Agentic AI · Surgery Centers

The intelligence layerfor AmbulatorySurgery Centers.

Built by researchers cited at

  • Cornell
  • UC Berkeley
  • Stanford
  • Mayo Clinic
  • National Cancer Centre Singapore
  • UW–Madison
  • Toronto
  • Cornell
  • UC Berkeley
  • Stanford
  • Mayo Clinic
  • National Cancer Centre Singapore
  • UW–Madison
  • Toronto
  • UCL
  • SingHealth
  • UC Davis
  • McMaster
  • NUS
  • UNSW
  • HBKU
  • Birmingham
  • Zhejiang
  • Calgary
  • SLAC
  • Iowa State
  • UCL
  • SingHealth
  • UC Davis
  • McMaster
  • NUS
  • UNSW
  • HBKU
  • Birmingham
  • Zhejiang
  • Calgary
  • SLAC
  • Iowa State
Rose · public preview

Insights.

NPI and organization lookup over public CMS data. Practice analytics, referral networks, and payer mix at a glance.

Try a 10-digit NPI or an organization name · View full directory →

Lily · core platformLive

AI Agents in RCM.

From intake to clearance, auth, billing, and follow-up. Production agents for surgical RCM.

  • End-To-End RCM
  • Pre-Op Screening
  • Lily Voice AI
  • Prior Auth
workflows · approvals · audit trailSee the agents
Who we serve

Built for the teams growing healthcare.

Audience · 01

Providers, Surgery Centers & Clinics

Run care operations and RCM with fewer delays.

What we help with
  • 01Prior authorization
  • 02End-to-end RCM
  • 03Eligibility, claims, denials, billing, and A/R follow-up
  • 04Finding providers to work at your surgery center
  • 05Comparing job postings
  • 06Closing talent shortages for employers
01 / 03
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USE CASES · DATALILY AI

AI Agents in RCM

AI agents for providers, surgery centers, clinics, specialty practices, billing teams, and RCM operators, built to automate revenue cycle work and close operational gaps.

Codename
LILY
Layer
Action
01

Pre-Op Screening

Chart review in seconds.

Lily pulls every chart from your HIE and EMR, analyzes risks against the patient history, and flags issues before they hit the schedule.

R. Chen · 64M

Total Knee · CPT 27447
Ready
EMR · HIE pull
    Risk analysis

    Awaiting chart pull…

    Live demo · cycling charts
    02

    Voice AI · Meet Lily

    Your AI assistant for patient outreach.

    AI-powered calls for pre-op prep and payer follow-ups. Lily collects medications, allergies, transport plans. 24/7 availability across timezones.

    Try it · Click to talk
    Click to talk
    Connecting · Patient
    Dialing
    Live demo0 / 9 lines
    03

    Task Management

    AI generates tasks. You approve.

    Prioritized queues with clear AI reasoning. One-click approve, reject, or modify, saving roughly 30 seconds per task with the human always in the loop.

    Task queue

    AI proposes · staff approves
    Live
    Today

    Send pre-op reminder to R. Chen

    TKA scheduled May 12 · 10 days out

    ~30s saved
    Live demo · auto-cycling tasks0m 0s saved this session
    04

    Prior Authorization

    Every payer. Every rule.

    Insurance-specific requirement verification. Lily reads the chart, runs medical-necessity logic, and drafts the auth letter, with citations to AAOS and InterQual.

    Case input
    J. Doe· 58F
    Procedure
    Total Knee Arthroplasty
    Code
    CPT 27447
    Payer
    BCBS WI · PPO
    ICD-10
    M17.11 · OA, R knee
    Letter draft·

    RE: Preparing case…

    ~3s vs ~45 min manual
    15× faster
    05

    Procedure Library

    Configure once. Apply forever.

    CPT-specific requirements, surgeon protocols, and payer rules in one library. Fully configurable per surgeon, procedure, and payer, then applied automatically to every case.

