For HST Pathways & Casetabs ASCs

AI Agents for HST Pathways

Voice and browser agents that work alongside HST Pathways and Casetabs — automating phone calls, prior authorization, eligibility verification, and denials for ambulatory surgery centers.

1,800+
Ambulatory surgery centers run on HST Pathways — the #1 ASC software platform, named KLAS Software of the Year three years running through 2026.
13 hrs
Average weekly time ASC staff spend on prior authorization calls and portal submissions, per AMA 2024 — work Flexbone agents handle automatically.
82%
Of denied claims are overturned on appeal, but most ASCs lack the staffing to appeal them. Flexbone's denial agents close that gap.
01

AI Voice Agents for ASC Calls

Inbound and outbound calls answered by AI in seconds — pre-op NPO instructions, post-op follow-ups, scheduling, eligibility verification, and prior auth status calls. Every transcript and outcome flows back into HST Pathways.

Pre-opPost-opSchedulingEligibilityPrior AuthDenial Appeals
PRE-OP CALL AI: Confirming arrival 6:30 AM tomorrow Patient: Yes, NPO since midnight? AI: Correct. Logged to HST Pathways.
02

Browser Agents That Operate HST Pathways

AI browser agents log into HST Pathways and Casetabs the same way your staff does — submitting prior authorizations, verifying eligibility through payer portals, posting denial appeals, and writing structured updates back into the EHR. No API integration required.

HST PathwaysCasetabsAvailityWaystarPayer Portals
BROWSER AGENT → Login to HST Pathways → Open case schedule for tomorrow → Submit PA for case #4821 (Anthem) ✓ Approval logged to HST Pathways
03

Prior Authorization Automation

For surgical cases, Flexbone's agents submit prior auth requests through payer portals, call payers when portals fail, track status across the case lifecycle, and post approvals back to HST Pathways. Eliminates the 13+ hours per week ASC staff typically lose to PA work.

PA TRACKER Case #4821 Approved PA submitted via Anthem portal Status check call placed Approval # received Posted to HST Pathways
04

Eligibility Verification & Denial Management

Real-time eligibility checks across 25+ payer portals before every case. Denial letters ingested via OCR, root cause classified, Revenue Management Tasks created in HST Pathways, and corrected claims pushed back to clearinghouses — all without manual touch.

270/271AnthemUHCAetnaBCBSMedicare
DENIAL WORKFLOW Flexbone HST Pathways Waystar Availity
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The Problem

Why ASCs on HST Pathways Need AI

HST Pathways gives you the system of record. AI agents fill the labor gap around it.

94%

Of physicians report prior authorization delays affect patient care, per AMA 2024 Prior Authorization Survey.

65%

Of US healthcare claim denials are never appealed due to staffing constraints — even though 82% of appealed denials get overturned (CAQH 2024).

11%

Average ASC staff turnover for billing and front-desk roles in 2024, per MGMA — straining call coverage.

38%

Of inbound ASC patient calls go to voicemail outside business hours, per ASCA 2024 — calls Flexbone covers 24/7.

Implementation

Live in Four Weeks Alongside HST Pathways

Forward-deployed engineers configure Flexbone to your ASC's specific HST workflows, payer mix, and surgical specialties.

Week 1 — Discovery

We map your HST Pathways case workflows, payer mix, call patterns, and current PA/eligibility/denial volumes. Read-only HST credentials provisioned.

Week 2 — Build & Integration

Voice agents trained on your ASC's call scripts. Browser agents configured against HST Pathways and Casetabs. Phone system integration goes live.

Week 3 — Supervised Go-Live

Real patient calls and real PA submissions run through Flexbone, monitored by your team. Edge cases escalate to humans during the ramp.

Week 4 — Optimization

We tune routing accuracy, refine specialty-specific call flows, and verify all HST writebacks. Forward-deployed engineers stay engaged post-launch.

Use Cases

Built for Multi-Specialty ASCs

AI agents configured for the surgical specialties HST Pathways supports, with workflows tuned to each.

Orthopedic ASCs

Pre-op clearances, hardware vendor coordination, post-op PT referrals. AI calls confirm imaging, medical clearances, and DME orders before each case.

Ophthalmology ASCs

High-volume cataract days. AI handles eligibility verification at scale, post-op drop instructions, and follow-up scheduling — without overloading staff.

GI & Endoscopy

Bowel prep instructions, NPO confirmation, sedation history review. AI handles the pre-op call workload that scales with screening volume.

Pain Management

Repeat injection scheduling, prior auth on every interventional procedure, opioid screening, and post-procedure check-ins all handled by AI.

Plastic & Cosmetic

Self-pay pricing conversations, deposit collection, custom pre-op imaging coordination, and discreet post-op outreach managed at scale.

ENT & Multi-Specialty

Specialty-specific call flows in a single deployment. AI agents route by surgeon, procedure, and payer logic — no separate system per specialty.

HIPAA Compliant

AES-256 at rest, TLS 1.3 in transit. PHI never leaves your compliance boundary.

SOC 2 Type II

Independently audited. BAA signed before any production data flows.

Full Audit Trail

Every AI action logged with transcript, timestamp, and HST writeback record.

Human-in-the-Loop

Configurable escalation rules. Your staff stays in control of every edge case.

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FAQ

Frequently Asked Questions

HST Pathways is the leading practice management and EHR platform for ambulatory surgery centers, serving 1,800+ ASCs in the US. Named KLAS Software of the Year three years running through 2026, HST Pathways covers scheduling, clinical documentation, billing, and case coordination — including the Casetabs platform HST acquired in 2021.

Yes. Flexbone deploys both voice agents and browser agents that work alongside HST Pathways and Casetabs. Voice agents handle inbound and outbound patient calls. Browser agents log into HST and Casetabs to submit prior authorizations, verify eligibility, retrieve case status, and write structured updates back into the system — exactly as a human staff member would, but at scale.

Yes. Flexbone is HIPAA compliant with SOC 2 Type II controls, AES-256 encryption at rest, TLS 1.3 in transit, role-based access control, and complete audit trails for every AI action. Patient data never leaves your compliance boundary.

Four weeks from contract to first production calls. Week 1 is discovery — your call patterns, payer mix, and HST workflows. Week 2 is build and integration. Week 3 is supervised go-live. Week 4 is optimization with our forward-deployed engineers tuning the system to your ASC's specific edge cases.

Yes. Flexbone's browser and voice agents handle the full prior authorization workflow for surgical procedures — submitting requests through payer portals, calling payers when portals fail, tracking status, and writing approvals back into HST Pathways. This eliminates the 13+ hours per week ASC staff typically spend on PA work.

Pre-op patient calls (NPO instructions, arrival times, medication review), post-op follow-ups, scheduling and rescheduling, insurance eligibility verification, prior authorization status calls to payers, and denial appeal calls. All call recordings, transcripts, and outcomes are written back into HST Pathways.

Get Started

Add AI to Your HST Pathways ASC

Forward-deployed engineers, four-week implementation, HIPAA compliant. See what AI voice and browser agents can do for your surgery center.

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