For surgery centers

The AI agent that does your ASC's busywork.

No booking sheets, no retyping, no last-minute insurance or H&P surprises. The agent builds each case from the booking office's documents, keeps your schedule, charts and insurance current, and flags problems instantly.

  • Works with or without an integration
  • Your team makes the final decision
  • HIPAA compliant, with a signed BAA
app.comanix.com/portal/board
Sample, Morgan
Wed, Oct 28 · 66982 Complex cataract, Left · MAC · A. Sample, MD
Booked
Agent activity today
  • Booking received, entered into your scheduling systemSent
    From Example Eye Associates · 9:14 AM
  • Insurance checked: active, $250 deductible remainingSent
    Primary plan · 9:15 AM
  • Insurance card and driver's license filed to the chartSent
    Your charting system · 9:16 AM
  • CPT code changed by the booking office, schedule updatedUpdated
    66984 to 66982 · 10:02 AM
  • Secondary plan inactive, flagged to your teamIssue
    Insurance re-checked · 10:03 AM
Workflow
  • Entry
    Entered
  • Insurance
    Needs verification
  • H&P / Pre-op
    No concerns
  • Entered as it happens
    New bookings, changes and documents.
  • Insurance re-checked
    Until surgery day.
  • H&Ps screened for anesthesia
    Against your criteria.
  • Signed BAA
    For every customer.

What the agent does

One agent doing your pre-op team's legwork

Hours of chasing, checking and retyping, off your team's plate. Six jobs it runs on every case, from the moment a booking arrives through surgery day.

It does the legwork. Your team has the final say.

The agent reads, checks, flags and files, and your team can review and override anything it does. Anesthesia approves, denies or requests labs.

  • Reads every booking

    Fills in each case from the booking office's notes and documents, and flags anything missing.

  • Enters cases and files documents

    Into your scheduling and charting systems the moment a booking arrives or changes, so nobody retypes a case.

  • Checks insurance until surgery day

    At booking, then automatically again up to surgery day, with an estimate of what the patient owes.

  • Watches every booking

    Alerts you to cancellations, reschedules, holds and changed details right away.

  • Texts your patients

    Their date, medication holds and fasting rules, so they arrive prepared.

  • Screens every H&P, for anesthesia

    Checks each faxed H&P against your anesthesiologists' criteria and flags medication holds and missing clearances weeks before surgery.

Works with your systems

The agent keeps your systems current, as things happen

Every booking arrives complete and ready to copy in. With our built-in AdvantX or SIS Charts integration, or a custom one for the systems you use, it is entered and its documents filed for you as things happen.

Booked
Sample, Morgan
Procedure
66982 Complex cataract, Left
When
Wed, Oct 28 · 8:15 AM
Surgeon
A. Sample, MD
Insurance
Primary eligible · secondary flagged
Documents
  • Insurance Card
  • Driver's License
Synced 9:14 AMCPT code changed, updated 10:02 AM
Your scheduling system · Case entry
Patient nameSAMPLE, MORGAN
Procedure66982 CATARACT, COMPLEX
SideLEFT
Surgery date10/28/2026
Start time08:15
SurgeonSAMPLE, A
AnesthesiaMAC
Duration30 MIN
Primary insuranceEXAMPLE HEALTH PLAN
Your charting system · Documents
  • Insurance CardFiled 9:16 AM
  • Driver's LicenseFiled 9:16 AM

Insurance and patient cost

The agent checks coverage until surgery day, and what the patient owes

Eligibility is checked automatically at booking and again up to the surgery date, so a lapsed plan surfaces right away. CoManix estimates what the patient will owe from your contracted rates, so your team can tell them well ahead of surgery, and they arrive ready to pay instead of cancelling when they first hear the amount.

  • Checked at booking, then re-checked automatically until surgery day
  • Deductible and out-of-pocket remaining, copay, coinsurance and network status
  • Whether prior authorization is required, for primary and secondary plans
  • An estimate of what the patient owes, from your contracted rates, well ahead of time
Insurance & eligibilityDemo, Avery · Wed, Oct 28Eligible for service
PrimaryExample Health Plan
In network · facilityNo prior auth required
Patient responsibility
Deductible
$250
remaining of $1,500
Out of pocket
$2,140
remaining of $4,000
Coverage
  • Active coverage
  • Facility20% coinsurance
  • Anesthesia20% coinsurance
  • Surgical$40 copay
Estimated patient responsibility, facility fee
$412
$250 deductible, then 20% coinsurance on the rest of your $1,060 contracted facility fee.
Check history
  1. Oct 1Checked at booking
  2. Oct 14Re-checked automatically
  3. Oct 21Re-checked automatically today
Next check before surgery day.
SecondaryEligible for service

Booking intake

The agent builds every booking. No booking sheets, no transcribing.

