Prevention
Stop denials before they happen.
Most denial work happens after the money is stuck. Prevention moves it earlier.
A check that runs before the payer sees it.
Heron reviews every authorization and claim before it leaves your practice, scores the ones likely to be denied, and names what to fix in plain language. Problems get caught at submission, not appeal.
4 steps, before anything ships.
Every auth and claim is checked
Against payer rules, your denial history, and required documentation.
Risky items get a clear score
A risk score on every submission, before it ships.
You get a plain-English fix
Heron names exactly what is missing, in plain language.
It goes out clean
Corrected, submitted, and tracked to first-pass approval.
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.
…in the remaining 65.8 percent of cases physicians forego denied amounts.
Common questions, answered plainly.
What is denial prevention?
Denial prevention means checking authorizations and claims against payer rules and required documentation before submission, so problems are fixed before the payer can deny them. Heron scores each item for risk and names what to fix in plain language.
How does Heron catch a denial before it happens?
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.
Does prevention replace working denials that already happened?
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 reworking a denied claim costs about $25 at a practice and $181 at a hospital, far more than catching the issue at submission.
What kind of issues does the pre-submission check catch?
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.
Catch the denial before it costs you.
A free audit of your last 90 days shows which denials could have been stopped before they happened.