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See the Quon Health recovery workflow in action.

Follow how uploaded claims, payments, denial/EOB files, prior-auth documents, reimbursement rules, and supporting medical documentation become prioritized work queues, payer intelligence, packet drafts, and reports for human review.

No EMR access required · No payer portal login · No automated submissions · Human review before any packet is used
From uploaded revenue data to focused recovery work. Upload operational and supporting data. Prioritize recovery work. Review, act, and report.
Quon recovery operating loopValue flow
Quon HealthAI Revenue Intelligence
01 InputUpload contextClaims, payments, EOBs, prior-auth docs, rules, and supporting medical documentation
02 MapFind what needs attentionDenied, underpaid, missing, prior-auth risk, and expected-payment gaps
03 PrioritizeWork the right items firstAction Center ranks work by risk, revenue exposure, and follow-up urgency
04 DraftPrepare packet draftsAppeal and negotiation context organized from uploaded evidence for human review
05 IntelligenceSee payer strategyForecast, Payer Hub, Deep Dive, AI Payer Intelligence, and Executive Strategy
06 OutcomeReview, report, improveStaff review, reports, and outcome history support better follow-up strategy
What Quon gives your team back
Work to prioritizeMissing information to fixExpected-payment gapsPayer strategy insightsAppeal and negotiation packet draftsReports for review
Pain to solution

Revenue recovery gets messy when work is scattered.

Quon Health connects the pain your team feels every day to the product areas that help resolve it.

PainStaff does not know what to work first.
Quon product area

Action Center ranks denials, underpayments, prior-auth work, and follow-ups by risk, revenue exposure, and urgency.

PainAppeal and negotiation packets take too long to assemble.
Quon product area

Packet Drafts organize claim, payer, denial/EOB, reimbursement-rule, and supporting-document context for human review.

PainExpected-payment gaps and underpayments are hard to explain.
Quon product area

Revenue Intelligence shows payer behavior, underpayment exposure, expected-vs-paid gaps, and forecasted risk.

PainLeadership asks what is happening, but the story is scattered.
Quon product area

Reports and executive strategy views turn work queues and payer insights into review-ready summaries.

PainTeams dig through files to answer follow-up questions.
Quon product area

AI Copilot answers grounded questions using uploaded/internal workspace context.

PainPrior-auth exposure is mixed into claim work or missed entirely.
Quon product area

Prior Authorization Signals keep pre-service context visible while staying separate from billed claim dollars.

Workflow bridge

From files to focused recovery work

Quon Health turns scattered revenue context into prioritized action, packet drafts, and payer strategy.

From upload to recovery strategy Upload operational and supporting data Detect revenue friction Prioritize recovery work Understand payer strategy Review, report, and refine Prepare stronger packet drafts
01

Upload context

Claims, payments, denial/EOB files, prior-auth documents, reimbursement rules, and supporting medical documentation.

Inputs
02

Work what matters

Action Center surfaces denials, underpayments, prior-auth risk, missing information, and follow-up needs by priority.

Queue
03

Review strategy and packets

Teams use Revenue Intelligence, Packet Drafts, AI Copilot, and Reports to review, act, and explain outcomes.

Human review
Platform

Product areas in the workflow

Use this as the map. The sections below show how each area helps teams reduce manual work, recover revenue, and explain payer behavior.

