About Double
Double (formerly Keeper) is an AI-powered close management and practice management platform designed for accounting and bookkeeping firms. It aims to streamline workflows, reduce review time, and enhance client relationships by automating manual month-end close processes and centralizing client financial data. The platform integrates directly with major accounting systems like QuickBooks Online and Xero, allowing it to pull accounting data into workflows for tasks such as managing uncategorized transactions, conducting month-end reviews, handling 1099 and W-9 collection, and delivering financial reporting.
For physicians, while Double’s primary focus is on accounting and bookkeeping, the underlying principles of AI-powered automation and workflow streamlining could be conceptually relevant. In healthcare, AI is increasingly used to assist with repetitive, monotonous tasks, allowing professionals to focus on judgment-intensive work. Similar to how Double automates accounting tasks to improve accuracy and efficiency, AI in healthcare aims to reduce documentation time, aid in clinical decision support, and enhance overall quality of care. The company emphasizes amplifying human expertise rather than replacing it, a philosophy that resonates with the current direction of AI in medicine, where tools are built to support clinicians rather than supplant them.
Focus Areas
Business Intelligence
| Technology | Cloud-native, AI-powered platform with deep integrations with QuickBooks Online and Xero. |
What Physicians Need to Know
While Double (keeper.app) is primarily designed for accounting and bookkeeping firms, its core strengths in workflow automation, AI-powered administrative task reduction, and streamlined client communication could be highly beneficial for physicians' practices. Physicians' use of AI has more than doubled since 2023, with 81% using it professionally, often for documenting clinical care and summarizing medical research. Double's capabilities could translate to: nn* **Automated Financial Management:** AI-powered bank feeds and journal entries could significantly reduce the manual effort in managing practice finances, categorizing expenses, and preparing financial reports. This frees up administrative staff to focus on patient care. n* **Streamlined Administrative Workflows:** The workflow automation and practice management features could help manage billing, insurance claims, and other administrative tasks more efficiently, reducing clinician burden. n* **Improved Communication and Documentation:** The client portal and unified communication tools could enhance interactions with patients regarding billing or administrative queries, and potentially streamline internal practice communication. AI's ability to generate summaries and draft responses could also be adapted for patient communications or internal notes. n* **Enhanced Financial Visibility:** Real-time dashboards and AI-generated financial summaries could provide physicians with clearer insights into their practice's financial health, aiding in better decision-making. nnBy adopting such AI tools, physicians can potentially improve efficiency, reduce administrative overhead, and dedicate more time to patient care, aligning with the growing trend of AI adoption in healthcare to alleviate administrative burdens.
Double integrates directly with leading accounting ledgers such as QuickBooks Online, Xero, Sage, and NetSuite, providing a two-way sync for live financial data. This allows the platform to sit on top of existing accounting systems and pull data into its workflows. While the company 'Keeper' (which Double was formerly known as) has a broader range of integrations for password and secrets management, including various cloud services, SIEM systems, and developer tools, the specific integrations for Double (keeper.app) are focused on accounting and financial platforms.
What the Web Says
Double (formerly Keeper) is a software solution designed for accounting firms and internal finance teams to streamline bookkeeping workflows, particularly the month-end close process. It offers a two-way sync with major accounting software like QuickBooks Online and Xero, aiming to reduce manual labor and improve efficiency. Users generally praise its client communication features and ability to catch coding errors and inconsistencies.
Overall: PositiveStrengths
- User-friendly, modern, and efficient client management.
- Indispensable tool for bookkeeping firms, especially for accruals and accurate reporting.
- Streamlined process for client feedback on transactions and automated reminders.
- Excellent for team communication directly tagged to transactions.
- Strong integrations with QuickBooks Online and Xero, with a good Xero integration noted.
- Automates review processes, catches errors, and helps manage client queries and documents through a portal.
Limitations
- Customer support can be nonexistent if not using a real QBO account for trials.
- No archive feature, meaning data loss or continued subscription payment if a client disengages.
- Limited client management features and no built-in billing or invoicing.
- User interface can be clunky and overly colorful for some users.
- Learning curve at the beginning, though support is available.
- Lacks a mobile app, which some users desire for on-the-go access.
Based on reviews from: G2, Capterra, Reddit, The Ledger Stack
Last updated: 2026-09-08
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