Harcona
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Revenue recovery for medical practices

Get paid what you're owed

Harcona checks every insurance payment against your contracts, sorts every denial by what fixes it, and drafts the appeals, so your team recovers the money instead of chasing it.

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Overview

Demo Family Practice · Apr 1 – Sep 30

Underpaid

$2,523

Denied

$6,881

Recovered

$1,163

Biggest pattern

Payer A paid 99214 short 88 times since its July rate increase: $792 owed.

Appeal drafted

Strong case

ECG denied as not medically necessary. The chart documents palpitations and near-fainting. Chart p. 3

Illustration with synthetic data from our demo practice.

Find it, fix it, and get it paid

Insurers underpay and deny claims more often than most practices can keep up with. Harcona does the checking and the paperwork; your team makes the calls.

01 · Underpayments

Every payment, checked against your contract

Each paid line is compared with your contracted rate for that payer and code, and repeated shortfalls are grouped into patterns, like a payer that never loaded your new rates. No rate sheet? We suggest your rates from your own payment history for you to confirm.

Claim · codeContractAllowedShort
DFP000412 · 99214$112.00$103.00$9.00
DFP000418 · 99214$112.00$103.00$9.00
DFP000431 · 99213$84.00$84.00Paid right

02 · Denials

Every denial, sorted by what fixes it

Correct and resubmit, appeal, verify eligibility, bill another payer. Your team works one list, with status, notes and assignments, and every dollar recovered is tracked.

  • Correct and resubmit $2,14014 claims
  • Appeal with records $3,0869 claims
  • Verify eligibility $9056 claims
  • Bill another payer $7504 claims

03 · Appeals and prior authorizations

Drafted from the chart, approved by you

AI reads the chart and the payer's criteria and drafts the appeal or prior-authorization request, with the chart page behind every clinical fact. Nothing goes to a payer until a person on your team approves it. Early access.

Appeal · claim DFP000877 · 93000

The patient presented with palpitations and an episode of near-fainting Chart p. 3, which makes the ECG medically necessary Chart p. 4.

Every quote verified Approve

See what you've left on the table

Before you commit to anything, we audit your last six months of payments and show you what you're owed.

  1. 1

    Send six months of remittances

    The 835 files your clearinghouse or billing system already has. We sign a Business Associate Agreement first.

  2. 2

    We check every payment

    Each paid line against your contracted rates, and each denial sorted by the step that recovers it.

  3. 3

    You get one page

    What you're owed, the patterns behind it, and what it takes to recover each part. Yours to keep.

Built for patient data from day one

Remittances and charts are protected health information. Harcona was designed around HIPAA, not adapted to it.

  • Inside AWS, under a BAA

    Data is processed and stored only in our AWS environment, covered by AWS's Business Associate Addendum.

  • Encrypted everywhere

    TLS in transit, and encryption at rest with keys we control.

  • Every practice walled off

    Each practice's data is isolated by the database itself, not just by application code.

  • Every access recorded

    Sign-ins, views and changes are written to a log nobody can edit or delete.

  • Strong sign-in

    An authenticator app is required for every user, with automatic sign-out after inactivity.

  • AI that stays private

    Models run inside our AWS account. Patient data is never sent to public AI services or used to train them.

Find out what you're owed

A 20-minute call, then a free audit of your last six months of payments.

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