For ambulatory surgery centers
No case canceled for a missing auth. No patient call sent to voicemail.
Agents read each referral the day it arrives, build the chart, verify insurance and flag prior auth while there is still time to get it. Ava schedules every patient and answers your phones 24/7 in English and Spanish. Your staff stays in charge of every submission and every clinical question.
30 minutes with Danny, the founder. No slides, just your workflow.
| Patient | Procedure | Surgeon | Status |
|---|---|---|---|
| Maria G. | Knee arthroscopy | Dr. Ruiz | ReceivedChartedVerifiedNeeds authAuth readyScheduled |
| James T. | Colonoscopy | Dr. Okafor | Scheduled |
| Linh P. | Cataract, left eye | Dr. Shah | Auth submitted |
| Robert K. | Lumbar epidural | Dr. Cole | Verifying |
Maria G.DOB on file. Westside Orthopedics referral
- 4:52 PMReferral receivedE-fax from Westside Orthopedics, 6 pages
- 4:53 PMChart createdMRN 004817. Duplicate check: no match
- 4:55 PMCoverage verifiedCommercial PPO, active, outpatient surgery covered
- 4:55 PMPrior auth requiredPlan requires auth for CPT 29881 at an ASC
- 4:58 PMAuth request readyCodes, clinic note and MRI attached. Sent to your auth team
- 9:10 AMAva called MariaIn Spanish. Booked Thursday, 8:30 AM, arrive 7:00
- 5-office groupGoes live December 1, 2026Texas specialty group, cardiology and vascular
- 24/7Every call answeredNights, weekends and lunch
- EN / ESEnglish and SpanishThe whole call, either language
- 60 secCallback after you askAva calls you back, 8 a.m. to 9 p.m.
- HIPAABAA signed firstBefore any patient data moves
Danny walks one referral from fax to a scheduled, authorized caseVideo coming soon. Until then, call Ava yourself, right below.
Live demo
Call the front desk at Riverbend Surgery Center.
A fictional surgery center, staffed by Ava. You play the patient. Schedule a procedure, ask what time to arrive and what to bring, switch to Spanish, or ask a medication question and hear her hand it to the pre-op nurse.
6:40 PM Sample call, fictional patient
AvaHola, habla Ava de Riverbend Surgery Center. ¿Prefiere continuar en inglés o en español?
PatientEspañol, por favor. Me operan el jueves y no sé a qué hora llegar.
AvaCon gusto. ¿Me da su nombre completo y su fecha de nacimiento?
PatientRosa Delgado, 3 de mayo de 1961.
AvaGracias, Rosa. Su procedimiento es el jueves a las 8:30 con la Doctora Ruiz. Llegue a las 7:00, con su identificación, su tarjeta de seguro y un adulto que la lleve a casa.
Patient¿Y puedo tomar mi pastilla de la presión esa mañana?
AvaEsa pregunta es para nuestra enfermera de preoperatorio. Le dejo una nota para que la llame hoy mismo.
Uses your microphone. Headphones give the cleanest audio.
The center, surgeons and patients are fictional. Don't share real health information.
How it works
Follow one patient from referral to the day of surgery.
Maria G. (a fictional patient) needs a knee arthroscopy at your center. Here is what happens to her referral, step by step, and who does each part.
-
1Referral arrivesAI agent
The referral lands by fax, e‑fax or email at 4:52 p.m.
Face sheet, insurance card, orders and clinic notes, in whatever format the surgeon's office sends. Nobody has to be at the fax machine.
FAX11/12 4:52 PMPage 1 of 6
Westside OrthopedicsReferral for outpatient surgery
- Patient
- Maria G.
- Procedure
- Right knee arthroscopy, partial medial meniscectomy
- Surgeon
- Dr. Elena Ruiz
- Attached
- Face sheet, insurance card, clinic note, MRI report
-
2Chart builtAI agent
The agent reads it and builds the chart in your EHR or PM system.
Demographics, insurance, surgeon, procedure and codes go into the right fields. It checks for an existing chart first, so Maria never ends up with two. Anything it cannot read clearly goes to a person.
New chart Created 4:53 PM
- Name
- Maria G.