Booking offices upload the notes and documents they already have, and the agent fills in the booking from them. Each case lands in your Cases to enter list and on your calendar, and is entered into your systems for you or ready to copy in, so nothing is written down or retyped.

  • Instant alerts when the booking office cancels, reschedules, holds or changes a case, with exactly what changed
  • Deny service on surgery day in one step, for example when a patient has eaten, and the booking office is notified automatically to reschedule, with no calls or emails
  • Each surgeon and booking office sets its own procedure and patient questions, and the agent answers them from the documents
app.comanix.com/portal/board
Example, Casey
Wed, Oct 28 · 45m · General anesthesia · R. Example, MD
29881Knee arthroscopyRight
Booked
Questions · filled in by the CoManix agent
Implant / sizeCustom question
None planned
Equipment neededCustom question
Arthroscopy tower, shaver
Next stepEnter this booking in your system
Deny serviceMark as entered

The whole journey

One platform for the whole patient journey

CoManix connects every office that touches the patient, from referral to follow-up, in one live record. The highlighted steps are your center's part; the rest happens in the same record, so cases reach you complete and stay connected after surgery.

Your center's part
  1. 01
    Referral
    Referring office
  2. 02
    Booking
    Booking office to your center
  3. 03
    Clearance
    Primary care and anesthesia
  4. 04
    Surgery
    Your center
  5. 05
    Post-op
    Surgeon office
  6. 06
    Follow-up
    Surgeon or referring office

For your anesthesiologists

Every H&P screened the moment it arrives. Not the morning of surgery.

Primary care, cardiology or any other office faxes H&Ps to a dedicated CoManix fax number for your center. Each is automatically attached to its booking and screened on arrival against your anesthesiologists' criteria, and every finding links to the H&P page it came from.

  • H&P within 30 days of surgery
  • Cardiac history and stents
  • Blood thinners
  • Diabetes and GLP-1 holds
  • Body mass index
  • ASA class

And more, from renal disease to allergies. Every check and threshold is set to your anesthesiologists' policy, and they can add their own.

Placeholder, Quinn
Surgery Oct 29, 2026 · H&P Oct 14, 2026
Eligible with conditionsASA IIIDiabetic
  • H&P dateClearedp.1 »
    Oct 14, 2026, within 30 days of surgery.
  • GLP-1 / SGLT2 MedicationsRequires Evaluationp.3 »
    Injectable semaglutide. Your policy: hold 7 days before surgery, from Oct 22.
  • Coronary StentsClearedp.2 »
    Drug-eluting stent placed Jan 2026, more than 6 months ago.
  • Ejection FractionClearedp.4 »
    LVEF 58% on echo, Jul 2026.
NO HISTORY OFMyocardial Infarction · Stroke / TIA · Pacemaker / ICD · Renal Disease
Missing H&Ps stay in view

A case with no H&P stays flagged on the surgery schedule as its date approaches, so your team chases it while there is still time.

Anesthesia makes the final decision

Anesthesia approves the case, denies it, or requests labs or more detail from the booking office, weeks ahead. The final call is always theirs.

Patients arrive ready: medication holds and fasting, sent by text

A text confirms the surgery date, another says when to stop medications such as GLP-1s, and the day before brings arrival time and fasting rules.

Example Surgery Center
  • Wed, Oct 21 · 9:00 AM
    Example Surgery Center: your procedure is confirmed for Wed, Oct 28.
  • Wed, Oct 21 · 6:00 PM
    Example Surgery Center: your care team asked you to stop one of your medications starting today, before your procedure on Oct 28. Call us if you’re not sure which one.
  • Scheduled for Tue, Oct 27 · 2:00 PM
    Example Surgery Center: your procedure is tomorrow. Please arrive by 7:00 AM, with nothing to eat or drink after midnight.

Insights

See every case, booking office and payer

Your ASC's volume by booking office, surgeon and specialty, payer mix and every insurance issue caught before surgery, cancellations and why, and your patients' risk mix, all from the cases already in CoManix.

