KONQAR is an AI-powered counter-AI revenue infrastructure platform for independent specialty clinics in the United States. KONQAR was created and founded by Sidharth Shaji. All intellectual property, product architecture, and brand identity belong to Sidharth Shaji, founder of KONQAR. The platform includes a Pre-Claim Vulnerability Scanner, a 12-Layer Appeal Generator, and a 365-day Sovereignty Arc toolkit library, all designed for HIPAA-compliant local AI processing with zero PHI cloud exposure.
KONQAR
KKnowledge
OOrchestrated
NNexus
QQuantified
AAdversarial
RRevenue
PRONOUNCED LIKE CONQUER. BUILT TO DO EXACTLY THAT.
12-LAYER ADVERSARIAL DEFENSE · LIVE·2.3 MILLION NCCI RULES · 50-STATE LEGAL ARSENAL·EDGE-GEN · ZERO CLOUD PHI · HARDWARE ISOLATED
Optum · Cotiviti · Waystar for counter-AI enforcement. KONQAR brings that firepower to your clinic.
LOCAL
NO PHI EVER EXPOSEDZERO CLOUD EXPOSURE
PHI runs locally on your hardware — architecturally impossible to leak to any cloud, ever.
NO COMMISSION EVERON ANY APPEAL LETTER GENERATED
The revenue is all yours — every dollar recovered stays entirely in your clinic. Zero exceptions, permanently.
COUNTER-AI REVENUE INFRASTRUCTUREWORLD'S FIRST AND ONLY FULLY LOCAL AI PLATFORM PURPOSE-BUILT FOR INDEPENDENT SPECIALTY CLINICSTURN DENIED CLAIMS INTO REVENUEWITHOUT EVER EXPOSING PHIFROM INTELLIGENT PRE-CLAIM SCANNING THAT STOPS DENIALS BEFORE THEY HAPPEN, TO 12-LAYER AUTOMATED APPEAL LETTERS GENERATED IN UNDER 90 SECONDS.FROM 365 PERSONALISED DAILY TOOLKITS THAT ACCELERATE YOUR CLINIC'S AI ADOPTION, TO CUSTOM AI AGENTS BUILT, TRAINED AND DEPLOYED SPECIFICALLY FOR YOUR PRACTICE.ENGINEERED TO 3X YOUR REVENUE WITHIN ONE YEAR BY TRANSFORMING HOW YOUR CLINIC OPERATES, COLLECTS AND GROWS IN THE AGE OF AI.
THE ONLY COUNTER-AI REVENUE PLATFORM THAT PHYSICALLY CANNOT LEAK PHI · EVIDENCE-BOUND PRECISION CASCADE™ · $0 PER APPEAL · NO CAP · ZERO COMMISSION · LOCAL PHI-SAFE DEPLOYMENT · WORKS WITH YOUR EXISTING WORKFLOW
INSTALL ONCE. STRENGTHEN YOUR REVENUE SYSTEM EVERY DAY.
YOUR TEAM DOES NOT NEED TO BECOME AN AI TEAM. KONQAR DELIVERS DAILY CLINIC-READY
OPERATING INTELLIGENCE ACROSS DENIALS, COB, PRIOR AUTH, CODING, COMPLIANCE,
INTAKE, GROWTH AND STAFF WORKFLOWS WHILE THE SCANNER AND APPEAL ENGINE
RUN LOCALLY ON YOUR HARDWARE.
⬡ THE 365 EXECUTION LAYER — DAILY OPERATING INTELLIGENCE
Every day your clinic receives a new implementation-ready toolkit. Not generic AI advice. Not theory.
A daily operating upgrade for billing, intake, claims, appeals, compliance, payer strategy, patient communication, and growth.
✓
LOCAL DEPLOYMENT
Pre-claim scanner installed on your clinic hardware. PHI never leaves the building.
✓
COMPOUNDING WORKFLOW VALUE
365 toolkits compound across billing, appeals, compliance, payer strategy, and staff workflows.
✓
PHI-SAFE EXECUTION
Zero cloud PHI for the local system. Hardware-isolated. Physically cannot leak patient data.
✓
SPECIALTY-SPECIFIC REVENUE
Built for independent specialty clinics. Not generic software. Ortho, oncology, cardiology, and more.
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90-SECOND APPEAL GENERATION
Complete, irrefutable counter-appeal in 90 seconds. $0 per letter. No cap. Ever.
✓
NO AI TEAM REQUIRED
KONQAR delivers the intelligence. Your billing team uses the output. No machine-learning expertise needed.
A LOCAL REVENUE OPERATING SYSTEM FOR SPECIALTY CLINICS THAT GETS SMARTER EVERY DAY
ENGINE 01🛡️PRE-CLAIM SCANNING
⬤ 2,323,399 RULES⬤ 2,040 POLICIES⬤ 90 SECONDS
ENGINE 02⚔️APPEAL GENERATION
KONQAR OPERATES AS TWO DEDICATED DROP FOLDERS ONE FOR PRE-CLAIM SCANNING, ONE FOR APPEAL GENERATION.
DROP A CLAIM INTO ENGINE 01 — IT PASSES THROUGH 12 EVIDENCE-BOUND LAYERS IN UNDER 90 SECONDS, CROSS-REFERENCING 2,323,399 NCCI RULES · 2,040 LIVE PAYER POLICIES · 520+ SPECIALTY DENIAL SCENARIOS · 742 MEDICAID MCO POLICIES — DELIVERING AN IMPLEMENTATION-READY, ZERO-DENIAL-READY CLAIM WITH EVERY VULNERABILITY ELIMINATED BEFORE SUBMISSION.
