DeskGate BAA active · Vertex AI · 28 Sep 2026

Access & pilot · Licensing by named portal family

Draft the appeal the desk does not write. The coordinator still files it.

The DeskGate Operator Extension (v2.6.8) docks in the coordinator's already signed-in Chrome or Edge session. It drafts the appeal or non-API prior authorization from quoted chart facts, writes [MISS] where the chart is silent, and types into empty portal boxes. The coordinator reviews, attaches files and clicks Submit. We license by named portal family, not by case. First 10 desks: 30 days free.

Request the free month See the plans

Questions about BAA terms or a custom portal tree? Talk to founder engineering directly. Looking for Switzerland (TARDOC / DSG)? Open DeskGate Schweiz (CHF).

Step 1 · Payer portal lane planner

Count the portal families, not the cases.

A lane is one named payer portal family, such as Availity, CoverMyMeds, a dental carrier portal or a state Medicaid portal. Move the slider to the number of families your desk works and the plan follows.

1 portal family

One family might be Availity or CoverMyMeds alone ($490/mo for 1–3 seats on S-Practice, or $1,950/mo for unlimited seats on S-Desk). Two or three families map to S-Agency ($4,900/mo). Zero case counting on every tier.

Plan
S-Practice / S-DeskOne named portal family
Price after the free month
$490 or $1,950 / mo$5,400/yr (1–3 seats) · $21,000/yr (unlimited desk)
Break-even & metering
1 to 3 claims / moZero case metering · no revenue share

The first 10 desks start with 30 days free on one named portal family. After day 30, stop or subscribe.

Step 2 · Plans (Schedule S)

Start free for 30 days. Break even on 1 to 3 claims a month.

Every plan starts with the 30-day free measurement for the first 10 desks. Pay monthly or prepay for the year. There is no case metering, no share of recovered revenue and no required 12-month commitment.

Specialty practice · starter pod (1–3 seats)

S-Practice

$490/month

or $5,400/yr prepaid · First 30 days $0

  • One named portal family (Availity, CoverMyMeds, Dental, etc.)
  • 1 to 3 providers or coordinator seats
  • Zero case metering or collection share
  • In profit from the 1st recovered $800 claim/mo

Surgery center · hospital dept · RCM pod

S-Desk

$1,950/month

or $21,000/yr prepaid · First 30 days $0

  • One named portal family
  • Unlimited coordinators on that desk
  • Zero case metering or collection share
  • In profit from the 3rd recovered $800 claim/mo

Up to three portal families · agency floor

S-Agency

$4,900/month

or $54,000/yr prepaid · First 30 days $0

  • Up to three named portal families (Availity, CoverMyMeds, Medicaid/UHC)
  • Unlimited coordinators across multi-lane exception desks
  • Section 0 provider non-solicit covenant
  • In profit from the 6th recovered $800 claim/mo

On every plan, including the free month: appeal and prior-authorization drafts that quote facts already on screen, [MISS] where the chart is silent, typing into empty portal boxes, and a human Submit. Screen reads run on Vertex AI under DeskGate's Google Cloud BAA. Desks bring no API keys.

Larger networks, more than three portal families or several sites: talk to us. This page summarizes the offer; the signed order and the business associate agreement control. See the Master Terms.

The first 10 desks

Breaking the reference catch-22.

Healthcare software procurement stalls on a catch-22: clinics wait for reference customers, and vendors wait for paying clinics. We break it by covering the first 10 desks for 30 days, at our cost.

  1. No fee for 30 days

    No subscription or setup invoice. Software access, lane mapping and the 30-day Schedule M measurement are at our cost, in exchange for one coordinator, a pre-period baseline and a blinded throughput ledger DeskGate may publish.

  2. Your hardest portal family first

    We start on the payer portal family your desk already works hardest, such as Availity, CoverMyMeds or a state Medicaid portal. We do not promise a minute count in advance.

  3. A 30-day ledger

    On day 30 you get the Schedule M ledger: cases completed per coordinator per day against your pre-period baseline, with no overturn rate claimed. The coordinator remains the filing actor throughout.

Sign-off sits with the practice manager, clinic owner, or billing director. Before a live chart is read, the desk signs its own BAA with DeskGate.

Healthcare funds and MSO sponsors. Evaluating a portfolio-wide rollout, or diligence on the pre-seed SAFE?

Read the SAFE pitch

How access works

Domain entitlement, not queue surveillance.

DeskGate does not monitor coordinators, inspect case queues or write patient records to its databases. The license is tied to portal hostnames, not to case counts.

One check when the extension loads

When the extension or embed loads, it asks one question: is this organization entitled to this portal hostname? If yes, staging turns on. If no, it stays off. That is ordinary enterprise licensing by system capability.

Target buyer
Specialty clinic, dental practice, RCM desk, or BPO pod
Licensing scope
Named payer portal families
Verification
The 30-day Schedule M ledger

BAA executed 28 Sep 2026 · deskgate-production

Where screen reads go, and what is not stored

Screen reads go to Gemini on Vertex AI in project deskgate-production, under the Google Cloud BAA executed 28 September 2026. Chart notes and member IDs are not written to DeskGate databases, and the pilot ledger stores a SHA-256 of the payer reference, not the reference. The BAA's terms govern Google's side (Master Terms §4).

Before a live chart is read, the desk signs its own BAA with DeskGate (or Schedule CH AVV in Switzerland).

Risk split

Execution is ours. The workflow is yours.

We do not underwrite a desk's cohort, portal family or exception rate. Each side answers for what it controls, which keeps the agreement grounded.

DeskGate is responsible for execution fidelity under the product rules

  • Working inside the coordinator's own signed-in session
  • Staging text only into empty portal fields
  • The human gate: nothing is submitted without a person clicking Submit
  • Hashing the payer reference in the browser before it reaches the ledger

The desk is responsible for workflow parameters

  • The target cohort for the 30-day measurement
  • Which cases are exceptions
  • The people who review each draft, attach files and click Submit

Step 3 · Access and lane intake

Tell us the desk and the portal family.

Requests go to contact@deskgate.app. Nothing is charged and nothing is filed from this form. Please do not include patient information.

Access and lane intake

Name the portal family, roughly how many coordinators work it, and any baseline you already track.

Page activity

[00:00:00] Planner ready. One portal family maps to S-Practice ($490/mo) or S-Desk ($1,950/mo); two or three to S-Agency ($4,900/mo). Zero case metering on every plan.