What teams see after setup

Dashboard

revenue health and current opportunity

Financial Health
Current Opportunity
Work Needing Action
Revenue snapshot

Action Center

what to work first

proof below
DenialHigh
UnderpaymentReview
Prior AuthFollow up
Highest-value work first

Claims Lifecycle

where billed claims stand

Awaiting Payment
Denied
Underpaid
Resolved
Billed claim movement

Prior Authorization Signals

pre-service risk context

Partial approval
Expiring soon
Follow-up
Pre-service context

Revenue Intelligence

payer strategy and forecasted risk

proof below
Forecast
Payer Hub
Deep Dive
AI Payer Intelligence
Strategy layer

AI Copilot

grounded follow-up questions

proof below
Why is Aetna revenue lower?
Expected-vs-paid gap is increasing…
Copilot example below
Grounded questions

Reports

leadership-ready summaries

Dashboard report
Action list
RI summary
Leadership exports

Packet Drafts

appeal and negotiation packet drafts

proof below
Appeal narrative
Medical necessity
Attachments
Full packet workflow below
Draft packet review
Action Center

Stop guessing what to work first

See what your team should work first

Action Center brings claim denials, underpayments, prior-auth work, and follow-up needs into focused queues ranked by risk, revenue exposure, and urgency.

  • Rank denials, underpayments, prior-auth work, and follow-up by urgency.
  • See payer, at-risk amount, risk score, follow-up status, and next action in one view.
  • Open appeal, negotiation, or prior-auth workspaces from the queue.
Action CenterPrioritized work queue
Staff-reviewed actions
At-risk work42ranked by urgency
Revenue exposure$18.6kfrom uploaded context
Follow-up due9needs staff review
All At RiskPrior AuthBilled DenialsUnderpaymentsFollow-Up
Work typePayerAt RiskRiskFollow-upNext Action
Claim DenialAetna$24848Due todayOpen Appeal Workspace
Claim UnderpaymentUnitedHealthcare$99670Rule checkValidate expected payment
Prior AuthAetna$4,225 est.100Partial approvalReview partial approval
Follow-UpBCBSReviewDueAwaiting payerPayer response needed
Staff chooses the next action. Quon Health does not submit work automatically.
Packet Drafts

Stop rebuilding appeal and negotiation packets from scratch

See how packet drafts come together

Quon Health can turn uploaded claim, payer, denial/EOB, reimbursement-rule, prior-auth, and supporting-document context into appeal and negotiation packet drafts that staff can review, edit, and use.

Uploaded contextEvidence feeding the packetClaims + paymentsDenial/EOB filesPrior-auth documentsReimbursement rulesSupporting medical documentationPayer/follow-up context
AI Appeal AssistantAppeal workspace draft
Human review required
Improving Appeal Narrative… Keep this workspace open.
Improving Letter of Medical Necessity… Staff review required before use.
Appeal NarrativeMedical NecessityEvidenceReview
Draft appeal narrative

Quon organizes denial details, expected-payment logic, payer context, and supporting documentation into editable appeal language for staff review.

medical necessitydenial reasonexpected-payment gapsupporting documentationcontract reference
✓ Claim financial snapshot✓ Denial/EOB context✓ Supporting evidence checklist✓ Staff review before use
Packet preview · 5 pagesExport-ready draft
1
2
3
4
5
Appeal Packet DraftHuman review required
Cover letterClaim, payer, denial/EOB, expected-payment, and supporting-document context.
Appeal narrativeDraft argument organized for staff review and editing.
Letter of medical necessitySupporting medical and operational context grouped with the packet.
Expected-payment evidenceRule and payment-gap references remain visible for staff review.
Packet drafts are prepared for review. Quon Health does not submit packets automatically.
Revenue Intelligence

Know why revenue is slipping before it becomes a trend

Understand why revenue is slipping

Revenue Intelligence connects payer behavior, denial pressure, underpayment trends, prior-auth exposure, and forecasted risk so teams can decide what to work next.

