What this page covers

  1. HST Pathways (and Casetabs)
  2. SIS Complete (Surgical Information Systems)
  3. AmkAI
  4. Provation
  5. Advantx
  6. Advantien
  7. SourceMedical (Vision)
  8. Picis
  9. Simplify ASC
  10. Nextech ASC
  11. How the integration works

ASC operations run on a tight PMS and EHR stack. The case posts, anesthesia charts, surgeon notes, and billing all flow through one or two systems. PA work has to plug into that stack without swapping the PMS. Flexbone integrates with every major ASC platform and reads case data directly so PA automation lives inside your existing workflow.

HST Pathways (and Casetabs)

HST Pathways is the dominant ASC PMS for multi-specialty and orthopedic centers. The platform covers scheduling, clinical documentation, billing, and analytics. Casetabs is HST\u2019s case-communication layer with surgeon offices. Flexbone reads case data (procedure, surgeon, payer, scheduled date), pulls uploaded attachments, queries clinical details via HST\u2019s API or a browser agent, and writes PA determinations back to the chart. See the dedicated AI for HST Pathways page for the full integration detail. Common use: orthopedic ASCs running eviCore MSK PA from case creation in HST.

Flexbone PA audit

Get an outside read on your asc ehrs for prior authorization PA stack

In 30 minutes we will map your current PA volume, denial drivers, EHR coverage gaps, and the three highest-ROI automations to ship next quarter, scoped to the payers and procedures you actually run.

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SIS Complete (Surgical Information Systems)

SIS Complete is the full ASC PMS from Surgical Information Systems, used heavily by larger multi-specialty centers and ASC management companies. It covers scheduling, charting, billing, and analytics under one umbrella. Flexbone reads scheduled cases, pulls surgeon notes and payer authorization fields, submits PA packets to the appropriate payer or delegate, and writes determinations back. See AI for SIS for detail.

AmkAI

AmkAI is common in GI, pain, and multi-specialty centers. The platform covers case management, charting, and billing with strong modules for GI endoscopy documentation. Flexbone reads procedure codes and endoscopy-report data, submits PA through eviCore, Carelon, and direct payer portals, and coordinates with the billing module. See AI for AmkAI.

Talk to our teamAbout asc ehrs for prior authorization prior authorization workflows and a scoped Flexbone rollout.See the PA platformHow Flexbone automates PA end to end across payer portals, phone, and EHR.

Provation

Provation is dominant in GI, used by many multi-specialty centers with endoscopy and by GI-only ASCs. Provation MD Endoscopy generates structured endoscopy reports that feed directly into GI PA packets (colonoscopy, EGD, ERCP). Flexbone reads the structured report, assembles PA, submits, and writes back. See AI for Provation.

Advantx

Advantx is a multi-specialty ASC PMS with strong coding and billing modules from Surgical Notes. It\u2019s common in multi-specialty centers and ASC management companies. Flexbone integrates on the case-scheduling and clinical side for PA, complementing the revenue cycle stack. See AI for Advantx.

7-day pilot

Have Flexbone run your asc ehrs for prior authorization PA for a week

A live pilot on real cases with a shared dashboard showing which submissions went out zero-touch, which peer-to-peers Flexbone booked, which denials were appealed automatically, and what your team saved in hours.

Start a pilot →

Advantien

Advantien (AI for Advantien) handles ASC revenue cycle from case posting through claim submission. Flexbone\u2019s PA layer feeds into the Advantien billing process so claims submit with authorizations on file.

SourceMedical (Vision)

SourceMedical\u2019s Vision platform (AI for SourceMedical) is a legacy but still-installed ASC PMS with a substantial install base. Flexbone reads case data through a browser agent since the platform\u2019s modern API is limited, and submits PA through the correct delegate.

Talk to our teamAbout asc ehrs for prior authorization prior authorization workflows and a scoped Flexbone rollout.See the PA platformHow Flexbone automates PA end to end across payer portals, phone, and EHR.

Picis

Picis (AI for Picis) is intraoperative- and anesthesia-focused, more common at hospital-owned ASCs and HOPDs with surgical services. Flexbone integrates for the PA workflow on the pre-operative side.

Simplify ASC

Simplify ASC is a newer, cloud-native ASC PMS that is gaining share at newly-built centers and digital-first management companies. Flexbone connects via Simplify\u2019s modern APIs for case data and returns PA determinations programmatically.

Nextech ASC

Nextech ASC is specialty-adjacent, used alongside Nextech\u2019s ophthalmology, derm, orthopedic, and plastic surgery EHRs. The integration leverages the parent Nextech EHR for clinical data and the ASC module for scheduling and billing. Flexbone reads both sides for PA.

How the integration works

Across all 11 systems, the integration pattern is the same: read the case, pull clinical context from attached notes or the surgeon\u2019s EHR, determine the correct PA target (eviCore, Carelon, NIA, direct payer, workers comp TPA), submit the packet, poll status, and write the determination back. Where the PMS has a modern API, Flexbone uses FHIR, X12 278, or vendor-specific APIs. Where it does not, Flexbone runs a browser agent against the PMS UI. See ASC prior authorization for the workflow detail and the platform for the full stack.

No rip-and-replace. Flexbone runs on top of your existing ASC PMS. Surgeons, anesthesia, and business office keep using the same system. PA automation is an add-on layer, not a migration.