Now live For every practice ready to stop chasing claims.

Revenue cycle, fully handled. Without replacing your team or your EMR.

Heron handles prior authorizations, denials, and appeals alongside the team and EMR you already use. You treat patients. We get you paid.

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

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

An AI-native revenue cycle partner for practices of every size. If denials are eating your revenue, we fit.

We don't replace anyone. Your team keeps control. We catch what slips through after hours.

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 charges.

Source: Industry research, 2024–2025. Range: $150K–$400K per practice.
0%
of denied claims are never reworked.
Source: Industry research, 2025
0%
of providers see over 10% of claims denied.
Source: Experian Health, State of Claims 2025
$0
average cost to rework one denied claim.
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 · Cigna⚠ 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
UnitedHealthcare
78%
Aetna
54%
Cigna
92%
Humana
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.

Eligibility & benefits
Coverage checked before the visit, not after the denial.
Medical coding
CPT and ICD-10 drafted from notes, then reviewed before submission.
Physician oversight
Clinicians keep final judgment and approval.
Charge capture
Missed charges and underpayments caught earlier.
Denial appeals
Denied claims pursued through resolution.
Patient billing & revenue clarity
Clear statements, follow-ups, and denials performance in one view.
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.

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.

R
Revenue Cycle Lead
A high-volume outpatient therapy department

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.

O
Office Manager
An independent dental practice

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.

D
Director of Revenue Cycle
A physician practice group
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 works next to your existing EMR and alongside your team. Nothing gets ripped out and nobody gets replaced. The work just gets lighter.
Most practices on Athenahealth, eClinicalWorks, or Tebra go live in two to six weeks, with about a thirty-minute call from your IT contact. Larger Epic or Oracle Health systems take six to twelve weeks.
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.
Always. Heron drafts and submits, but clinicians keep final clinical judgment and approval. We shrink the administrative load, not the clinical authority.
Custom to your practice. Our goal is to help you earn more, and we only get paid once you do.
Any size. New clinics, established practices, and multi-site groups all use Heron. If denials are adding up and your team is on the phone with payers, it fits.
Weeks one and two: integration and a calibration audit on recent denials. Week three: Heron starts handling live authorizations. Week four: leadership gets the first recovery report.
Yes. Historical claims, remits, and appeal outcomes help us calibrate payer patterns before live work begins. A CSV export or 835 files are usually enough to start.
Denial volume, recovery progress, payer performance, and appeal status in one weekly view. The goal is an operating picture, not another spreadsheet to rebuild.
Heron uses the routes already open to you: payer portals, clearinghouse connections, and electronic submission, with documented manual fallback when a payer requires it.
Ready to see the workflow?

Walk through your denial process.

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.