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2Binary Classification · No-Show Risk

No-Show Prediction

Which patients will miss their appointment?

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A real-world example

Which patients will miss their appointment?

Patient no-shows cost the U.S. healthcare system $150B annually. A mid-size health system with 200 providers loses $3.2M per year to empty appointment slots. Generic reminder systems treat every patient the same. The real signal is in the relationships: which provider, which day, which referral chain, which past visit patterns predict who will actually show up.

How KumoRFM solves this

Graph-learned clinical intelligence across your entire patient network

Kumo connects patients, appointments, visit history, and providers into a single relational graph. It learns that patients referred by certain providers to specific specialists on Monday mornings have 3x higher no-show rates. The model captures temporal patterns (seasonal trends, day-of-week effects) and social patterns (patients in the same household missing together) that rule-based systems cannot detect.

From data to predictions

See the full pipeline in action

Connect your tables, write a PQL query, and get predictions with built-in explainability — all in minutes, not months.

1

Your data

The relational tables Kumo learns from

PATIENTS

patient_idagezip_codeinsurance
P20013410001Medicaid
P20026710025Medicare
P20034510013Commercial

APPOINTMENTS

appt_idpatient_idprovider_idscheduled_datetype
A001P2001DR1012025-03-15Follow-up
A002P2002DR2052025-03-16New patient
A003P2003DR1012025-03-15Annual exam

VISIT_HISTORY

visit_idpatient_iddatestatusprovider_id
V001P20012025-01-10No-showDR101
V002P20022025-02-05CompletedDR205
V003P20032025-02-20CompletedDR101

PROVIDERS

provider_idnamespecialtylocation
DR101Dr. KimInternal MedicineMain Campus
DR205Dr. RajanCardiologyWest Wing
2

Write your PQL query

Describe what to predict in 2–3 lines — Kumo handles the rest

PQL
PREDICT BOOL(APPOINTMENTS.STATUS = 'No-show', 0, 1, days)
FOR EACH APPOINTMENTS.APPT_ID
WHERE APPOINTMENTS.SCHEDULED_DATE >= '2025-03-15'
3

Prediction output

Every entity gets a score, updated continuously

APPT_IDPATIENT_IDSCHEDULED_DATENO_SHOW_PROB
A001P20012025-03-150.71
A002P20022025-03-160.12
A003P20032025-03-150.08
4

Understand why

Every prediction includes feature attributions — no black boxes

Appointment A001 -- Patient P2001, Follow-up with Dr. Kim

Predicted: 71% no-show probability

Top contributing features

Past no-show rate (last 12 months)

3 of 5 appts

35% attribution

Days since appointment was booked

28 days

22% attribution

Provider's Monday no-show rate

18%

17% attribution

Distance from patient ZIP to clinic

8.2 miles

14% attribution

Insurance type

Medicaid

12% attribution

Feature attributions are computed automatically for every prediction. No separate tooling required. Learn more about Kumo explainability

Bottom line: A 200-provider health system recovering 20% of no-show slots through predictive overbooking and targeted outreach saves $3.2M annually. Kumo learns patient-provider-schedule interaction patterns that flat reminder systems cannot capture.

Topics covered

patient no-show predictionappointment no-show AIhealthcare scheduling MLmissed appointment predictionoverbooking optimizationgraph neural network schedulingKumoRFM no-showclinical scheduling analyticsappointment adherence model

One Platform. One Model. Predict Instantly.

KumoRFM

Relational Foundation Model

Turn structured relational data into predictions in seconds. KumoRFM delivers zero-shot predictions that rival months of traditional data science. No training, feature engineering, or infrastructure required. Just connect your data and start predicting.

For critical use cases, fine-tune KumoRFM on your data using the Kumo platform and Data Science Agent for 30%+ higher accuracy than traditional models.

Book a demo and get a free trial of the full platform: data science agent, fine-tune capabilities, and forward-deployed engineer support.