The minutes left after the EHR decision is done.

DeskGate drafts the payer appeal and non-API prior authorization from quoted chart facts and stages empty boxes on the portal the coordinator is already logged into. It does not attach files and it does not call the payer. The coordinator still presses Submit. First 10 desks: 30 days free.

Claim a 30-day free month See a synthetic case

1–3 claimsPer month to break even · S-Practice at $490/mo, S-Desk at $1,950/mo
30 daysFree for each of the first 10 desks, scored against your own baseline
0Autonomous submissions. Submit stays with the named coordinator

First desk terms

No hospital logo, no rip-and-replace, no savings SLA.

A first measurement does not require any of those. You pick one portal family where coordinators already lose time. We stage that lane. You keep the Submit click.

One payer family

Availity, CoverMyMeds, a dental carrier portal, or the regional portal that costs the desk the most time. Not a 40-payer rollout.

30-day frozen cohort

Handling minutes, attachment completeness and human-gate rate on a locked set of cases. Exceptions are registered in advance.

Free for 30 days, then from $490/mo

The first 10 desks get 30 days free on one named portal family, in exchange for one coordinator, a pre-period baseline and a blinded ledger DeskGate may publish. After day 30, stop and owe nothing, or subscribe to S-Practice ($490/mo or $5,400/yr for 1–3 seats) or S-Desk ($1,950/mo or $21,000/yr for unlimited seats)—breaking even on your 1st to 3rd recovered claim per month.

Are you a medical billing agency or offshore RCM BPO?

This page describes clinical practice workflows. For agency owners, COOs and delivery heads managing Availity and CoverMyMeds pods, the agency page covers the two-monitor floor, the Section 0 non-solicit covenant and Schedule S lane licensing.

Agency and BPO floor view

What the desk actually takes

Four kinds of portal work the EHR leaves behind.

The clinical decision is made in the EHR. What is left is getting it onto the payer's form, with the right attachments, and answering when the payer says no.

Appeals & Reconsiderations

Each item the medical or dental denial asks for is answered with a verbatim chart quote, or [MISS] where the chart is silent.

Prior auth and UM forms

Form fields and quoted chart facts, including step-therapy history, staged onto any live payer portal form after the EHR has already decided.

Upload boxes

Empty required upload boxes are named. DeskGate never picks the file. The coordinator attaches.

Hashed receipt

After the coordinator presses Submit, the payer reference is hashed in the browser. DeskGate does not call the payer.

Who this page is for

Teams whose coordinators live in payer portals.

If the work sits between the clinical system and the payer, and no single EHR owns it, it is the residual this desk is built for.

Specialty & dental clinics: Orthopedics, PT, cardiology, ophthalmology, dental/perio, behavioral health and primary care teams whose coordinators live in payer portals.
Ambulatory surgery & home health: High-value surgical authorizations, flat-rate rebuttals, and recertification work that sits between the clinical system and the payer tree.
RCM and billing firms: Exception desks handling clearinghouse drop-offs and non-EDI payer families. Agency floor and Section 0 covenant: agency page.
MSO and IPA operations: Shared authorization residue across member practices that no single EHR owns.

How the 30 days are scored

Measured against your own baseline, not a vendor model.

The measurement runs on the chosen portal family for 30 days under Schedule M. These are the numbers on the ledger, and the ones that are not.

Completed cases per coordinator-day on the chosen portal family, against your own written baseline from a longer prior period, not a vendor model.
Share of packets accepted at the gate with no material edit, plus return reasons. This is the number that says the software did the work rather than your coordinator retyping it faster, and it is the one no portal report can give you.
Time-to-gate and time-at-gate are recorded as explanation only, never converted into a savings figure.
Operator confirmation rate. Unattended submit is out of scope.
What we do not score: a guaranteed savings figure, portal uptime we do not control, or clinical medical necessity.

What this is not

Four things DeskGate is not.

Not an EHRWe mount under the system you already use.
Not unattended AISubmit stays with the named operator.
Not a hospital IT projectFirst desks are client-side. No core rebuild.
Not a fundraising memoThe capital path lives off this page. This desk is for operators.

Next step

Pick the lane you want measured.

If one portal family is the lane you want measured, start the 30-day ledger on that family.

Access and measurement Pilot intake