Review Executive StrategyOpen Payer HubCompare PayersView Forecast
Revenue IntelligenceStrategy board
Uploaded/internal workspace data
Expected-vs-paid gapWideningAetna pattern
Denial pressureHighUnitedHealthcare exposure
Forecasted riskRisingprior-auth signals included
Strategy insightAetna and UnitedHealthcare recovery pattern

Aetna expected-vs-paid gaps are widening while UnitedHealthcare is driving denial pressure and underpayment exposure. Start with high-risk denials, validate reimbursement rules, then review prior-auth signals and appeal opportunities before forecasted risk increases.

expected-vs-paid gapsdenial pressureunderpayment exposureprior-auth signals
AetnaExpected-vs-paid gap widening; review partial approvals and appeal-ready work.
UnitedHealthcareHigher denial pressure and underpayment exposure; validate expected payment first.
SurfaceExecutive Strategy

Turn work queues into leadership-ready recovery priorities and strategy notes.

strategy
SurfacePayer Hub

See payer concentration, denial pressure, underpayment exposure, and prior-auth signals.

SurfaceForecast

Project future revenue risk from uploaded claim, payment, and prior-auth context.

forecasted risk
SurfaceDeep Dive

Compare two payers side by side to see denial, payment, and recovery differences.

payer comparison
SurfaceAI Payer Intelligence

Summarize payer behavior, evidence, and recommended next actions.

recommended next action
AI Copilot

Get answers without digging through every report

Ask grounded questions about your revenue work

AI Copilot helps staff ask follow-up questions using uploaded/internal workspace context from claims, payments, prior-auth work, payer insights, packet drafts, and reports.

Use Copilot for follow-up questions after the dashboards and Revenue Intelligence views surface a pattern.

Why is Aetna revenue lower?Which CPT/HCPCS groups are underpaid?Which diagnosis codes are tied to lower payment?What is missing from this packet?What should leadership know?
UserOver the last 6 months, Aetna revenue looks lower. What is happening?
AI CopilotBased on uploaded claims and payments, Aetna’s expected-vs-paid gap is increasing. The shortfall is concentrated in underpaid claims and denial follow-up work tied to CPT/HCPCS and diagnosis-code groups with lower payment than expected. Start by validating reimbursement rules, then review Aetna underpayments and denial appeals in Action Center.
Deeper follow-up view
expected-vs-paid gapCPT/HCPCS and diagnosis-code groupsvalidate reimbursement rules
View Current Reimbursement RulesGo to Action Center
Copilot is grounded in uploaded/internal workspace data. Staff review remains required before action.
Inputs

Upload the context your team already has

Quon Health is upload-driven. Teams can start with the files they already use, then add supporting context as workflows mature.

Claims and payments

Billing and remittance exports that show balances, status, payment timing, and expected-payment gaps.

Denial/EOB files

Reason codes, payer notes, and EOB context used to understand denied claims and follow-up paths.

Prior-auth documents

Approval, partial approval, and documentation details that help identify prior-auth risk.

Reimbursement rules

Contract, fee schedule, and payer rule context used for expected-payment validation.

Supporting medical documentation

Clinical and operational documents your team chooses to upload for packet draft context.

Payer and follow-up context

Notes, payer history, and workflow context that help teams plan next actions.

Safety and control

Built for practical control

No EMR access required

Start with uploaded files rather than connecting to clinical systems.

No payer portal login

Teams keep payer credentials and portal work outside the product.

No automated submissions

Quon Health organizes work; staff decides what is submitted.

Human review before any packet is used

Packet drafts are prepared for review, not automatic delivery.

Upload-driven setup

Add context as workflows mature and priorities become clearer.

Staff keeps control of follow-up and submissions

Revenue teams remain accountable for payer communication and final action.

Request Demo

Request a guided walkthrough

Show us where revenue recovery feels most manual. We will tailor the walkthrough around your denials, underpayments, prior-auth risk, payer follow-up, packet drafts, and reporting needs.

  • See Dashboard, Action Center, and Revenue Intelligence
  • Review how uploaded documents support packet drafts
  • Walk through prior-auth and payer-risk examples
  • No EMR or payer portal access required

Ready to stop chasing revenue recovery manually?

See how Quon Health turns uploaded revenue data, payer context, and supporting documents into prioritized work, packet drafts, and payer strategy.

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