We stage the portal work
your EHR cannot finish.
Your coordinator still hits Submit.
DeskGate mounts in the coordinator's browser and stages prior authorizations, attachments, and status checks on Availity and commercial payer portals. No hospital IT refactor. Irreversible submit stays with the human operator.
Synthetic walkthrough. No live payer submission. Submit stays behind the human gate.
Cloud bots and unattended agents stop at the same wall.
Hospital VPNs, MFA, and payer bot management block headless browsers. UI redesigns break XPath bots. Compliance rejects unattended submit. DeskGate runs inside the already-authenticated session and stops before the irreversible click.
Uses the coordinator’s live login
The runtime mounts in the operator browser and inherits SSO, VPN, and 2FA already completed. No remote farm trying to impersonate the desk.
Sees the screen, not just the XPath
Payer portals change markup. The stager binds to what is on screen plus the DOM, so a redesigned button does not take the whole lane down.
Stages the form. Does not own Submit.
Repetitive fields can be staged in seconds. The irreversible payer click stays with the coordinator. Legal accountability does not move to an unattended agent.
Audit packet without a PHI warehouse
Case work can stay in workstation RAM under zero-retention client mode. A hashed evidence packet records what was staged and who approved it.
Where portal minutes leak after the EHR stops
How it breaks today
Staff log into 15+ payer portals and copy chart notes field by field because there is no uniform API for that last mile.
How DeskGate stages it
The runtime reads the active portal and available case context, stages the fields, and stops at Submit for human sign-off.
What a first desk actually does
No platform rip-and-replace. One payer family. One frozen cohort. Minutes measured, not promised.
Mount under the live portal
Drop the client-side runtime onto the coordinator workflow already in use. No EHR rebuild. No new system of record.
Measure one lane for 14 days
Freeze a cohort on one portal family. Record handling minutes, attachment completeness, and human-gate rate. Then decide whether to keep the seat.
CMS-0057-F automates the structured half. We built for the other half.
Impacted payers must run a FHIR prior-authorization API by 1 January 2027. Self-funded employer plans under ERISA are exempt. Drug prior authorization is excluded. Requests that go to clinical review still need documentation assembled by hand. And through the transition, coordinators work a mixed book — some payers structured, most not — which costs more than a uniformly manual desk.
Read the full position, including the case against us →The model that reads the screen has to be one a BAA can cover.
Staging a payer form means reading a screen that can contain patient data. Which model receives that frame is a contractual question, not a preference. Most developer-tier model APIs are explicitly not covered for protected health information, so DeskGate routes PHI-bearing calls to a provider that will sign a Business Associate Agreement, and refuses to fall back to one that will not.
Anthropic will sign a BAA for the Claude API. Vision and case reasoning route here when
PHI_MODE is on. Claude on AWS Bedrock and Gemini
on Vertex AI are equivalent covered surfaces.
A Gemini key from AI Studio is not BAA-eligible — only Vertex AI under the Google Cloud BAA is. Fine for synthetic demos. Never the path for a live case.
The desk holds its own model keys and its own vendor agreements. We never take custody of a payer credential. Voice runs on ElevenLabs with a signed BAA and zero-retention mode.
Routing to a BAA-eligible model does not make DeskGate HIPAA compliant, and we do not claim it does. Whenever this software touches PHI for a covered entity, DeskGate is itself a business associate: that requires our own BAA with the practice, a risk analysis, and documented policies. Vendor agreements cover vendors. They are a prerequisite, not a substitute. The full position, including what is still open →
DeskGate workstation
Prior auth, benefits checks, attachments, and appeal packets staged under the systems you already run.
Who this is for
How a 14-day measurement is scoped for an independent clinic or RCM firm.
How we execute
Reach, plan, sense, last-mile staging, and the mandatory human gate before anyone clicks Submit.
Access + 14-day measurement
Subscription on one lane. Optional implementation map. A frozen-cohort ledger instead of a savings SLA.