Andon AI

Revenue Cycle Operations

An AI system that frees up your specialists for the claims that need them most.

Andon builds each workflow around your operations, starting from your SOPs and payer policies. It reads each case’s documents and history, checks them against payer policy and your rules, and recommends the next step with the evidence attached for your specialist to review.

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A denied claim goes in, and an appeal comes out ready for a person to okay.

Automated revenue cycle decisions for scalable growth

We build custom workflows around your operations, starting from your existing documentation (e.g., policies, past cases, SOPs) to performance benchmarks set by your team.

Denials and appeals

Andon reviews each denied claim against the clinical record and the payer’s policy. It recommends the next step, names the correction when the claim needs one, and drafts the appeal when one is needed.

A drug line is denied as not medically necessary. The claim turns out to carry the wrong diagnosis code, so the next step is a corrected claim, and a specialist reviews it before it goes out.

Prior authorization

Andon checks each new order against the payer’s authorization requirements and assembles the clinical packet.

A new order is checked against the payer’s requirements before the request goes in, and the missing document is found.

Have another workflow in mind?

In 30 minutes we’ll tell you whether Andon fits, how much value it can unlock for your business, and what it would take to go live.

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Questions from revenue cycle teams

Which revenue cycle workflows can Andon handle?

Andon handles revenue cycle work that follows an SOP and runs on documents, such as denials, appeals, and prior authorization. We build each workflow around your operations, starting from your existing SOPs, policies, and training guidelines.

Which systems does Andon work with?

During setup we connect each workflow to the documents and systems it needs. There isn’t a packaged connector for every clearinghouse, practice management system, or EHR. Payer portal automation is in development.

How is PHI handled?

We do not use your data to train models. When a workflow handles PHI, we sign a BAA with you and put BAAs in place with our model and infrastructure providers before any PHI reaches the platform.

What happens when a payer changes its policy?

We update the workflow, test it on past claims, and release it after you approve.

What do you need from us to start?

An operations lead, the SOP or guidelines for one queue, and 20 to 50 past cases, shared under a BAA or de-identified.

See how a workflow goes live