Medical billing automation that keeps revenue moving
Coverage checked and recorded before the visit. Prior-auth documents chased until they're filed. Payment events synced to every system they touch, and exceptions routed to an owner. Keragon runs the billing handoffs on the systems you already use, with your team in control.
Trusted by healthcare teams across the US
Billing still runs on payer portals and re-typing
MGMA Stat poll of 252 medical groups, March 2026
AMA survey of 1,000 physicians, 2025
Kodiak Solutions benchmarking of 2,300+ hospitals, 2024
The agents that run the front end of billing
Clean insurance capture, so claims start clean
Financial clearance done before the patient arrives
Coverage checked and the chart updated before arrival
Coverage verified, but the visit never happens? The No-Show Recovery Specialist chases missed visits until they rebook, so cleared coverage turns into kept appointments and billable visits. Same platform, same guardrails, same audit log.
Explore the no-show recovery agent ›Common billing & insurance workflows we automate
Failed payments surfaced instantly
A failed charge in Stripe, Square or your EHR’s billing module logs to your finance ledger and alerts billing to retry or escalate.
Self-pay flagged at eligibility
An eligibility response showing self-pay or out-of-network tags the patient record and alerts billing for your cost-estimate workflow.
Payment confirmations, synced everywhere
A successful payment updates the patient record in your EHR or CRM, notifies your team, and closes the loop with a confirmation to the patient.
Prior-auth documents, filed and flagged
Insurance cards and lab orders from your intake portal are filed to a structured folder, and your prior-auth team is notified with a direct link.
Benefits results to patients and teams
A completed benefits verification sends coverage results to the patient by email or SMS and notifies the care team in your internal chat.
Fewer billing calls. Revenue that moves without the phone tag.
"Keragon has been an essential partner as we've grown our practice. The personalized support helped us get systems up and running quickly."
“We used Zapier for many of our integrations, but when it came to working with protected health information we had to find a different solution. Keragon has filled that gap really well! Their team has been great to work with and super helpful in getting our integrations up and running!”
“Thank you for your response. I started using the demo today; it worked so smoothly... I almost shed a tear. HIPAA Automations.... lovely!!!”
“We’re thrilled to share how Keragon is integral to the success of A Smile for Kids and the safety of our patients’ data. This is especially evident as different, internal ASK systems exchange HIPAA protected information. By using Keragon as a trusted integration platform, we have enhanced our operational efficiency and safeguarded patient data at the highest level!”
“And THANK YOU so much for looking into our zip code issue! It worked! That was a simple fix and now we’re having no problems automating customer creation. I can’t thank you enough for the time and support - we’re absolutely thrilled with how our systems are operating with Keragon. It has truly been a game changer!”
“Keragon's support is next level. They take the time to build the connectors and really think through everything with us in a considerate, professional way. We chose our 2.0 tech stack based on software that play nice with Keragon, and that was a really good idea. I feel excited because we now can constantly incrementally improve our operations, and Keragon is the behind the scenes driver of that growth!”
“Keragon is great, but the support is even better. Support is incredibly fast, and you can jump on screen shares for help when needed - this is unheard of. I would highly recommend Keragon for any healthcare organization, big or small, that is looking to connect their systems and automate their workflows using a very intuitive yet super powerful solution. ”
“I like how easy it is to build complex EMR integrations with Aesthetix CRM. Using the Keragon connectors, we have now integrated multiple EMRs, including ModMed. We are excited about the future of building HIPAA-compliant integrations for our customers with Keragon.”
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“We use a few different systems which leads to a lot of repeating the same steps in each platform. Keragon automated a lot of this for us. Now we can enter information in one place and it will update/add in every platform. The Keragon setup is not easy, but the support is great. I'd highly recommend to practices who use different platforms for patient care.”
“Keragon successfully recreates a similar UI/UX and workflow to other top automation platforms like Zapier and IFTTT. The key difference is that it's one of the few that is HIPAA compliant across a wide range of tools. The team there has done a great job prioritizing the right features. As an automations consultant, I'm able to create the majority of the workflows I need, and find reasonable workarounds (such as using webhooks) to create the rest of them.”
Built to run the handoffs, never to make financial calls
HIPAA handling and a BAA included
PHI stays out of the payment processor
Built for every billing setup, from solo practices to groups
Billing handoffs on autopilot, from booked to paid
Describe the job and Keragon runs it end to end, connected to your EHR, eligibility, payments and messaging, HIPAA-compliant, even after hours.
Connect your EHR, your billing rails, and everything between them.
300+ HIPAA-compliant integrations across your EHR, eligibility, payments, accounting and messaging. Keep the systems you chose; automate the handoffs between them.
Standardizing billing across a multi-location group?
What would you like to automate in your billing process?
Pick a common job or describe your own. The AI consultant maps the workflow across your systems before you sign up.
