup includes teaching the agent specific screens and workflows and verifying scheduling behavior before activation, a configuration-and-verification step short of a documented ongoing testing or simulation suite, Novoflow blog materials 2026-07-22 Partial
Browser & Computer UseVisual AI computer-use agents operate the EHR, payer portals, and internal tools directly on screen, understanding elements semantically rather than by pixel position and adapting to UI changes, the core mechanism of the product, Novoflow blog materials 2026-07-22 Full

Pricing

Contact sales

per-clinic contract

Contact onlyMedium variable cost

What is public

The motion is public (per-clinic sales with on-site launch within the week and $40k+ monthly savings targets); no rate card published in retrieved materials.

Variable cost rationale

No billing model published; per-clinic contract economics implied by on-site launch and monthly savings targets but the billing basis is not documented.

Sales call required

Yes — required for paid access

Free / trial

Not published

Verified 2026-07-22

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