OphtheriqAI
Book Demo
Surgical specialty practice operations and episode-of-care workflow intelligence
surgical specialty episode-of-care operations platform

Connected Surgical & Clinical Operations For Specialty Practices

See it in your practiceSee how it works

Ophtheriq AI is a unified, AI-powered platform for surgical specialty practices and ambulatory surgery centers. It connects Intake & Triage, Clinical Assessment, Case Planning, Treatment Records, Recovery & Rehab, Quality & Compliance, and Claims & Settlement in one intelligent operational layer—following each episode of care from referral to settlement while surgeons, nurses, therapists and coders keep every clinical decision.

Practice administrator reviewing the daily operating timelineOR coordinator checking surgical case readinessSurgeon authenticating an assessment and operative recordBuilt for surgical specialty practices & surgery centers
central surgical operations dashboarddaily operating command center

The Central Operations Dashboard For Every Surgical Day.

The Ophtheriq AI Dashboard unifies the clinic and surgical day with real-time visibility into on-time starts, OR block use, cases on hold and unresolved handoffs. AI groups related exceptions, links each to its source record and explains which handoff is blocked, so the right person can act.

Ophtheriq AI — Surgical practice operations dashboard
1

Operating KPIs

On-time starts (81.3%), OR block use (74.8%), cases on hold (2) and unresolved handoffs (4) in one row, each with a defined formula and the underlying records behind it.

1 / 3
On-time
first-case on-time starts
Share of first cases that start on time, calculated from a defined formula and the documented case timestamps.
Block use
OR block utilization
Booked and completed time against OR block time, reproducible from the underlying case and schedule records.
On hold
elective cases on hold
Elective cases held for an unresolved clinical, administrative or physical prerequisite, each linked to the blocking item.
Open claims
unresolved claim value
Claim and remittance value still unreconciled, alongside incomplete clinical records and unresolved handoffs.
The Nestack healthcare suite

Built for every corner of modern healthcare.

Healthcare moves differently in every care setting, with unique clinical teams, patient journeys, documentation standards, and regulatory frameworks. Your intelligence platform should be purpose-built to work the way your care specialty operates.

Ophtheriq AI
Surgical specialty practices & surgery centersCurrent
Ophtheriq AI
Specialty practices & ambulatory surgery centers
Qelvuxarn AI
Hospital & acute care health systems
Qelvuxarn AI
Hospitals, acute health systems & medical centers
Occluvaryn AI
Dental care delivery & multi-site groups
Occluvaryn AI
Multi-site dental groups & practices
Elyqentra AI
Senior living & memory care
Elyqentra AI
Assisted living & CCRCs
Qevarynth AI
Digital health & virtual care
Qevarynth AI
Digital health operators
Serevance.AI
Wellness & integrative clinics
Serevance.AI
Health & wellness practices
Tamvoriq AI
Outpatient & ambulatory care
Tamvoriq AI
Outpatient specialty clinics
Serenqora AI
Behavioral health & mental health
Serenqora AI
Behavioral health operators
Averqentra AI
Healthcare transformation intelligence
Averqentra AI
Healthcare consulting & hospital teams
Pryqelva AI
Skilled home health & HHA
Pryqelva AI
Skilled home health agencies
Veqthorin AI
Behavioral health services & clinics
Veqthorin AI
Behavioral health clinics, CMHCs & networks
Klyqorent AI
Healthcare recruitment & staffing services
Klyqorent AI
Healthcare staffing agencies & health systems
Book a walkthroughSee it against your care flow
core episode-of-care intelligence modules

Connected episode-of-care operations, each powered by purpose-built AI.

Ophtheriq AI coordinates the surgical practice across seven specialized modules—from Intake & Triage and Clinical Assessment to Case Planning, Treatment Records and Claims & Settlement. Purpose-built AI reconciles referrals, imaging and implants with source evidence and flags blocked handoffs, while clinicians keep every decision.

Ophtheriq AI — Intake & Triage dashboard
Intake & Triage01 / 07

Verified Referrals, Laterality & Routing

Converts inbound referrals and appointment requests into a verified, routed orthopedic visit without losing anatomical evidence. A horizontal referral board runs from New Referral through Needs Review to Ready to Book; selecting a referral opens the original document beside the extracted patient, anatomical and appointment fields, each linked to its source. AI highlights conflicting passages, such as a referral that says left knee while the radiology report says right, finds missing imaging and drafts record requests. It never silently corrects a record, and urgency goes to a clinician for triage rather than being excluded automatically.