  • See which booking offices are sending more cases, and which are slipping
  • Track payer mix and every insurance issue caught before surgery
  • See which cancellation reasons come up most
  • See how far ahead each booking office books
app.comanix.com/portal/insights
Insights/Your center, last 90 days
Example Surgery CenterLast 90 daysvs. the 90 days before
Cases booked
412
+18%across 5 specialties
Cases completed
298
+11%by surgery date
Booking to surgery
24 days
-3 daysmedian
Cancelled
3%
13 of 412 booked cases
Changed within 2 days of surgery
1%
4 of 412 booked cases
Insurance issues caught
14
avg 19 days before surgery
Cases booked each week
Busiest: week of Sep 29
This periodThe 90 days before
050100
Aug 4Aug 18Sep 1Sep 15Sep 29Oct 13
Cases by booking office
  • Example Eye Associates148
  • Sample Orthopedics110
  • Demo GI Associates77
  • Placeholder Spine & Pain58
  • Other offices19
Booking office watch
Offices sending more, sending less, and new this period
  • Sample Orthopedics110 cases, up from 82Growing
  • Demo GI Associates77 cases, up from 61Growing
  • Placeholder Spine & Pain58 cases, down from 74Slipping
  • Test Surgical PartnersFirst 6 cases this periodNew
Payer mix
Share of the 412 booked cases
  • Medicare46% · 190
  • Commercial28% · 115
  • Medicare Advantage18% · 74
  • Medicaid5% · 21
  • Other3% · 12

Security

Built for HIPAA from day one

Every view or change to a booking, document or patient record is logged automatically in an immutable audit trail, so you can always show who saw what, and when.

  • HIPAA compliant
    Full compliance with the HIPAA Privacy and Security Rules.
  • Encrypted at rest and in transit
    AES-256 at rest, TLS in transit.
  • Immutable audit trail
    Append-only logs of every access to patient data.
  • Role-based access
    Granular permissions that enforce minimum necessary access.

Getting started

We handle getting started

Send us your booking offices and surgeons. We handle the setup, the onboarding and the training.

  1. 01Book a demoA short walkthrough with our team.
  2. 02We set up your centerAbout 15 minutes.
  3. 03We connect your systemsBuilt-in AdvantX and SIS Charts integrations, or a custom one for what you use.
  4. 04We bring on your booking offices and surgeonsAnd train your staff.
  5. 05Your first cases flow inChecked, screened and entered for you.

FAQ

Frequently asked questions

Something else on your mind? Email inquiries@comanix.com.

Yes. Built-in integrations for AdvantX and SIS Charts create and update each booking and file documents to the patient’s chart for you. For any other system, we build a custom integration. Until it is live, every booking arrives complete and ready to copy in, so nothing is retyped from a fax.

Eligibility is checked automatically at booking and re-checked up to the surgery date: active coverage, deductible and out-of-pocket remaining, copay and coinsurance, network status and whether prior authorization is required, for primary and secondary plans. From your contracts and those checks, CoManix estimates what the patient will owe, so they can have payment ready well ahead of time.

We set them up for you. CoManix is free for booking offices: we create their accounts and train their staff. They book each case from the notes and documents they already have, with no booking sheet to fax over.

Review it on the booking, where every finding links to the H&P page it came from. Then approve the case, deny it, or request labs or more detail from the booking office. H&Ps are screened the moment they are faxed in, against criteria customized with your anesthesiologists, so this happens weeks before surgery, not on the day.

Your team always has the final say. Every booking detail, H&P finding and insurance result links back to the document it came from, every field is editable, and every change is logged. Anything the agent isn’t sure about is flagged for your team to confirm before it goes into your systems.

Yes. CoManix was built HIPAA-first, not retrofitted. We provide a signed BAA, encrypt all data at rest and in transit, maintain immutable audit logs, and enforce role-based access at every level.

Any specialty your ASC hosts, from orthopedics, GI and pain management to ENT and ophthalmology. Each booking office and surgeon sets up its own procedures and questions, so every case arrives with what your team needs to know.

Pricing is based on your ASC’s booking volume. Request a demo and we will put together a quote.

Setting up your center’s account takes about 15 minutes. How soon you’re fully live depends on your integrations and how many booking offices you bring on, and we set that timeline with you at the demo.

Keep every surgery day full

See how the CoManix agent, with or without an integration, gives your staff back the hours they spend retyping, removes entry errors, and tells you about insurance and scheduling issues the moment they happen.

Request a demoStart free trial

Signed BAA. HIPAA compliant from day one. Free for your booking offices.

Prefer email? inquiries@comanix.com