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Built for ASCs — not hospital software scaled down

AI that moves every case from order to paid

Behind every surgical case is a second job: verify the benefits, chase the auth, clear the patient, check the note, follow the claim. Perivanta does that job — continuously, across every case — and brings your team only the calls that need judgment.

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Case 0412 · knee arthroscopyOrder → paid
  1. Day 1 · 08:14 · Intake
    Referral received — case opened, facts extracted
  2. Day 1 · 08:16 · Eligibility
    Benefits verified — plan active, ASC covered
  3. Day 2 · Prior auth
    Submitted with records attached — follow-up scheduled
  4. Day 3 · Exception
    Two active plans on file — escalated with the evidence
  5. Day 6 · Patient
    Cleared — estimate accepted, consents signed
  6. Day 12 · Coding
    Op note supports the codes — claim out same day
  7. Day 26 · Paid
    Remit verified at the contracted rate
Admin tasks this case34 done1 needed your team

The state of the industry

The margin is hiding in the handoffs

Ambulatory surgery centers are the fastest-growing site of surgical care in the United States, yet the administrative life of a case is still scattered across staff, physician offices, patients, payers, portals, fax machines, and spreadsheets — with no system responsible for the whole.

So people carry it: re-keying facts, checking portals, chasing records, and discovering blockers only after they’ve threatened the schedule or the payment. The result is day-of cancellations, denials, write-offs, and quiet underpayments — waste that never shows up as a line item on any report.

See the full benchmark data
Dozens
Of handoffs between referral and final payment — each one a place the case can stall or lose context
22.5M
Procedures performed in U.S. ambulatory surgery centers each year
$60B
Annual surgical spending flowing through the ASC market
After the fact
When most blockers are discovered — once they’ve already cost schedule time or payment

Market figures: CMS, MedPAC, and published industry analyses. Methodology and citations

Why we exist

ASC software has spent twenty years recording what happened to the case. Someone still has to do the case — verify it, authorize it, clear it, code it, chase it. We are building the system that does that work — with the operators who will run it.

Read why we’re building Perivanta

The platform

One system that owns the whole case

Perivanta doesn’t replace your systems of record. It connects them around each case and completes the routine administrative work at every stage — from the referral fax to the verified payment.

IntakeReferral intake & eligibilityA referral arrives; a verified case opens. Perivanta extracts the facts with their sources attached, checks benefits, and flags coverage conflicts on day one.Learn morePrior authPrior authorization & recordsPerivanta works out what each auth requires, assembles the evidence, files it, and chases the payer to an answer — then re-verifies the approval whenever the case changes.Learn moreReadinessPatient readiness & clearancePatients get cleared days early, not at check-in: estimates accepted, consents signed, and expiring paperwork caught while there's still time to fix it.Learn moreSchedulingScheduling & day-of coordinationCases are booked when they're actually ready, and the room, team, anesthesia, and supplies are coordinated to match. Openings get backfilled with cleared cases.Learn moreCodingDocumentation & codingOp notes checked for completeness, codes validated against what was documented, and missed charges reconstructed — the same day as the case.Learn moreClaimsClaims, denials & underpaymentsEvery claim is watched through adjudication. Denials get appealed with the case's own evidence; underpayments get caught against the contract.Learn more
OverviewOne case record, end to end — how the stages work as one system
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Works alongsideHST PathwaysSISModMedPayer portalsYour system of record— not to rip them out.

Resources

Operator-grade research, free to use

All resources
Benchmarks

ASC industry benchmarks: utilization, volume, and ownership

The numbers every operator should know — OR utilization, cases per OR, market size, and how the industry is structured.

Policy

The CMS 2026 final rule, explained for ASC operators

560 procedures added to the ASC list and the Inpatient Only list phasing out. What it means for your case mix.

Guide

The operator’s guide to improving OR utilization

Where idle OR time actually comes from, how to measure it accurately, and the levers that move it.

What is idle OR time costing your center?

Run your own numbers with the OR utilization & revenue calculator.

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Design partner program

Help build the system that does the work

We are selecting a small group of founding centers to shape the platform. Design partners get early access, direct input on the roadmap, and founding-partner terms.

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