The minutes left after
the EHR decision is done
DeskGate is the residual desk for prior authorization, attachments, status chase, and appeals. It stages the portal work your current stack cannot finish. The coordinator still confirms Submit.
A first measurement does not require a hospital logo, a rip-and-replace, or a savings SLA. You pick one portal family where coordinators already lose time. We stage that lane. You keep the submit click.
One payer family
Availity, CoverMyMeds, or the regional portal that actually burns the desk — not a 40-payer rollout.
14-day frozen cohort
Handling minutes, attachment completeness, and human-gate rate on a locked set of cases. Exceptions pre-registered.
Mapping fee credited
Optional I-Map / I-Desk implementation is credited against Year 1 access if the desk converts. No sunk-cost theater.
Prior auth & UM
Fields, clinical rationale, and step-therapy notes staged onto the live payer form after the EHR has already decided.
Attachment packets
Charts, labs, and prior letters assembled for the portal uploader instead of a desktop merge ritual.
Status & phone chase
Receipt checks and reference IDs that never came back through the clearinghouse.
Appeals
Denial context preserved so the next packet is a rebuttal, not a blank form.
Independent clinics
Specialty, PT, behavioral health, and primary care teams whose coordinators live in payer portals.
Home health
Intermittent auth and recertification work that sits between the clinical system and the payer tree.
RCM / billing firms
Exception desks handling clearinghouse drop-offs and non-EDI payer families.
MSO / IPA operations
Shared authorization residue across member practices that no single EHR owns.
- Baseline minutes on the chosen portal family, taken from the frozen cohort — not a vendor model.
- Share of cases that reach the human gate fully staged versus sent back for missing attachments.
- Operator confirmation rate. Unattended submit is out of scope.
- What we do not score: a guaranteed 60% savings number, portal uptime we do not control, or clinical medical necessity.
Defensive recovery and throughput upside are planning ranges on the access page. The contract object is residual execution fidelity under product rules — not an unverified savings promise.
If one portal family is costing measurable minutes, start the 14-day ledger on that lane.