Ophtheriq AI — Clinical Assessment dashboard
Clinical Assessment02 / 07

Evidence Beside the Working Assessment

A split-screen clinical evidence workbench: source documents, DICOM or linked images, radiology reports and prior notes on one side; examination findings, diagnosis, laterality, treatment history, functional limitations and the proposed next action on the other. AI extracts structured findings with exact source references, reconciles prior treatment and prepares a medical-necessity evidence packet. It does not produce image measurements or diagnoses; the responsible clinician approves the diagnosis and the nonsurgical order or surgical case request.

Ophtheriq AI — Case Planning dashboard
Case Planning03 / 07

Surgical Case Readiness Across Every Department

A case-readiness pipeline from clinical approval through payer review, anesthesia requirements, equipment readiness and final case confirmation. Each case shows surgical plan and side, authorization, anesthesia assessment, implant inventory and sterile instrument release. AI compares the requested procedure and laterality with the consent and booking, matches ordered implants to stock records, flags missing trial instruments or sterile-processing release, and suggests slots from documented resources. It cannot invent instrument availability or declare medical clearance.

Ophtheriq AI — Treatment Records dashboard
Treatment Records04 / 07

The Treatment Actually Delivered, With Implant Evidence

A source-backed documentation workbench that separates the planned operation from the actual procedure: time-out record, timestamps, documented implant components, surgical counts and open operative-note fields. The same surface records nonoperative treatment such as immobilization, reduction and injections, so not every orthopedic case is forced through an implant workflow. AI extracts catalogue, lot and serial data from implant labels, highlights planned-versus-implanted differences without assuming an error and drafts an operative narrative from authorized sources. Final records require clinician authentication; safety-critical checks are never auto-attested.

Ophtheriq AI — Recovery & Rehab dashboard
Recovery & Rehab05 / 07

Discharge, Restrictions & Functional Recovery

A longitudinal recovery pathway covering postoperative recovery, mobility instructions, discharge and rehabilitation progress, with clinician-measured range of motion and patient-reported outcomes such as KOOS JR and HOOS JR. AI compares postoperative orders with therapy documentation to flag contradictions such as NWB in the operative order against WBAT in the therapy note, calculates observed ROM change, summarizes documented progress and drafts discharge instructions from approved orders. Any change to exercises or the care plan is decided and approved by an authorized clinician or therapist.

Ophtheriq AI — Quality & Compliance dashboard
Quality & Compliance06 / 07

Quality Cases, Reportability & Corrective Action

A quality case board moving each review through Evidence Requested, Clinical Review, Reportability Determination, Submission and Closed, for implant complaints, suspected surgical site infections, instrument-processing exceptions and reportable worker injuries. AI assembles evidence packets from operative, implant and follow-up records and prepopulates form fields for infection-prevention review; it never declares that NHSN criteria are met. A reporting countdown starts only after event type, applicable rule, jurisdiction and awareness time are established.

Ophtheriq AI — Claims & Settlement dashboard
Claims & Settlement07 / 07

Supported Claims & Remittance Reconciliation

A claim and payment matrix that ties coding and charges to supporting documentation. Coders review proposed diagnosis and procedure codes against the authenticated operative report; billers separate professional and facility claims, review rejections and reconcile 835 remittances against submitted lines. AI highlights missing support or modifiers, identifies denial reasons and payment discrepancies and drafts appeal evidence packets from authenticated documentation. Final code assignment, billing attestation and submission remain subject to authorized human control.

how it works

A unified surgical workflow for every stage of the episode of care. 

Ophtheriq AI connects referral, assessment, surgical preparation, treatment documentation, recovery, quality review and claims through one intelligent operational layer—so each episode stays traceable from the first referral to the settled account.

  1. step one01

    Referral, Triage & Clinical Assessment

    Intake & Triage verifies identity, laterality and records and routes urgency to a clinician. Clinical Assessment places imaging and notes beside the working assessment; the surgeon documents the diagnosis and either a nonoperative order or a surgical case request.

  2. step two02

    Case Planning & Treatment Records

    Case Planning confirms authorization, anesthesia, implants and sterile instruments before an elective case is booked. Treatment Records captures what was actually done, including final implant evidence, counts and the authenticated operative or procedure note.

  3. step three03

    Recovery, Quality & Settlement

    Recovery & Rehab reconciles discharge instructions and tracks functional progress. Quality & Compliance resolves exceptions and verified reporting obligations, and Claims & Settlement supports coding, remittance reconciliation and financial closure.

built-in AI intelligence

Don’t settle for AI that only reads. Choose AI that acts.