Alert my billing team when a payment fails in Stripe or my EHR
Alert my billing team when a payment fails in Stripe or my EHR
Flag self-pay and out-of-network patients for a cost estimate
Flag self-pay and out-of-network patients for a cost estimate
Route prior-auth documents to my authorization team with a direct link
Route prior-auth documents to my authorization team with a direct link
Check insurance eligibility days before the appointment
Check insurance eligibility days before the appointment
Open a ticket with verified benefits when coverage is confirmed
Open a ticket with verified benefits when coverage is confirmed
Notify patients and my care team when benefits verification completes
Notify patients and my care team when benefits verification completes
Update my EHR and CRM when a payment succeeds
Update my EHR and CRM when a payment succeeds
Send patients a confirmation when an invoice is paid
Send patients a confirmation when an invoice is paid
Log failed charges in my finance ledger and escalate unresolved ones
Log failed charges in my finance ledger and escalate unresolved ones
Billing & insurance, before and after Keragon
See your own before and after. Put your appointment volume into the calculator, and see what exception-based billing gives back.
Estimate what automated billing is worth ›Medical billing software works the claim. Automation works everything around it.
| By hand | A billing tool on its own | Your billing stack + Keragon | |
|---|---|---|---|
| Checking coverage | A payer portal per plan, checked at check-in | Eligibility inside the tool's own walls | Checked days early, written to the chart, exceptions routed |
| Failed payments | Found at the statement run | A report you remember to open | An instant alert with the record attached, retried or escalated |
| Prior-auth documents | Downloads folders and inboxes | The tool's own queue | Filed to one place, the team notified with a direct link |
| The compliance chain | Paper handling risk | Their BAA covers their app | A BAA across the automation layer and every connected step |
Learn more about medical billing automation
Revenue cycle guides
Eligibility in practice
FAQ
Billing & insurance questions, answered
What is medical billing automation?
Medical billing automation is software that runs the administrative work around billing and insurance: it checks coverage before the visit, collects and routes prior authorization documents, tracks claim and payment events across systems, alerts your team to exceptions, and keeps patients informed from confirmed balances. Keragon does this across the systems you already use, with 300+ HIPAA-compliant integrations and AI teammates that handle the follow-up. It is not a clearinghouse or a billing service: your billing system stays the system of record.
Is Keragon billing software or a billing service?
Neither. Keragon is the automation layer that runs across the billing tools and people you already have. Your EHR or practice management system stays the financial system of record, your clearinghouse keeps moving the claims, and your billers keep the judgment calls. Keragon automates the handoffs between them and routes exceptions to the right owner.
Does Keragon replace my EHR, my clearinghouse or my biller?
No. It connects them. Claims still live in your billing system and still travel through your clearinghouse. Keragon moves approved data and tasks around those systems: eligibility results to the chart, prior-auth documents to the right folder, payment events to your CRM, and exceptions to a queue with an owner and a deadline. The current integration list is at keragon.com/all-integrations.
Can it check insurance eligibility and benefits?
Yes. Keragon runs supported eligibility checks through tools like pVerify, Availity, Stedi and Nirvana days before the visit, records the response and its timestamp, and routes exceptions to your team. An eligibility response is a status at a point in time, not a coverage or payment guarantee, so benefits questions follow your review policy.
Can it automate prior authorization?
It automates the workflow around prior authorization: detecting that an authorization is needed, collecting and filing documents, creating supported requests, watching status and escalating what stalls. Medical-necessity decisions stay with clinicians and payers. Keragon never makes them.
Can it submit claims or post payments?
Through supported connectors, yes, with controls. athenahealth exposes claim creation, Availity exposes claim and service-review actions, and AdvancedMD can apply a payment to a charge. Availability depends on your exact system and permissions, and consequential writes run with validation and an approval step, verified against your account before going live.
Will it eliminate denials?
No tool can promise that, and some denials are the payer's error rather than yours. What automation does: catches missing or inconsistent data before it becomes a claim, routes rejections and denials to an owner with the payer response attached, tracks deadlines, and shows the recurring root causes so you can fix the process instead of the same claim.
Is it HIPAA-compliant to automate billing workflows?
Yes, when every link in the chain is covered by a BAA, including the automation layer itself. Keragon is HIPAA-compliant and SOC 2 Type II audited, data is encrypted in transit and at rest, and a BAA is included on every paid plan. General-purpose tools like Zapier don't offer a BAA, so patient data in them is a compliance risk. Every action is written to an audit log your team can review.
Can we take patient payments without expanding our compliance risk?
Yes, with the right architecture. Stripe and Square don't sign BAAs, so Keragon workflows keep PHI out of the payment processor: the processor moves tokenized payments, the medical context stays in your BAA-covered systems, and the two are joined by an opaque ID. Card handling also carries its own PCI obligations, which are separate from HIPAA.
What happens when a workflow hits something it can't decide?
It stops and routes. An unmatched payment, an ambiguous eligibility response or an unusual amount becomes an exception with the evidence attached, an owner and a deadline. Consequential actions like posting an adjustment or refunding a payment wait for the role you authorize. Nothing consequential happens silently.
Built for healthcare billing
Every exception worked before it becomes a denial.
Start with one billing workflow and one EHR. Keep your systems, keep your team in control.
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