Heron handles prior authorizations, denials, and appeals alongside the team and EMR you already use. You treat patients. We get you paid.
Denials, underpayments, prior authorizations, and payer rules that change without telling you. Here is what each one really costs, and what Heron does about it.
Winnable claims get written off because the filing window closes before anyone can work them.
Payers reimburse below the contracted rate, and each gap is small enough that nobody catches it.
Auths sit in a queue for days, then come back denied for documentation that was missing on day one.
A payer quietly changes a rule and you find out weeks later, through a wave of denials.
Heron runs beside the team and the EMR you already have. Nothing gets ripped out and nobody gets replaced.
Every claim, remit, and authorization as it moves. Nothing sits waiting for a person to notice it.
Drafts the appeal, files the authorization, works the payer queue. Your team reviews and approves.
Every outcome feeds back into the next submission, so fewer claims leave the door with a problem.
Your team is already doing all three, just slower and by hand. Heron takes them on alongside you.
Heron spots risky auths and claim issues before they reach the payer.
See where revenue is getting stuck by payer, code, and service line.
Heron answers calls, books visits, and keeps auths moving after hours.
Commercial, Medicare, Medicaid, and managed care. If your team is calling them today, Heron can call them tomorrow.
We started getting denials because an authorization request used the word "urgent." A payer's AI flagged the language before a human ever saw it. Now we're rewriting clinical notes to get past software instead of to describe care.
I am the billing department. Eligibility checks, prior auths, follow-ups, all of it still done by hand, between running the front desk. The admin never lets up, and it's the part of this job that has nothing to do with patients.
Six out of ten denials we just wrote off. Not because they weren't winnable, most of them were. There was simply never enough of us to work them before the filing window closed.
If you don't see yours, our team will answer it on the call.
Thirty minutes, no PHI required. We map how denials move through your practice today and show where Heron takes the manual work off your team.