Prior auths for surgery and imaging, cleared before the case is scheduled
Saga automates patient access for orthopedic practices and ambulatory surgery centers. Its AI agents read inbound referrals and imaging, verify coverage, assemble the documentation each payer requires for procedures like joint replacement and spine surgery, submit prior authorizations through payer portals, and track them to a decision, inside your EHR.
Built for → Orthopedic groups · Ambulatory surgery centers · Spine & sports medicine
Surgery waits on paperwork.
Every surgical case and MRI needs the right notes, imaging, and conservative-treatment history in front of the payer. Assembling that by hand, re-keying it into portals, and checking back for days is what pushes cases off the schedule.
How Saga moves an orthopedic case forward
Reads the referral and imaging
Inbound referrals, imaging reports, and outside records are read and filed to the chart, with diagnoses and referring provider captured.
Confirms coverage
Real-time eligibility checks confirm the plan and benefits before the visit or case is scheduled.
Assembles the prior auth
Saga pulls the clinical notes, imaging, and treatment history the payer requires for the procedure from the chart.
Submits and tracks
Requests go in through payer portals; Saga follows up and writes approvals, denials, and reference numbers back to the EHR.
Escalates denials
Saga drafts the appeal from chart documentation and holds it for staff approval.
What Saga covers for orthopedics
- Prior auths for procedures such as joint replacement and spine surgery
- Prior auths for MRI and other advanced imaging
- DME prior authorizations
- Referral and outside-record intake
- Eligibility and benefits before scheduling
- Denial appeals drafted for staff approval
Related: Prior authorization · Referral intake · Eligibility verification
Fewer hours on paperwork. More capacity for patients.
Orthopedics and ASCs questions
Can Saga handle prior authorization for orthopedic surgery?
Yes. Saga assembles the documentation each payer requires from the chart, submits the request through the payer portal, and tracks it to a decision. Denials and appeals always go to staff for approval.
Does Saga work for ambulatory surgery centers?
Yes. Saga verifies coverage and clears prior authorizations before cases are scheduled, and files inbound referrals and records to the chart.
Which EHRs does Saga work with for orthopedic practices?
Saga works inside Epic, Cerner, athenahealth, eClinicalWorks, MedENT, and other EHRs through a user account, with no API integration required.
Comparing options? See how Saga compares with fax OCR, RPA, and outsourced intake →
Get surgical cases authorized faster.
Live in under a month · writes back to your EHR · your data stays yours