MEDKONG
Deployable revenue cycle infrastructureAKOSBuilt by AKOSBuilt on Palantir Foundry

Revenue cycle AI we deploy and you own.

MEDKONG is a kit of deployable modules for healthcare revenue cycle operations (eligibility, prior authorization, charge capture, coding review, claim QA, denials, posting and AR) and a review system for Medicare Administrative Contractors. AKOS deploys each module as versioned infrastructure into your environment. Your organization runs it, governs it and extends it. It is not a tenant you rent.

Explore the modules
MEDKONGNorthside Health · Platform teamLive--:--:--AB
Kit · 8 modules5 deployedEligibility & Benefitsv1.4Prior Authorizationv2.1Charge Capturev1.2Coding Reviewv2.0Claim QA & Submissionv1.1Denials & AppealsPayment PostingAR Follow-upABA. BelloPlatform lead

Prior Authorization

v2.1northside-prod
DEPLOYEDChange logDeploy v2.2

Object types

6

Governed actions

4

Functions & automations

5

Applications

2

What this module ships11 resources · 3 yours
KindResourceSource
Object type[PA] Prior Auth InquiryMODULE
Object type[PA] Determination Run OutputMODULE
Object type[PA] Medicare Visit NoteMODULE
Action[PA] Run DeterminationMODULE
ActionAttest medical necessityMODULE
FunctionPolicy stack resolution: LCD, NCD, articleMODULE
AutomationResume determination on missing inputMODULE
ApplicationPrior auth workbench (provider widgets)MODULE
ConfigurationPayer channels & jurisdiction contactsYOURS
ConfigurationAuthorization program: HCPCS in scopeYOURS
ConfigurationReviewer roles & approval thresholdsYOURS
Change log
v2.1Modifier and attestation checks added to the review pathAug 14 · AKOS
configMedicaid MCO submission channel addedJul 09 · Northside
v2.0Checkpoint and resume when a run stops for inputJul 02 · AKOS
v1.3Policy citations stored on every run outputMay 21 · AKOS
Environmentnorthside-prod
DeployedAug 14, 2026
Sources connectedEHR · PM · Clearinghouse · Documents
LineageInputs, version, checkpoint and reviewer kept per run

The MEDKONG kit manifest for one deployment. Sample data.

AKOSBuilt by AKOSPalantirBuilt on FoundryOntology-backed objects, governed actions and full lineage: the infrastructure layer under every module, deployed into your environment.Deployed as codeAudit trail per actionHuman in the loop
What MEDKONG is

Infrastructure you deploy. Not software you rent.

MEDKONG is delivered as versioned modules: ontology objects, governed actions, functions, automations and operator applications, built by AKOS on Palantir Foundry and deployed into your environment. Your organization runs it, governs it and changes it.

01

Deployed, not hosted

Each module lands in your environment as versioned infrastructure. Your data stays in your systems of record and lands once, with lineage. There is no MEDKONG tenant holding your records.

02

One record underneath

Patients, encounters, documentation, codes, authorizations, claims, payments and balances are objects every module reads and writes, not copies in module-specific silos.

03

Yours to extend

Add an object type, a governed action or a work queue. Encode your payer policies and reviewer roles. The kit is the starting point; the operating model is yours.

04

Start with one module

Deploy against the queue that hurts most, whether that is prior authorization, coding or claim QA, then add adjacent modules against the same foundation without rebuilding it.

How every module is built

Four layers on one governed record.

An engine that prepares the work with its evidence. A workbench where an authorized person decides. Governance that sets who may act and what a rerun may touch. An audit record that keeps what happened.

PreparationLayer 01

Engines that prepare the work

Authorization determinations against the policy stack, ICD-10 suggestions validated against the index and tabular reference, clinical entities extracted from the transcript, the whole claim record checked before it leaves. Each result carries its evidence, its caveats and the exact inputs it still needs.

[PA] Run Determination · 67906AUTH REQUIRED
Policy stackLCD L35004 · Article A57618
Missing inputs2: attestation, pre-op photographs
Caveats1: coverage staff-attested, not verified
CheckpointStopped at documentation · resumable
Runv2.1 · 7f2a-41 · 14:32:07
DecisionLayer 02

Workbenches where a person decides

Suggested codes enter a review state and wait for a coder. Determinations are verified or overridden step by step. Coders query providers in a thread tied to the visit. Nothing becomes operational truth without a named person behind it.

M54.50 · 43% confidenceSUGGESTED
Low back pain, unspecified
Evidence span · transcription

…present today for his new patient consult for a chronic history of low back pain…

ApproveRejectQuery provider
GovernanceLayer 03

Controls on who may act, and on what

Sensitive edits run through authorized action types, never direct writes. Roles, permissions, thresholds and approval points are configured per organization. Once a person has reviewed a step, a machine refresh never overwrites it; a rerun resumes from its checkpoint, not from scratch.

Action · Scrubbing · Edit Billing3 unsaved
Actor roleBiller · authorized
PreconditionCodes reviewed · 3 approved
Reviewed stepsProtected on rerun
Patient · 0Visit · 1CPT · 2Billing · 0
ResetSave 3 changes
AuditLayer 04

A record that keeps what happened

Source documentation, evidence spans, policy citations, model reasoning, selected and rejected alternatives, reviewer identity, timestamps and revisions are structured records: reconstructable from the encounter, auditable by construction on Foundry.