- DOB
- On file
- Phone
- (555) 010-2247
- Language
- Spanish
- Insurance
- Commercial PPO, member on file
- Referring
- Westside Orthopedics
Duplicate check passed. Searched name, date of birth and phone. No existing chart.
-
3Coverage checkedAI agent
Insurance is verified and the auth question is answered early.
Eligibility and benefits are checked with the payer, and the agent flags whether this plan needs prior authorization for this procedure. You find out now, not the day before surgery.
Eligibility and benefits Active
Plan status Active, effective 01/01 Outpatient surgery, ASC Covered, in network Prior authorization Required for CPT 29881 Checked 11/12 4:55 PM, 7 days before surgery -
4Auth readyYour auth team
Your auth team gets a request that is ready to submit.
Codes filled in, clinicals attached, the payer's form or portal identified. Your team reviews it and submits. Nothing goes to a payer without your people.
Prior auth request Ready for your review
- Payer
- Commercial PPO
- Member ID
- •••• 4417
- CPT
- 29881
- ICD-10
- From referral
- Site of service
- ASC, POS 24
- Date of service
- Thu 11/19
- Surgeon NPI
- •••• 2290
- Submit via
- Payer portal
Clinic note, 10/30MRI report, 10/22Conservative care history
Your auth team reviews and submits. Nothing goes to a payer without them.
-
5Patient scheduledAva, voice agent
Ava calls Maria to schedule, then handles the pre-op calls.
She books the case in English or Spanish, then makes the reminder and instruction calls: arrival time, driver, what to bring, and prep read only from what your center documented. She gives no medical advice. Clinical questions go to your pre-op nurse.
Riverbend Surgery Center
Hola Maria, su procedimiento es el jueves 19 de noviembre a las 8:30 AM con la Dra. Ruiz. Llegue a las 7:00 AM. Traiga su identificación y su tarjeta de seguro. Un adulto debe llevarla a casa.
No coma nada sólido después de la medianoche. ¿Preguntas sobre sus medicinas? Responda ENFERMERA y la enfermera de preoperatorio la llamará. Responda STOP para no recibir mensajes.
Instructions sent exactly as the center documented them. Medication questions go to the pre-op nurse.
And the phones, every hour of the day.
- Ava answers the main line 24/7 and on the first ring, in English or Spanish.
- Arrival times, directions, reschedules and "what do I bring" answered from your documented instructions.
- Clinical, billing and urgent calls handed to the right person with a written summary. Emergencies are told to call 911.
Last night's calls Riverbend (demo)
| Time | Lang | Caller asked | Outcome |
|---|---|---|---|
| 6:40 PM | ES | Arrival time for Thursday | Answered from documented instructions |
| 9:12 PM | EN | Needs to reschedule | Booked Tuesday, 7:30 AM |
| 11:03 PM | EN | Can I take my blood thinner? | Sent to pre-op nurse with a summary |
| 2:15 AM | EN | Chest pain after surgery | Told to hang up and call 911 |
Coming next
After the case: billing recovery.
The same agents, pointed at the money that slips away once the patient goes home.
Prior auth tracking
Every pending authorization followed to a decision, and chased before the date of service.
Denied and underpaid claims
Denials worked and appealed, and underpayments caught against your contracts.
Patient balances
Clear statements and friendly reminder calls, in English and Spanish.
Proof
A 5-office Texas specialty group (cardiology and vascular) chose the same agents for every office.
Their phones answered in English and Spanish around the clock, with referral intake and insurance and authorization checks on new patients. Those are the same jobs that keep a surgery center's schedule full.
Goes live December 1, 2026
What carries over to a surgery center
- 24/7Phones in English and Spanish
- Every call answered on the first ring, nights and weekends.
- IntakeReferral intake
- Referrals read, charted and routed without waiting on a person.
- AuthInsurance and authorization checks
- Coverage verified and auth needs flagged before scheduling.
- < payrollPriced below their staff cost
- Set below what the group spends on the staff hours it covers.
Safe to hand your front office
Built for how a surgery center actually runs.
What it costs: less than your center spends today on the staff hours it covers. Quoted per center after one call.
Book a call with Danny- HIPAAHIPAA safeguards on every step
- Referrals, charts, calls and transcripts stay inside vendors that sign BAAs with us. Access is limited to your team and ours.