Most surgical practice systems store documents without connecting the decisions between them. Ophtheriq AI uses Mistral, Hugging Face, and Claude to extract referrals and implant labels, compare plans with actual records, and prepare actionable drafts for authorized clinical teams.

TRADITIONAL AI
Basic AI

Reads, summarizes, and answers questions without reconciling laterality, implants, restrictions and claims.

OPHTHERIQ AI — EPISODE-OF-CARE INTELLIGENCE IN ACTION
01

Extract Referral Packets

AI extracts referral fields, identifies missing documents and prepares verified packets for clinician triage.

MMistral
DOCUMENT AI / OCR
02

Compare Laterality & Identity

AI highlights conflicting side or identity passages across referral, imaging and consent for authorized reconciliation.

HFHugging Face
DISCREPANCY DETECTION
03

Summarize Clinical Evidence

AI drafts source-linked summaries of H&P, imaging reports and prior notes and assembles medical-necessity evidence for review.

CClaude
CLINICAL SYNTHESIS
04

Check Case Readiness

AI compares the requested procedure with consent, authorization, anesthesia and sterile release and flags what is missing.

HFHugging Face
READINESS CHECKS
05

Reconcile Implants

AI extracts catalogue, lot and serial data from labels and compares planned with implanted components.

MMistral
IMPLANT TRACEABILITY
06

Reconcile Recovery Orders

AI compares postoperative orders with therapy notes and flags conflicting weight-bearing or movement restrictions.

CClaude
RESTRICTION CHECKS
07

Assemble Quality Evidence

AI compiles incident and adverse-event evidence packets and flags unresolved corrective actions for authorized review.

CClaude
QUALITY EVIDENCE
08

Reconcile Claims & Remittances

AI checks codes against operative reports and matches 835 remittances to claim lines, identifying denial reasons.

HFHugging Face
CLAIMS RECONCILIATION
FROM REFERRAL TO CLAIM SETTLEMENT — INTELLIGENCE AT EVERY STAGE

Ophtheriq AI connects Mistral, Hugging Face, and Claude across the episode of care, turning scattered records into source-linked, reviewable work while clinical, safety and billing decisions stay under authorized human oversight.

Note: Model names and marks belong to their respective owners. No endorsement or partnership implied.

compliance

Built to the rules you are already held to

Surgical practices operate under privacy, device-reporting, infection-surveillance and workplace-safety requirements that depend on facility type and jurisdiction. Ophtheriq AI is designed to support these obligations through traceable workflows, clinician oversight and audit-ready records.

  • HIPAA

    HIPAA Privacy & Security Support (45 CFR Parts 160 & 164)

    Ophtheriq AI retains the original source, authenticated author, timestamp and change history for clinical records and distinguishes AI-generated or extracted values from clinician-authored findings. Access controls, auditability and permitted-disclosure tracking are designed according to your actual regulated status.

    Designed to support privacy and audit controls
  • FDA 3500A / 3419

    FDA Device Adverse-Event Evidence (MedWatch Forms)

    For implant-related events, Ophtheriq AI assembles source evidence, implant UDI records and the event timeline for authorized review. Whether a filing is required depends on facility type; a reporting duty is not assumed for every physician office, and an authorized person decides and submits.

    Designed to support evidence preparation, not filing decisions
  • NHSN · OSHA

    Surgical Site Infection Surveillance & Workplace Incident Records

    CDC NHSN SSI and procedure forms are prepopulated from verified documents for infection-prevention review, and OSHA incident and sharps records are tracked with corrective actions. The platform never declares that NHSN criteria are met, and deadlines start only after rule, jurisdiction and trigger are verified.

    Designed to support qualified compliance review

Note: These are standards the platform is built to support inside your workflows — obligations that fall on you as the licensee. They are not certifications held by us, and support in the product is not a substitute for your own counsel or compliance officer.

add-ons

Add the hardware your workflow needs.

Ophtheriq AI accepts evidence from standard third-party scanning hardware through file upload and source-linked extraction. Referral and identity scans feed Intake & Triage, and implant label scans feed Treatment Records, where AI compares what was documented with what was planned and flags gaps for clinician review.

Handheld Barcode Scanner
Module 04Treatment Records

Implant Label & Barcode Scanner

Used at the point of implantation, this handheld scanner reads implant catalogue, lot and serial labels. AI extracts the identifiers and compares them with the planned component list and the final usage record, so actual-use evidence and recall traceability stay accurate.

Integration:Barcode / Label Scan • UDI Field Extraction • Source-Linked Verification • Secure HTTPS
Automated Action:

Captures label identifiers, compares them with the case plan and highlights any difference for the clinician, without assuming that a difference is an error. Final implant records still require clinician authentication.

