$50K in Missed Revenue? Novoflow’s AI Could Be Your Clinic’s Secret Weapon

In the modern healthcare landscape, one might expect that something as fundamental as scheduling a doctor’s appointment would be streamlined, seamless, and intelligent. Yet, despite the advancements in AI and digital health, over 42% of patient calls still go unanswered by clinics—due in large part to outdated phone systems, under-resourced staff, and legacy EHR (Electronic Health Record) systems.

For clinics, these missed calls don’t just represent poor customer experience—they translate into significant financial loss. In fact, every unbooked physician hour adds to what can become a $50,000 monthly revenue shortfall for independent practices. Existing solutions, such as outsourced call centers or interactive voice response (IVR) menus, often feel impersonal, are hard to integrate, and ultimately fail to solve the core operational bottlenecks.

Novoflow exists to change this. The startup is on a mission to automate medical operations using AI employees, starting with what might be the most overlooked but crucial role in a clinic: the receptionist.

How does Novoflow’s AI employee work?

Novoflow’s flagship product is a multilingual, 24/7 AI receptionist designed specifically for medical practices. But this isn’t a glorified chatbot—it’s a full-stack voice agent that can answer calls, communicate with patients in 25+ languages, verify insurance details, interpret the caller’s intent in real time, and directly book or manage appointments within any EHR system.

What makes it groundbreaking is Novoflow’s universal EHR bridge. While traditional healthcare software is infamous for being outdated and difficult to integrate with, Novoflow has built a system that can interact seamlessly even with decades-old HL7-based records. Whether it’s Epic, Athena, Medent, or obscure local software from the 1990s, Novoflow can interface with it natively.

The AI receptionist is activated by simply pointing the clinic’s SIP trunk—essentially a digital phone line—at Novoflow’s system. No new phones. No coding. No integration headaches. Clinics can go live within an hour.

Why is Novoflow’s AI receptionist better than traditional solutions?

Traditional medical reception models are stretched thin. Clinics struggle with overworked staff, high turnover rates, and patient dissatisfaction. Outsourced call centers lack context and warmth, while legacy IVRs often frustrate more than they help.

Novoflow takes a fundamentally different approach. It's AI voice agent:

  • Works 24/7, never misses a call
  • Communicates fluently in over 25 languages, increasing accessibility
  • Understands the reason for each call, classifying intent using AI
  • Writes directly into EHRs, rather than using external schedulers
  • Reduces no-shows, recovers canceled appointments, and keeps provider calendars full

In early use cases, Novoflow users saw a 10% increase in provider utilization and a 22% boost in call-to-appointment conversion rates. Clinics reported happier patients and significantly better operational visibility thanks to the product’s built-in dashboard and KPIs, which track abandonment rates, utilization, and conversion performance.

Who are the founders behind Novoflow, and what’s their story?

Novoflow was co-founded by Mathieu Rihet and Georges Casassovici, two individuals with distinct backgrounds but a shared passion for fixing inefficiencies in healthcare using AI.

Mathieu, an Emory University Scholar, previously worked as a medical interpreter for French and Spanish-speaking patients. He saw firsthand how often miscommunication led to delays in care and lost revenue for clinics. After repeatedly getting after-hours calls from overwhelmed receptionists who couldn’t communicate with non-English-speaking patients, he realized the immense potential of combining language fluency with automation.

Georges, on the other hand, has a strong technical foundation, having been in the AI space for five years and dropping out of Carnegie Mellon University to pursue full-time development. Together, they built Novoflow to be not just an assistant but a scalable AI employee that can eliminate 99% of manual reception workflows.

Their complementary experiences—technical and frontline—make them uniquely equipped to understand both the pain points of clinics and the technology needed to fix them.

How does Novoflow handle integration with legacy EHR systems?

EHRs are notoriously fragmented and often locked in proprietary formats that resist external integrations. This is one of the primary reasons why most AI or scheduling tools fail to be truly useful in medical environments. Novoflow, however, tackled this problem head-on.

The company’s universal EHR plumbing is a key innovation. It allows Novoflow’s AI agents to read and write directly into any clinic’s EHR, regardless of how old or obscure the system is. Whether it’s using modern APIs, HL7 feeds from the 1990s, or custom integrations, Novoflow’s system adapts without requiring clinics to change their tech stack.

This enables a kind of automation that few others can offer—real-time rescheduling, cancellations, and appointment confirmations handled automatically by the AI, with no human intervention needed.

What kind of ROI can clinics expect from Novoflow?

For most clinics, Novoflow isn’t just a time-saver—it’s a revenue generator.

With reduced missed appointments, fewer no-shows, and more efficient scheduling, clinics using Novoflow report up to $50,000 per month in reclaimed revenue. That’s the equivalent of several full-time staff members, but without the HR overhead, sick days, or burnout.

Additionally, Novoflow offers a KPI dashboard that tracks:

  • Abandonment rates
  • Conversion of calls to booked appointments
  • No-show rates
  • Provider schedule utilization

This data-driven approach allows clinics to continuously optimize their operations and keep both staff and patients happy.

What’s next for Novoflow?

Having built a solid foundation with the AI receptionist, Novoflow plans to expand the capabilities of its AI employee model to cover a broader range of administrative tasks—from insurance verification to follow-up calls and beyond.

Their vision is clear: a future where 100% of non-clinical workflows in medical practices are handled by AI. This includes billing, patient intake, referrals, and more. With their deep understanding of both the technical and operational challenges in healthcare, Novoflow is poised to be a central player in the future of medical automation.

Why does Novoflow matter?

In a healthcare system plagued by inefficiencies, administrative burden, and staff shortages, Novoflow offers a glimpse into a more intelligent, automated future. It isn’t just about replacing receptionists—it’s about liberating clinics from the constraints of outdated systems, improving patient care, and making healthcare operations finally catch up with the pace of modern technology.

Novoflow represents a bold rethinking of how clinics should run—and it's only just getting started.