AI Operations · Orthopedics + Pain
Your clinic day, distilled to what needs you.
OpAgent is one intelligent operating layer for orthopedic and interventional pain practices — connected to athenaOne, working across scheduling, documentation, coding, authorization, and revenue. It does the checking. You make the decisions.
Hundreds of checks. A handful of decisions.
The Physician Surface
One screen for the work that needs you.
While you see patients, OpAgent works through the day behind the scenes — checking notes, codes, reports, referrals, and payer requirements for every visit. The Brief is where the results land: not a worklist of everything, a short list of only the items that need a physician.
row → sheet → review → action → ✓ → gone. When the list is empty, you're done. Nothing hides in a dashboard.
Same intelligence. Different altitude.
"What needs me?"
- The day distilled to decisions
- Actions prepared, one tap to agree
- Nothing surfaces unless it needs you
- Built for between patients
"Show me everything."
- Every agent, every patient, every result
- Run any agent on demand
- Inspect, adjust, and re-run the work
- Built for coders, admins, and deep dives
Same OpAgent. Different level of interaction.
Built around the way a practice actually works.
SQrub screens the day.
Every scheduled patient is checked against payer policy, referrals, and open care gaps before the first room is filled.
OpAgent works from the chart.
Notes, codes, and imaging reads are drafted from the encounter as it happens — no extra clicks, no recording theater.
The Brief surfaces the decisions.
Thirty seconds between rooms is enough to sign, approve, or order what's ready.
The intelligence keeps working.
Past the encounter: authorizations, claims, and revenue integrity run on the same layer.
Under the Hood
Specialized intelligence underneath.
Each agent owns one job in the workflow. You'll rarely think about them — their work arrives in the Brief and the Hub.
Screens tomorrow's schedule: referrals, authorizations, and payer requirements checked before the visit.
E/M and procedure coding for clinic visits, prepared from the note with payer policy in view.
CPT coding for operative notes at the highest defensible level — validated against surgeon-coded cases.
Orthopedic imaging reads drafted from the image and the clinical context, routed for physician sign-off.
Clinic documentation drafted from the encounter, in the physician's own structure.
Prior authorization: policy checks, surgical packets, and payer-ready documentation in one pipeline.
Flags osteoporosis care gaps — like that DEXA — and prepares the order and follow-up pathway.
Surfaces the risk factors and prerequisites that should be handled before a case is booked.
Every result is reviewed and signed by a human. That is the design, not a disclaimer.
The Intelligence Layer
Every recommendation should know the payer.
Generic AI knows medicine in general. OpAgent's agents run on DataQorp — a payer-policy intelligence engine purpose-built for orthopedics and interventional pain, mapping what each payer requires, procedure by procedure, before the work is submitted.
DataQorp coverage · updated May 2026
Revenue Intelligence
The workflow doesn't end when the claim leaves.
ReQover is the practice's automated claims radar. It reads remittances against your own payer contracts and flags underpayments, downcodes, and denials worth working — with the evidence attached. Detection and analytics against the contracts you actually signed, not industry averages.
Measured on practice data. No guaranteed savings — flags, evidence, and your decision.
Clinical work and financial performance should not live in separate intelligence systems.
Validation
Measured, not magical.
Across 359 held-out surgical cases spanning 5 procedure families, scored against the operating surgeon's own billing-record coding. When the engine isn't confident, it says so — 4.2% of cases self-flagged for human review.
n=359 · locked test set · April 2026 · scoped to CodeIQ OR, not implied across agents
Live production count
From AI tools to AI operations.
You ask.
Every agent on demand, full control.
You review.
The day distilled to the decisions that need you.
You handle exceptions.
Routine work completes under supervision, with every action logged and reviewable.
The direction is less work around the physician — earned step by step, measured at every step.
Built with practices that live the workflow.
Built by People Who Know the Workflow
Clinical depth, operational reality.
OpAgent is physician-founded and built alongside the surgeons, operators, and analysts who live this workflow every day.
Program Director, Total Joint Center, The Miriam Hospital; Adult Reconstruction & Trauma, Brown University Health. Dr. Cohen's surgeon-coded case series is the ground truth behind CodeIQ OR's published validation.
Chief Operating Officer, University Orthopedics. Brings the operational reality of a large orthopedic group to how OpAgent fits a practice's actual day.
Advises OpAgent on strategic finance.
BA/MD Candidate, UMKC School of Medicine.
Boring on purpose.
Verified controls, not promises: HIPAA-aligned operations with BAAs, practice-scoped access, encryption in transit and at rest, access logging, environment isolation, explicit athenaOne write boundaries, and a human signing every clinical output.
See your own day in the Brief.
A working session, not a slide deck: we connect to your workflow and show the Brief on the kind of day your practice actually has. Orthopedics and interventional pain only.