  • 1D / 2D Barcode Reading
  • Handheld Form Factor
  • USB or Bluetooth
  • Disinfectant-Ready Housing
Document & Referral Scanner
Module 01Intake & Triage

Document & Referral Scanner

Used at referral and registration desks, this scanner digitizes faxed referral orders, insurance forms, outside radiology reports and imaging manifests. AI extracts patient, anatomical and appointment fields with source links and highlights conflicting laterality or missing documents for coordinator review.

Integration:File Upload • Image Extraction • Source-Linked Field Verification • Secure HTTPS
Automated Action:

Scans documents, extracts structured fields with AI, flags missing records and laterality conflicts and prepares the packet for clinician triage. Neither record is corrected silently.

  • Duplex Scanning
  • 600 DPI Optical Resolution
  • Automatic Document Feeder
  • USB 3.0

Note: Hardware, installation, and integration are not included in the standard subscription. Additional charges apply based on the hardware selected, integration modules required, and implementation scope.

Connectivity

Your whole stack, connected.

Ophtheriq AI works from the artifacts and interfaces an orthopedic episode already produces: referral packets, DICOM studies and radiology reports, implant UDI labels, sterile-processing and consignment records, and X12 837P, 837I and 835 claim and remittance files with CPT, HCPCS and ICD-10-CM references. Specific EHR and imaging connectors are confirmed after vendor verification, and manual evidence entry remains available.

DICOM / DICOMweb
DICOM / DICOMweb
Radiology reports
Radiology reports
PDF & faxed referrals
PDF & faxed referrals
CMS-1500 / X12 837P
CMS-1500 / X12 837P
UB-04 / X12 837I
UB-04 / X12 837I
X12 835
X12 835
CPT / HCPCS
CPT / HCPCS
ICD-10-CM
ICD-10-CM
CARC / RARC
CARC / RARC
Implant UDI labels
Implant UDI labels
DICOM / DICOMweb
DICOM / DICOMweb
Radiology reports
Radiology reports
PDF & faxed referrals
PDF & faxed referrals
CMS-1500 / X12 837P
CMS-1500 / X12 837P
UB-04 / X12 837I
UB-04 / X12 837I
X12 835
X12 835
CPT / HCPCS
CPT / HCPCS
ICD-10-CM
ICD-10-CM
CARC / RARC
CARC / RARC
Implant UDI labels
Implant UDI labels
DICOM / DICOMweb
DICOM / DICOMweb
Radiology reports
Radiology reports
PDF & faxed referrals
PDF & faxed referrals
CMS-1500 / X12 837P
CMS-1500 / X12 837P
UB-04 / X12 837I
UB-04 / X12 837I
X12 835
X12 835
CPT / HCPCS
CPT / HCPCS
ICD-10-CM
ICD-10-CM
CARC / RARC
CARC / RARC
Implant UDI labels
Implant UDI labels
EHR / clinical record
EHR / clinical record
OR case scheduling
OR case scheduling
Sterile-processing records
Sterile-processing records
Payer authorization
Payer authorization
Implant consignment
Implant consignment
PT / OT evaluations
PT / OT evaluations
KOOS JR / HOOS JR
KOOS JR / HOOS JR
CDC NHSN forms
CDC NHSN forms
FDA Forms 3500A / 3419
FDA Forms 3500A / 3419
OSHA records
OSHA records
DME proof of delivery
DME proof of delivery
EHR / clinical record
EHR / clinical record
OR case scheduling
OR case scheduling
Sterile-processing records
Sterile-processing records
Payer authorization
Payer authorization
Implant consignment
Implant consignment
PT / OT evaluations
PT / OT evaluations
KOOS JR / HOOS JR
KOOS JR / HOOS JR
CDC NHSN forms
CDC NHSN forms
FDA Forms 3500A / 3419
FDA Forms 3500A / 3419
OSHA records
OSHA records
DME proof of delivery
DME proof of delivery
EHR / clinical record
EHR / clinical record
OR case scheduling
OR case scheduling
Sterile-processing records
Sterile-processing records
Payer authorization
Payer authorization
Implant consignment
Implant consignment
PT / OT evaluations
PT / OT evaluations
KOOS JR / HOOS JR
KOOS JR / HOOS JR
CDC NHSN forms
CDC NHSN forms
FDA Forms 3500A / 3419
FDA Forms 3500A / 3419
OSHA records
OSHA records
DME proof of delivery
DME proof of delivery

Note: Tool names, trademarks, and logos belong to their respective owners. No endorsement or partnership implied.

our prices

Support that fits your organization.

