Every remit checked. Every denial worked. Every auth filed. Every dollar chased.
Heron finds what you are owed and goes after every dollar.
For billing and revenue cycle teams
Heron is a medical billing partner for U.S. practices. We audit your last 90 days of claims for free, then recover what you are owed, next to your billing team.
$250K
lost every year by a typical multi-specialty group
Payers quietly pay under contract.
65%
of denied Medicaid claims are never resubmitted
Denials expire before anyone works them.
$181
average cost to rework 1 denied hospital claim
Old claims age out of timely filing.
Sources: NBER Working Paper 29010 (opens in a new tab), about 40% for commercial claims and 38% for Medicare. Journal of AHIMA, 2022 (opens in a new tab), $25 per claim at practices. Medical Billers and Coders, 2026 analysis of 180 groups, range $150K to $400K. Read the breakdown.
Start with whichever one hurts most. We take it from there.
Heron checks every remit against your contracted allowable at $0 balance, then goes after what came back short.
1 office visit, 2 numbers
Illustrative example
Claims are scrubbed before they go out. When a denial comes back, Heron finds the root cause and appeals inside timely filing.
This week’s denials
Illustrative example
Heron files the authorization with the documentation attached, then follows up with the payer until it clears.
MRI lumbar spine Approved
Illustrative example
Coverage, benefits, and auth requirements verified ahead of every visit, not discovered after the denial.
Tomorrow, 9:30 AM New patient
Illustrative example
Hand us the claims past 90 days. Heron works them oldest first, before timely filing closes, with a clear finish line.
Illustrative
You see exactly what is leaking before you decide anything.
Underpayments, denials, and aging claims, by payer and by code.
The dollars still inside timely filing, and the work to bring them back.
The upstream fixes that stop the same leak next month.
We sign a BAA before we see a single claim.
Nothing to rip out. Nobody to replace.
Heron works inside your EHR and clearinghouse, next to your billers. No EHR yet? We can bring one.
Heron drafts and submits. Your billers approve, and clinicians keep final clinical judgment.
Pricing is custom to your practice. We walk through it after the audit, once we both know what is there.
We sign a BAA before touching any data, with end-to-end encryption, US-based hosting, and a full audit trail.
Our customers struggled to understand new CPT codes, especially small clinics without the staff to keep up. They asked us for billing support, but every option we looked at was too expensive. We were lucky to find Heron.
Don’t see yours? Ask us on the call, or write to us.
founders@heronbilling.comHeron is a medical billing partner for U.S. practices. It starts with a free audit of your last 90 days of claims, then works underpayments, denied claims, prior authorizations, eligibility and benefits, and aged A/R inside your EHR and clearinghouse, next to your billers.
We review your last 90 days of claims and remits and show you 3 things: where revenue is leaking, what Heron can recover, and where you can save. It costs $0.
A signed BAA first. Then a 90-day export from your practice management system or clearinghouse. A claims CSV or 835 remit files are usually enough to start.
Medical practices, billing managers, and revenue cycle teams in the U.S., from independent clinics to larger systems on Epic or Oracle Health.
Neither. Heron works inside your EHR and clearinghouse, next to your billers, and they keep final sign-off. No EHR yet? We can bring one.
Heron works inside your existing EHR and clearinghouse, including Athenahealth, eClinicalWorks, Tebra, Epic, and Oracle Health. No EHR yet? We can bring one.
Yes. Heron is HIPAA-compliant by design. We sign a BAA before touching any data, with end-to-end encryption, US-based hosting, and a full audit trail. Our SOC 2 Type II audit is in progress.
The audit costs $0. After that, pricing is custom to your practice, with no per-claim fees. We walk through it after the audit, once we both know what is there.
Most practices on Athenahealth, eClinicalWorks, or Tebra go live in 2 to 6 weeks, with about a 30-minute call from your IT contact. Larger Epic or Oracle Health systems take 6 to 12 weeks.
Commercial, Medicare, Medicaid, and managed care, including UnitedHealthcare, Aetna, Anthem Blue Cross Blue Shield, Cigna, Humana, and Centene. Heron uses the routes already open to you: payer portals, clearinghouse connections, and electronic submission.
Always. Heron drafts and submits, but clinicians keep final clinical judgment and approval. We shrink the administrative load, not the clinical authority.
A 30-minute call to set up your audit. No PHI on the call.