A denied claim costs about $181 to rework. Prevention catches it at submission, not appeal.
How it works
Four steps, before anything ships.
01
Every auth and claim is checked
Against payer rules, your denial history, and required documentation.
02
Risky items get a clear score
A risk score on every submission, before it ships.
03
You get a plain-English fix
Heron names exactly what is missing, in plain language.
04
It goes out clean
Corrected, submitted, and tracked to first-pass approval.
What you get
The pieces that keep claims clean.
Risk scores before submission
A confidence score on every auth and claim.
Documentation gap detection
Names the missing referral, note, or attachment.
Payer-specific rule checks
Matched to each payer's current requirements.
First-pass approval tracking
Watch your clean-claim rate climb over time.
"Industry sources commonly cite that roughly 65% of denied claims are never resubmitted."
Stanislav Sukhinin, CFA, Founder of Sorso
Questions about prevention
Common questions, answered plainly.
Every authorization and claim is checked against payer rules, your denial history, and required documentation before it ships. Risky items get a risk score, and Heron names the exact gap in plain language so it can be fixed before submission, not after a denial.
No. Prevention works alongside denial intelligence and appeals, not instead of them. It reduces how many denials reach that stage in the first place, since a denied claim costs about $181 to rework, far more than catching the issue at submission.
Missing documentation, payer-specific rule mismatches, and authorization gaps are the most common. Heron flags the pattern, names what's missing, and tracks first-pass approval so the same issue stops recurring.
See it on your own claims
Catch the denial before it costs you.
Thirty minutes, no PHI. See where Prevention would have caught your denials.