- BAAWe sign a BAA with your center
- Before the first referral or patient call, your center and Surgery Center Front Desk sign a business associate agreement.
- HandoffYour staff stays in charge
- Your auth team submits every authorization. Clinical questions go to your nurses. Anything unclear becomes a task for a person, with a summary.
- EHRWorks in your system
- Charts and bookings go straight into your EHR or practice management system where it has a connection. Where it does not, they land in an approval queue your staff clears with one click.
For administrators and business office managers
Straight answers.
Still have a question? Ask Danny directly.
Book 30 minutesWhat does Surgery Center Front Desk do for an ambulatory surgery center?
It runs the front office work that stands between a referral and a completed case. AI agents read incoming referrals, build the chart in your EHR or practice management system, verify insurance, flag which cases need prior authorization and prepare those requests for your team. Ava, our voice agent, calls patients to schedule, makes pre-op reminder calls and answers your phones 24/7 in English and Spanish.
Do you submit prior authorizations for us?
No, your authorization team stays in control and submits every request. The agent checks whether the plan requires authorization for the procedure, then hands your team a ready-to-submit request with the codes filled in, clinicals attached and the payer's form or portal identified. Your team reviews it and sends it.
How does it read faxed and emailed referrals?
It reads them the way your intake coordinator does, page by page, from fax, e-fax or email. It pulls demographics, insurance, the referring surgeon, the procedure and the codes, and puts each one in the right field. Pages it cannot read with confidence go to a person to review instead of being guessed at.
Will it create duplicate charts?
No, it searches for an existing chart before it creates one. It matches on name, date of birth and other identifiers, updates the existing chart when it finds a match, and sends near matches to your staff to decide.
Which EHR and practice management systems do you work with?
We work in the system you already use. Where your EHR or practice management system has a connection we can use, charts and bookings go straight in. Where it does not, they land in an approval queue your staff clears with one click. We confirm the path for your exact system before you sign.
How does insurance verification work?
Eligibility and benefits are checked with the payer as soon as the chart is built, not the week of surgery. The result, along with whether the plan needs prior authorization for that procedure at your center, is saved to the chart, and problems such as an inactive plan go to your business office right away.
Can Ava give patients their pre-op instructions?
Yes, but only the instructions your center has documented, read as written. She covers arrival time, the driver requirement, what to bring and fasting or prep steps exactly as your center wrote them. She gives no medical advice: medication and clinical questions go to your pre-op nurse, and anyone describing an emergency is told to call 911.
Does Ava speak Spanish?
Yes, Ava runs the whole call in English or Spanish, whichever the patient prefers. That includes scheduling, reminders and pre-op instructions, so Spanish-speaking patients do not wait for a bilingual staff member to call them back.
What does it cost?
It costs less than what your center spends today on the staff hours it covers. Pricing is a flat monthly fee plus a one-time setup, quoted per center after we look at your case volume, referral volume and call volume. You get an exact number on the first call with Danny.
Does this replace my front office staff?
No, it takes the repetitive work off their desks so they can handle patients, payers and exceptions. Most centers use it to stop adding overtime and agency staff, to cover nights and weekends, and to stop losing cases to paperwork that did not get done in time.
Is it HIPAA compliant, and will you sign a BAA?
Yes, Surgery Center Front Desk signs a business associate agreement with your center before go-live. Every vendor that touches patient information signs a BAA with us, access is limited to your team and ours, and patients are never asked to read insurance numbers aloud when a secure form will do.
What does getting started look like?
It starts with a 30-minute call where we walk through how referrals, verification, authorizations and scheduling work at your center today. Then we set the agents up on your procedures, surgeons, payers and documented instructions, test them on real scenarios with your team, and switch them on one step at a time. You approve every script and handoff rule.
Get started
Ava calls you in about a minute.
Tell us about your center and Ava calls your cell right away, the same speed your patients would get. Outside 8 a.m. to 9 p.m. your time, she calls the next morning.
- Ava calls you. A few quick questions: your ORs, how referrals arrive, how verification and auths work, and who answers the phones after hours.
- Book a call with Danny. If it makes sense, you pick a time on his calendar.
- See it on your center. Danny walks through where cases slip today and what your front office looks like with this running it.
Rather pick a time now? Book a call with Danny