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OpAgent in Motion

From the clinic day to the claim, as designed.

Three short demonstration films with sample data, without narration. They show the intended workflow for the physician, the surgical coordinator, and the biller. Not every step is available yet: each chapter lists the current availability of what it shows.

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01 · The clinic day · 58 s

OpAgent inside athenaOne.

The physician opens the daily worklist in athenaOne. Imaging-report drafts, bone-health flags, and pre-op readiness items appear only for patients where something is due. The physician reviews each item, and approved work is saved to the chart.

RadiologiQAvailableBone HealthLimited rolloutClinical OptimizationLimited rollout
What one orthopedic group's historical records showed

A review of a design-partner practice's records, 2018 to 2025.

1.07Mpatients
4.2Mclaims
41.9Mtransactions
3,374payer policy letters reviewed
The surgical denial rate rose from 9.4% to 12.6% in one year.Share of surgical claims denied, all payers, 2024 to 2025. It was 7.3% in 2018.
In about half of sampled level-3 visits, the note supported level 4.Retrospective review of 3,985 signed notes for visits billed as 99213, August 2026 benchmark. It shows where to audit, not revenue collected; no visit was re-billed.
Collecting $10,000 took about five times as much handling from one payer as from another.Handling events per $10,000 collected, such as resubmissions and records requests, ranged from 8.5 to 44.9 across payers, 2018 to 2025.
Design-partner practice, unnamed. Figures are rounded. Patient and claim counts cover the practice's full history. No patient-level data is shown.
02 · The full encounter · 80 s

The physician finishes the visit once.

A demonstration of a workflow in development. The physician records or dictates the visit, or starts from the note already in the chart. OpAgent drafts the note, lists documentation questions, and proposes codes with the supporting text beside each. The physician approves the note and the coding, and a scheduled surgical case is handed to the surgical coordinator.

WrapIn developmentNote draftingIn developmentVisit codingIn development
03 · The surgical case · 65 s

The surgical case, note to codes.

A demonstration of a workflow in development. Before surgery, a preoperative draft is prepared from the surgical plan; it is a starting point, not the operative record. After surgery, the surgeon edits and signs the final operative note, codes are proposed from what the signed note documents, and the biller reviews them before the claim is sent.

Surgical codingIn developmentPayment reviewIn development
04 · After the claim

Payment review, as designed.

This part is in development. When a payment comes back, it is compared with what was billed and contracted. Discrepancies are listed with their evidence, and a biller decides whether to appeal, follow up on documentation, or take no action.

ReQoverIn development
1Claim sentThe biller submits the claim with the signed operative note and the reviewed codes.
2Payer respondsA payment, a records request, or a denial, compared with what was billed and contracted.
3Discrepancies listedPayments below the contracted rate, downcodes, and denials, by payer, procedure, and month.
4Next step preparedA resubmission or appeal is drafted with its evidence. The biller decides whether to send it.
5Next visit informedPlanned: what this payer required appears on the daily worklist before the next visit.

See how OpAgent fits your practice.

Walk through the workflow with our team and discuss your EHR, priorities, and rollout options. Prefer a practice analysis? It is a scoped review of historical clinical and billing data, and it begins after the scope, required agreements, and authorized data access are in place. Choose either below.

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