Now live For every practice ready to stop chasing claims.

The medical billing partner your practice actually wants to work with.

Heron handles prior authorizations, denial management, and appeals end-to-end, alongside the EMR and team you already have. Built for practices that want their billing handled without rebuilding their workflow. You treat patients. We get you paid.

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HIPAA-compliant by design · BAA available · SOC 2 Type II in progress
EMRs, payers, and rails we work with
About Heron

A modern partner for any practice tired of fighting their own claims.

Heron is an AI-native revenue cycle partner. We work with multi-specialty groups, single-specialty practices, ASCs, surgical centers, urgent care, and most setups in between. If denials are eating into your revenue, Heron fits.

We don't replace anyone. Your clinicians keep clinical judgment. Your office manager keeps oversight. We just make sure nothing falls through the cracks at 2 a.m. when no one is on the phone with the payer.

Revenue you've been leaving on the table

The denial problem is worse than most practice owners realize.

These are not Heron numbers. They are the average U.S. practice, today.

Revenue lost annually
$0K
per average U.S. practice
What it costs your practice

is what the average practice loses every year to denials, underpayments, and missed charge capture. Quietly, line by line.

Source: Industry research on multi-specialty groups, 2024–2025. Typical range: $150K–$400K per practice.
0%
of denied claims are never reworked, appealed, or resubmitted.
Source: Industry research, 2025
0%
of providers say more than 1 in 10 of their claims is denied.
Source: Experian Health, State of Claims 2025
$0
average cost to rework a single denied claim, before any revenue is recovered.
Source: U.S. RCM industry benchmark

"Industry sources commonly cite that roughly 65% of denied claims are never resubmitted."

Stanislav Sukhinin, CFA — Founder of Sorso
What Heron handles

Three quiet jobs, done well.

Your team is already doing all three, just slower and by hand. Heron takes them on alongside you.

01 — Prevention

Stop denials before they happen.

Heron spots risky auths and claim issues before they reach the payer.

Risk scores before submission
Plain-English fixes for missing documentation
Learn more
Pre-submission flags · Today
Active
1Auth queued for submissionflag check
2Pattern recognized — Payer C⚠ high risk
3Documentation gap fixed✓ resubmitted
4Approved on first pass✓ done
02 — Denial Intelligence

Every denial, made clear.

See where revenue is getting stuck by payer, code, and service line.

Top denial reasons ranked
Weekly recovery trends for leadership
Learn more
Denial rate by payer · 30 days
Live
Payer A
78%
Payer B
54%
Payer C
92%
Payer D
36%
Top reason codes
CO-4 · Authorization required
CO-50 · Non-covered service
PR-96 · Eligibility not verified
03 — The Front Desk That Doesn't Sleep

The front desk, always moving.

Heron answers calls, books visits, and keeps auths moving after hours.

24/7 patient call handling
Scheduling and auth work inside your EMR
Learn more
Last night, while you slept
Live
📞Patient call — appointment booked for Thu 9:3022:18
MRI lumbar spine — auth approved02:47
📞Patient call — reschedule to next Tue03:04
Cardiology consult — auth approved04:12
📞New patient intake — Mon 10:15 booked05:51
Knee arthroscopy — pre-cert done06:33
The platform

The core pieces to get paid faster.

Medical coding
CPT and ICD-10 drafted from notes, then reviewed before submission.
EMR connected
Works beside the systems your team already uses.
Eligibility & benefits
Coverage checked before the visit, not after the denial.
Physician oversight
Clinicians keep final judgment and approval.
Denial appeals
Denied claims pursued through resolution.
Charge capture
Missed charges and underpayments caught earlier.
Revenue clarity
Denials, recovery, and payer performance in one view.
Patient billing
Clear statements and follow-ups without front-desk drag.
HIPAA-secure by design
BAA-ready workflows, encryption, and audit trails.
Payer coverage

We work with every major payer.

Commercial, Medicare, Medicaid, and managed care. If your team is calling them today, Heron can call them tomorrow.

UnitedHealthcareSupported
AetnaSupported
Anthem Blue Cross Blue ShieldSupported
CignaSupported
HumanaSupported
Centene / WellcareSupported
MedicareSupported
Medicaid (state plans)Supported
Voices from the field

Why the people running practices say this has to change.

Our team was spending close to fifteen hours a week just on hold with payers. That's a full-time role we couldn't afford, doing work that should have been automated a decade ago.

A
Practice Administrator
A multi-specialty group

The same denial codes kept showing up — week after week, payer after payer. We knew the patterns by heart. What we didn't have was the time, or honestly the tools, to do anything about them upstream.

O
Office Manager
An urgent care clinic

Half of our denials never got reworked. Not because nobody cared — by Friday the team was already drowning in next week's queue. The math just doesn't work without help.

R
Director of Revenue Cycle
A surgical center
Questions we hear most

Honest answers to the first ten questions.

If you don't see yours, our team will answer it on the call.

Neither. Heron sits next to your existing EMR and works alongside your existing team. Nothing is ripped out. Nobody is replaced. The work just gets lighter and the leakage gets smaller.
Most practices on Athenahealth, eClinicalWorks, or Tebra are live in two to six weeks. Your IT person's involvement is usually a single thirty-minute call. Larger systems on Epic or Oracle Health typically take six to twelve weeks; we don't focus there, but we do support them.
HIPAA-compliant by design. We sign a BAA before any data is touched. End-to-end encryption, US-based hosting, and a complete audit trail of every action Heron takes on your behalf. SOC 2 Type II audit is in progress.
Always. AI drafts and submits, but clinicians keep final clinical judgment and approval. Heron shrinks the administrative load. Clinical authority stays where it belongs.
We only earn when you do. When recovered money comes back from denied claims, we take a small cut of what was recovered. That's the whole pricing model. No setup fees, no monthly minimums.
Any stage. If denials are adding up and your team is spending real hours on the phone with payers, Heron fits. New clinics, established practices, and multi-site groups all use us. We scale to wherever you are, not the other way around.
Week 1–2: integration and a calibration audit on a recent denial sample. Week 3: Heron begins handling live authorizations. Week 4: leadership receives the first denial-pattern digest and recovery report.
Yes. Historical claims, remits, denial codes, and appeal outcomes help us calibrate payer patterns before live work begins. A CSV export or 835 file set is usually enough to start the analysis.
Administrators see denial volume, recovery progress, payer performance, appeal status, and preventable denial patterns. The goal is a weekly operating view, not another spreadsheet your team has to rebuild.
Heron uses the routes already available to your organization: payer portals, clearinghouse connections, electronic submission where supported, and documented fallback workflows when a payer still requires manual follow-up.
Ready to see the workflow?

Walk through your denial process.

Thirty minutes. No PHI or patient files required. We walk through how denials move at your practice today, and show where Heron takes the manual work off your team.

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