DeskGate
BAA active · Vertex AI · 28 Sep 2026
Live Calculator · In-Browser Staging · Human Submit
We draft the payer appeals your desk doesn’t have time to write. Across the country, 88.5% of prior-authorization denials are abandoned un-appealed—even though 80.7% of filed appeals overturn the decision1. DeskGate docks in your browser, reads chart facts in volatile RAM, and stages quoted rebuttals in 120 seconds. Move the sliders or select a practice type to see what you recover:
Assumes an 80% overturn rate, modeled conservatively against the published 80.7% Kaiser Family Foundation (KFF) federal Medicare Advantage benchmark1. Your practice’s own overturn rate shows in its own cases; the first 30 days are free. License cost uses the annual prepaid plan: $9,480 per license instead of 12 × $980 = $11,760, a saving of $2,280 (one license per location, up to 5 computers each).
Operational Proof
The film is the product. Elena Vargas is the medical prior-authorization and appeal path. Daniel Okafor is the dental appeal. The engine quotes verified chart facts from RAM into the open payer form, flags omissions as [MISS], and halts before Submit. Autonomous machine filing is strictly zero.
Why this film matters to your practice: Payers deny in seconds; answering takes your team 40 minutes, so most denials get written off. The 80.7% overturn rate only pays out if the appeal is actually filed with verified chart quotes. This film shows the in-session engine that drafts that appeal in two minutes, on a real portal layout, with your coordinator clicking Submit.
Ortho / PT. Meloxicam 15 mg daily × 8 weeks, discontinued for gastric distress. CPT 97110 ×12 and 97530 ×8. Denial UM-PA-14 under policy ORT-PT-2026 §4.2. The staged rebuttal quotes conservative trial outcomes word-for-word and flags off-screen dates as [MISS — do not attest].
Stage III periodontitis, Grade B. CDT D4341 ×2 (UR, LR). Probing depths 5–7 mm. Horizontal bone loss 30–40% on FMX. The appeal populates dental necessity and names the X-ray upload box—leaving document attachment strictly to the human coordinator.
Open the MIT client runtime on GitHub · deskgate-operator-2.6.8-public. Specimens are synthetic simulation models. Zero live PHI.
One plan · Every portal · Zero case metering
One license covers one practice location with up to 5 computers. More computers? Add a license for every 5 more. No portal lanes, no per-case fees and never a share of what you recover. Two recovered $800 claims cover the month.
$980 / month per license
Card authorized today at $0.00. First charge after 30 days. Cancel anytime with one click.
$980 per license
Every location needs at least one license, and every license covers up to 5 computers. Choose the number of licenses at checkout; one key carries them all. No volume discounts, no surprises.
Example: 2 locations with 8 computers each = 4 licenses = $3,920 / month or $37,920 / year.
Third-party agencies working payer portals for many client practices need an Enterprise agreement, including the Section 0 provider non-solicit covenant. Priced on request.
Agency licensingThe Break-Even Arithmetic
Two recovered $800 claims cover the month. Twelve a year cover the annual plan.
2 × $800 = $1,600, covering the monthly plan of $980. 12 × $800 = $9,600, covering the annual prepaid plan of $9,480. Every overturned denial after that is margin the practice keeps.
The commercial reality: a high-volume center with 120 denials a month at $400 each recovers about $38,400 inside the 30-day free trial alone—more than the entire annual license.
Compliance & Session Sovereignty
Payer portals sit behind biometric SSO, Duo/Okta MFA, and hardware VPNs. A cloud bot is an untrusted foreign session designed to be locked out. DeskGate docks inside the coordinator’s authenticated browser session—inheriting its security with zero infrastructure drag.
| Dimension | Legacy Cloud RPA (UiPath / AA) | DeskGate Sovereign Runtime |
|---|---|---|
| Session Context | External bot credentials; breaks on MFA/CAPTCHA & WAF IP bans. | Session sovereignty; inherits the active authenticated Chrome/Edge state. |
| UI Drift & Layout Changes | Brittle static XPaths/DOM scripts break on layout redesigns, requiring costly maintenance engineering. | Semantic form matching + multimodal vision (Gemini on Vertex AI); maps portal boxes by meaning across prior-auth, appeal, and payer web forms with zero script breakage. |
| Data Governance | Extracts PHI into third-party cloud database queues. | Volatile workstation RAM only; purged on NEW CASE or tab close. |
| Audit Record | Stores full clinical records in vendor databases. | Zero chart notes stored. Ledger records cryptographic SHA-256 reference hashes. |
| Model Infrastructure | Unverified consumer API keys with public training exposure. | Google Cloud Vertex AI (Tenant: deskgate-production, BAA executed 28 Sep 2026). |
| Execution Gate | Autonomous filing risks False Claims Act liability. | Mandatory human Submit gate. Autonomous machine submissions: strictly zero. |
READ CHART parses denial codes and clinical records in volatile RAM. Undocumented criteria are tagged [MISS].
STAGE APPEAL and STAGE PORTAL populate quoted chart facts into live payer appeal, prior-authorization, and exception forms. Upload targets are flagged for the human.
The coordinator verifies all fields, resolves misses, attaches files, and clicks Submit. DeskGate never touches irreversible actions.
Free for 30 days
Start on Stripe in two minutes: your card is authorized at $0.00 and the first charge comes after 30 days. Cancel before then and you pay nothing. Practice-manager or billing-director sign-off is enough—no 14-month IT steering committee.
Download the extension, paste the license key shown right after checkout, and DeskGate docks in the Chrome or Edge browser your coordinators already use. IT teams can push it with GPO or Intune using the IT playbook.
Note appeals completed per coordinator-day before day 1. After 30 days you see in black and white how many extra cases your team closed—then decide.
Schedule M audit trail: desk code, portal host, handling minutes, and a SHA-256 reference hash. Zero ePHI stored.
References & Data Sources
1 Kaiser Family Foundation (KFF), Medicare Advantage Insurers Made Nearly 53 Million Prior Authorization Determinations in 2024: 11.5% of denied requests were appealed (88.5% were not) and 80.7% of appeals were fully or partially overturned. Corroborated by the U.S. Department of Health and Human Services Office of Inspector General (HHS-OIG Report OEI-09-18-00260, documenting a 75% provider appeal overturn rate across Medicare Advantage Organizations).
Calculator figures are illustrative. Your real overturn rate and handling time show in your own cases; the first 30 days are free.
All payer portals · up to 5 computers per license · $0.00 today.
The first 30 days are free for your practice; billing starts on day 31 unless you cancel. The key is also on its way by email. This is your practice license key:
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deskgate-operator-2.6.8.zip and keep the unzipped folder somewhere permanent (e.g. Documents).chrome://extensions (Edge: edge://extensions) and switch on Developer mode.manifest.json).