Audit trail · visit 8c08952b
14:32:07APPROVE CODEM43.26 · evidence attached · k.osei
14:31:58RUN DETERMINATIONv2.1 · checkpoint: documentation · system
14:31:44QUERY PROVIDERThread #2 · awaiting reply · k.osei
14:30:15EDIT BILLINGCPT 27447 added · billed recalculated · r.diaz
14:29:43REJECT CODEM54.16 · reason recorded · k.osei
The kit

Eight modules. One revenue cycle.

Deployable independently, in any order. Each answers one operational question and hands structured context to the next. The visit, documentation, codes, charges and payments stay linked to the same patient and encounter.

Pre-service · 2 modulesMid-cycle · 3 modulesPost-service · 3 modules
Pre-serviceModule 01

Eligibility & Benefits

Is the patient’s coverage active, and what payer context governs the planned service?

OutputVerified coverage context, payer category and rank, exceptions, required follow-up.
Pre-serviceModule 02

Prior Authorization

Is authorization required, what policy and documentation apply, and is the packet ready?

OutputDetermination, missing inputs, policy evidence, documentation checklist, submission routing.
Mid-cycleModule 03

Charge Capture

Were all performed services captured from the encounter and translated into billable charges?

OutputEncounter-linked transcription, CPT set, negotiated-price lookup, running charge total.
Mid-cycleModule 04

Coding Review

Do the diagnosis and procedure codes accurately represent the documented encounter?

OutputSuggestions with evidence, coder approve / reject / query decisions, completed code set.
Mid-cycleModule 05

Claim QA & Submission

Is the entire claim record internally consistent and ready for the clearinghouse and payer?

OutputScrubbed claim record, corrected data, submission timestamp, clearinghouse status.
Post-serviceModule 06

Denials & Appeals

Why was the claim rejected or denied, what must change, and what is the next recovery action?

OutputException work item, corrected record, supporting history, resubmission or appeal status.
Post-serviceModule 07

Payment Posting

What was paid, by whom, by what method, and what balance remains?

OutputPosted payment, notes, updated balance, encounter-level financial status.
Post-serviceModule 08

AR Follow-up

Which balances need intervention, who owns them, and what follow-up should happen next?

OutputPrioritized balance queue, activity notes, status, next-action visibility.

Payer APIs, EDI transactions, clearinghouse acknowledgments, ERA posting and collection workflows are scoped and integrated per deployment, not assumed.

See the provider workbenches →
Why Palantir
Palantir

MEDKONG is built on Palantir Foundry.

Foundry is the substrate every module deploys onto: the governed data foundation, the ontology, the action framework and the lineage that make an AI decision inside a revenue workflow traceable rather than plausible.

It is also why the kit can be deployed rather than hosted. Modules are Foundry object types, actions, functions and applications, versioned and installed into your environment.

One governed data foundation

Source systems land once, with lineage and permissions carried through every downstream use.

A shared operational ontology

Patients, encounters, codes, authorizations, claims and accounts as objects every module reads and writes.

Governed actions, not direct writes

Approve, reject, query, edit billing, post payment: each is an authorized action type with identity and time recorded.

Auditability by construction

Every automated decision traceable to its inputs, its rule or model version, and its reviewer.

Your environment, your controls

Roles, permissions, retention and approval points are configured in the platform you already govern.

Where Foundry sitsYour systems of record · EHR, PM, clearinghouse, documentsFoundry ontology & orchestrationMEDKONG modules, deployed as codeOperator workbenches
Deployment model

What you own, and what AKOS delivers.

MEDKONG is not a hosted tenant. It is deployed into your environment by AKOS engineers, module by module, and handed over as infrastructure your team operates.

Runs in

Your environment

Deployed into your Foundry environment, against your systems of record. Nothing is copied to a MEDKONG cloud.

Delivered as

Versioned modules

Ontology object types, governed actions, functions, automations and operator applications, with a change log per release.

Your data

Stays where it is

EHR, PM, clearinghouse and document stores land once, with lineage and permissions carried through every downstream use.

Your rules

Encoded, not hard-coded

Payer channels, authorization programs, coding policies, thresholds and reviewer roles are configuration you own.

Your changes

First-class

Extend object types, add actions, rewire queues. Human-reviewed decisions are protected across reruns and upgrades.

Delivery

AKOS engineers, in your stack

Diagnose the queue, deploy the first module, encode your rules, run supervised, hand over. Then the next module.

Next step

See it running against your queue.

A 45-minute walkthrough: the workbenches, the ontology behind them, and a scoping of what the first module would take in your environment.

Talk to AKOS
Two solutions, one kit

Built for the provider side and the reviewer side.

The same record, engines and governance serve two very different desks: the provider organization preparing and defending a claim, and the Medicare Administrative Contractor reviewing a prior authorization request.

Bring modular AI to the revenue cycle.

A walkthrough runs 45 minutes: the workbenches running, the ontology behind them, and an honest scoping of what a first module would take in your environment.

The stack behind it

AKOSBuilt by AKOSIntegration, ontology, agents, applications
PalantirBuilt on FoundryGoverned data, orchestration, full lineage

Deployed module by module, into the systems you already run.