    Total Knee Arthroplasty

    CPT 27447 · Orthopedics
    Dr. M. Reeves
    Requirements · BCBS · Aetna · UHC variants0 / 10
    Documentation
    • H&P within 30 days
    • Signed surgical consent
    Labs
    • CBC
    • BMP
    • PT/INR
    Clearances
    • Cardiac clearance (>65)
    • PCP clearance
    Imaging
    • Pre-op X-ray
    • Standing MRI
    Medications
    • Hold anticoagulants ≥5d
    66 requirements across all procedures
    06

    Operations Dashboard

    Your entire pipeline, one view.

    Real-time visibility into every scheduled case: eligibility, prior auth, pre-op clear, procedure, coding, claim. Eight subagents with full audit trail.

    Initialising
    Case #44219
    1. 01

      Eligibility

      · Insurance
      Pending
    2. 02

      Prior Auth

      · Insurance
      Pending
    3. 03

      Pre-op clear

      · Surgery
      Pending
    4. 04

      Procedure

      · In OR
      Pending
    5. 05

      Coding

      · Billing
      Pending
    6. 06

      Claim · ERA

      · Billing
      Pending
    Live demo · auto-loop0 / 6 cleared
    USE CASES · DATALILY INSIGHTS

    DataLily Insights Powers Decisions Across The Healthcare Market

    Discover your complete revenue picture in seconds.

    Fastest chat-based intelligence.

    data points
    100B+
    providers
    10.3M+
    data sources
    600+
    Codename
    ROSE
    Layer
    Data
    01

    Help RCM Companies Understand The Market

    Market data, packaged for resale.

    Market stats, provider density, payer patterns, specialty demand, and account-level opportunity sizing, packaged into white-label dashboards RCM companies can resell to clients.

    WI Multi-Specialty ASCs

    Wisconsin · 142 facilities
    Market
    Market signals
    Median annual cases
    3,840
    Top payer
    BCBS · 32%
    Median revenue
    $4.2M
    Denial rate
    8.2%
    BCBS share32%
    Live demo · cycling markets
    02

    Find The Perfect Site For Your Next De Novo ASC

    Know the area, before you build.

    Understand the area before you build: catchment analysis, local competition, site selection signals, CON rules, provider supply, and market intelligence in one workspace.

    Madison, WI

    Dane County · pop 270K
    Strong fit
    Area analysis
    Competing ASCs
    8
    Provider supply
    Strong
    CON required
    No
    Catchment
    180K
    Site fit score84 / 100
    Live demo · cycling sites
    03

    Show Providers Where To Grow Next

    See where to grow next.

    Help providers, surgery centers, and clinics understand competition, patient demand, referral gaps, pricing signals, and local market opportunities before expanding. Even individual or independent centers can find gaps and improvements.

    Total Knee Arthroplasty

    CPT 27447 · local market
    High demand
    Growth signals
    YoY demand
    +18%
    Revenue opportunity
    $1.2M
    Referral gaps
    3 clinics
    Competition
    Medium
    Opportunity score87 / 100
    Live demo · cycling opportunities
    How it works

    Agents that execute,
    not just observe.

    Most healthcare AI summarizes or flags. DataLily agents take the next action: submit the auth, verify the benefit, post the ERA, work the denial. They leave a clean audit trail behind.

    01 / Connect

    Plug into your stack.

    Agents connect to your EHR, scheduling, and payer portals through standard EDI, HL7, and clearinghouse links. Online in days, not quarters.

    02 / Run

    Agents do the work.

    Eligibility, prior auth, pre-op screening, claims, and follow-ups worked across portals, faxes, documents, and phone calls. Approval gating keeps staff in control.

    03 / Approve

    AI proposes. You approve.

    Reduced manual work without going autonomous. Every action arrives with AI reasoning attached, ready to approve, reject, or modify in one click.

    The pilot

    A pilot that proves itself in days.

    A product goes live and the results show up before the questions do.

    • NDA signed before we start
    • HIPAA-grade Business Associate Agreement (BAA) in place
    • Scoped to one high-impact workflow at a time
    Ready to move forward?

    Here’s what getting started looks like.

    Setup time
    < 1 day
    Integration
    No integration (Phase 1 pilot)
    Contract
    Month-to-month
    HIPAA compliant · BAA included