A first conversation is often just that — a conversation. From there, one plan at one price connects your surgical practice operations, clinical records and AI-powered intelligence. No per-seat maths, no tiers to decode.

the whole organization, one plate
$200/mo

Starting at $200/mo — every module, every facility, and every authorized user on the plan.

  • intake & triage
  • clinical assessment
  • case planning
  • treatment records
  • recovery & rehab
  • quality & compliance
  • claims & settlement
Know more

Nothing is locked in. Move at the pace your organization moves — change, pause or scale whenever your clinical caseload requires.

onboarding & deployment

A guided rollout, tailored to your clinical environment.

A kickoff call with our implementation team maps your facilities, service lines, OR schedule, implant and sterile-processing workflows and payer mix before we hand over the keys. We configure referral and readiness rules, import active records, align operative documentation, and stay through the first claim run so the transition causes no disruption to patient care.

Essential

one-time
$1,000+starting fee
  • Kickoff call with practice and perioperative leadership to map facilities, service lines, surgeons and clinic sessions
  • Ophtheriq AI workspace provisioned with your branding, role-based access and audit policies
  • Import of active patient roster, surgeon credentials and referral sources
  • Intake & Triage configured with referral forms, laterality checks and missing-record requests
  • Clinical Assessment templates and medical-necessity evidence checklists set up by service line
  • Case Planning readiness checklists covering authorization, anesthesia, implants and sterile release
  • Claims & Settlement seeded with CPT/HCPCS and ICD-10-CM references and payer rules
  • Live-readiness walkthrough and an operational handbook before your first surgical day

Final fee scoped from locations, payer rules & record volume.

Recommended

Plus

one-time
$2,500+starting fee

Everything in Essential, plus:

  • Guided migration of active referrals, scheduled cases, implant inventory and open claims
  • Up to two supported integrations configured once vendor and interface verification is complete
  • Operative documentation and implant-record templates configured for planned-versus-actual reconciliation
  • Recovery restriction and PROM workflows tuned to your service lines
  • Live role-specific training for surgeons, OR coordinators, therapists and coders
  • A dedicated onboarding specialist through go-live

Final fee scoped from locations, payer rules & record volume.

Enterprise

one-time
$5,000+starting fee

Everything in Plus, plus:

  • Tailored multi-facility rollout across clinics, ambulatory surgery centers and hospital outpatient departments
  • Enterprise integrations with SSO/SAML, plus a HIPAA BAA and Quality & Compliance case configuration
  • High-volume records migration with identity reconciliation and implant-history cross-mapping
  • Custom KPI definitions for on-time starts, block utilization and readiness-hold rates
  • Role-based training tracks and administrative enablement for service-line directors and quality leaders
  • Named enterprise onboarding director with committed go-live milestones and post-launch review

Final fee scoped from locations, payer rules & record volume.

how it runs

Two ways to run Ophtheriq AI — same platform, same subscription rate. Only the onboarding may differ by your requirements.

Cloud (SaaS)

Runs in Nestack’s managed cloud — the fastest way to go live. We handle hosting, updates and scaling so Runs in Nestack’s managed cloud — the fastest way to go live. We handle hosting, updates and scaling so your surgical teams log in and start working.

Private / self-hosted

The same Ophtheriq AI platform deployed inside your own infrastructure — your cloud, VPC or on-prem — for practices and surgery centers handling protected clinical documentation, imaging references, implant records and remittance data. Your data never leaves your environment, and the subscription rate stays the same.

Need custom EHR or imaging interfaces, sterile-processing integrations or dedicated VPC hosting? Talk with us during the kickoff call.

Sister platform — Nestack Agent Care

Your Healthcare Services AI agents, run like production systems.

Telemetry, evaluations, guardrails, human review, and a crew on call when one of them starts drifting at 3am.

Explore Healthcare Services(opens nestackagents.com/industries/healthcare in a new tab)
  • 30Failure modes catalogued
  • 12Rated SEV-1
  • 1,950+Baseline eval cases
  • 24/7Agent monitoring

Pinned to the Healthcare Services agent playbook — not a generic agent checklist.

common questions

Clear answers, before you begin.

Adopting a new surgical-practice platform raises procurement, clinical and compliance questions. Here is what practice and perioperative leaders ask before subscribing.

About Ophtheriq AI

Ophtheriq AI uses a predictable, flat subscription tailored to your practice scope—without per-seat or per-surgeon penalties. Whether your team is a few coordinators or hundreds of clinicians across facilities, everyone gets access to the modules they need without ballooning costs.