How to Automate NOA Processing in Epic

  • Prior Authorizations

Notification of Admission (NOA) requirements are a common and costly source of inpatient revenue risk.

Payers often require NOAs within 24 to 48 hours of admission to confirm coverage and trigger reimbursement eligibility. When notifications are late or missed, hospitals face delayed payments, reductions, or denials for care that was otherwise appropriate.

Most hospitals using Epic still manage NOAs manually. Staff track deadlines, navigate multiple payer portals, and document confirmations outside the EHR. As admission volumes increase and payer rules tighten, this approach creates risk that hospitals can no longer absorb.

Automating NOA processing inside Epic removes that risk.

Why NOA Automation Matters Now

Small delays create big downstream problems: denials surface weeks later, cash flow stalls, and appeals consume resources. Denial rates keep climbing. Initial claim denial rates averaged nearly 15% for private payers. (AHA).  Notification failures are a top driver. Automation replaces inconsistent manual effort with reliable, system-driven execution.

What Automating NOAs in Epic Really Means

Automated NOA processing eliminates manual work.

In an automated model, inpatient admissions trigger NOA submissions automatically. Payer-specific rules apply in the background. Notifications are submitted on time, and confirmations are recorded without staff intervention.

There are no portals to manage and no deadlines to track. The process runs natively inside Epic, aligned with admission workflows rather than layered on top of them.

Why Payer Scale Still Matters

NOA automation delivers value only if it works with the payers you actually bill. 

That’s why hospitals and health systems trust maxRTE for our expansive payer network. Our team provides white-glove onboarding, mapping your unique payer mix to our large payer network, representing 75% of US covered lives.

See Automated NOA Processing in Epic

The fastest way to grasp the impact is to see it live.

maxRTE automates NOA processing natively in Epic, applies payer-specific rules across an extensive network, and protects inpatient revenue without added staff burden.

Schedule a quick walkthrough today to see how it removes manual risk from your admission workflows.