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March 12, 2026
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The hidden cost of admission delays – and what you can do about it

Manual delays in Notice of Admission submissions can cost health systems time, revenue, and staff resources, but automation offers a faster, more efficient way forward.

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Notice of Admissions are both an important regulatory requirement and a key factor in receiving timely reimbursement for care. But with high patient volumes and decreased staff capacity, they’re getting harder to keep up with – and the repercussions are drastic. 

Every hour that passes between a patient’s admission and a payer’s notification can cost your organization. 

The high stakes of manual NOA submission 

For many health systems, NOA submission is still largely manual. Staff must monitor EHR workqueues, collect required data, and fax the NOA to the appropriate payer, often re-inputting patient information along the way. The process is time-consuming, error-prone, and heavily reliant on human follow-through. 

The consequences?

  • Missed payer deadlines that lead to denied or delayed reimbursement
  • Hours of manual follow-up by staff for status tracking and rework 
  • Increased burden on already overwhelmed revenue cycle teams 

The longer the delay, the higher the penalties and the more fragmented your revenue cycle becomes. 

A smarter way: Automated fax transcription for NOA submission 

What if a single intelligent workflow could handle all of that automatically?

Using an automated NOA submission flow, your organization can streamline the entire process, from EHR workqueue to payer’s hands. 

Here’s how it works: 

  • An AI Agent identifies all required elements from the patient’s admission in EHR workqueues. 
  • It automatically generates the NOA and sends it to the payer via secure eFax. 
  • Status updates and tracking information are written back to the EHR for full visibility. 
  • Where supported, fully integrated AI Platforms like Notable’s can also utilize APIs or EDI to further accelerate delivery and reduce payer friction. 

San Antonio Regional Hospital saved hours of valuable staff time by automating 100% of its NOA fax submissions. What used to take a team of six financial counselors can now largely be handled without human intervention.

This single automated workflow can eliminate the risk of missed deadlines, reclaim lost revenue, and fast-track claims submissions. Most importantly, it’s quick to deploy and can provide measurable ROI in weeks, acting as a proving ground for further AI workflows.

Stop leaving money on the table

It’s time to move beyond manual processes that belong in another era. With automation, health systems can eliminate admission delay penalties, improve cash flow, and get paid faster, without adding more to their team’s plate. 

Get in touch today to learn how an automated NOA submission flow can accelerate your reimbursement time.

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