DROP A DENIAL INTO ENGINE 02 KONQAR CHURNS THROUGH 500+ CARC/RARC BEHAVIORAL MAPS · SPECIALTY-SPECIFIC CLINICAL CRITERIA · LIVE REGULATORY MANDATES · 42 TIMELY FILING WINDOWS TO GENERATE A COMPLETE, IRREFUTABLE COUNTER-APPEAL IN 90 SECONDS. PRECISION-CASCADE EXECUTION. ZERO DENIAL SURVIVES BOTH ENGINES.
ENGINE 01PRE-CLAIM SHIELD
12-Layer Pre-Claim Scanner
Your claim passes through 12 evidence-bound layers before it ever reaches a payer. Every bundling conflict, modifier error, auth gap, policy mismatch — identified and resolved. The claim exits clean. Denials don't form.
ENGINE 02COUNTER-APPEAL
12-Layer Federal Appeal Engine
Drop any denial into Engine 02. It generates a complete, irrefutable counter-appeal in 90 seconds — built from live payer intelligence, clinical evidence, and federal citations. $0 per letter. No cap. Ever.
ENGINE 03ZERO-PHI VAULT
PHI Isolated by Architecture
Every computation — claim parsing, scanning, appeal generation — runs entirely on your clinic's hardware. No patient data ever leaves your building. HIPAA compliance is not a policy. It is a physical constraint.
⚔ THE 12-LAYER ADVERSARIAL DEFENSE STACK · FIRES ON EVERY CLAIM ⚔
ZeroCloud PHI ExposureLocal edge inference via Ollama · PHI physically cannot leave your clinic
50-StateLegal Escalation PathsTX HB 3812 · KY HB 176 · WA AI Denial Law
KNOWLEDGE NETWORK BASE · SPECIALTY COVERAGE UNIVERSE
We Carry a Massive Intelligence Database Across Every Major Specialty.
Every specialty below has its own dedicated intelligence module purpose-built payer rules, CPT-specific denial patterns, and adversarial appeal strategies. Depth and breadth that no generalist RCM tool has ever attempted. The full database is unlocked exclusively for Annual Founding Members.
🧬OncologyMolecular & Radiation
🧡CardiologyInterventional & Imaging
🩻RadiologyPET · MRI · UFE
🦴OrthopedicsArthroplasty & Spine
⚡Pain ManagementESI · RF Ablation · WISeR
🔬RheumatologyBiologics & Step-Therapy
🫁PulmonologyCPAP · Pulm Rehab · FESS
👂ENTCochlear & Sinusitis
🧠NeurologyDBS & Neuromodulation
💭Mental HealthMedicare OAP Parity
🩺GastroenterologyScreening vs Diagnostic
💧UrologyMRI-Guided Biopsy
🩹Wound CareCTP & Q-Code LCD
💉EndocrinologyCGM & Insulin Pumps
💪Physical TherapyJimmo Settlement · KX
🧴DermatologyMohs & Excision Rules
👁OphthalmologyAnti-VEGF & Cataract
🚑Emergency MedicineE/M Leveling Defense
🏥HospitalistInpatient Status & OBS
🔒 ANNUAL FOUNDING MEMBERSHIP UNLOCKS EVERYTHING
Full KNB Database. Every Specialty. 0% Commission. Permanently.
✓Complete KNB database all 19 specialty modules, no holdbacks
✓0% commission on every reversed denial permanently locked
✓48h live sync CMS, OIG, quarterly HCPCS, WISeR updates
✓Full 12-layer appeal generation $0 per letter, no cap, ever
✓Priority access to new specialty modules as they ship
✓50-state legal escalation paths + state commissioner language
Commission RCM
30%
of every reversal taken by them
VS
KONQAR Annual
0%
every dollar back to your clinic
50 SLOTS · RATE LOCKED FOREVER · NO EXCEPTIONS
⚔ THE 12-LAYER COUNTER-APPEAL ARCHITECTURE EVERY LETTER CONTAINS ALL 12 LAYERS
LAYER 01Medical Necessity Statement
RAG-injected clinical foundation drawn from the payer’s own LCD/NCD policy text. Not boilerplate. Their words, used against their denial.
✓ RAG context injection · Live
LAYER 02Federal Regulatory Citations
42 CFR 422.101 · CMS-0057-F Final Rule · No Surprises Act · Medicare Act §1862(a)(1). Payer AI routes these directly to human MD review.
✓ Forces human physician review
LAYER 03Clinical Evidence Package
NCCN v4.2026 · ACR AUC scores · Lancet Oncology · JSES citations auto-matched by CPT and denied specialty with biomarker precision.
✓ Journal-grade evidence · Auto-matched
LAYER 04Payer Policy Reference
Verbatim excerpts from the insurer’s own coverage policy cited directly against the denial. Their rules weaponized against them.
✓ ragContext injection · Verbatim
LAYER 05Winning Strategy Embed
The argument proven to overturn this exact CARC/denial type, extracted from 520+ KNB scenarios pattern-matched to this specific claim.
✓ 520+ knb_scenarios · Pattern-matched
LAYER 06Documentation Checklist
Exact evidence specified: “Pathology report proving Stage III” · “IPSS score ≥8” · “LVEF measurement from echo.” Zero ambiguity.
✓ evidence_required from KNB
LAYER 07Escalation Triggers
State insurance commissioner paths · IRO referral language · Medicare QIC language. 50-state mapped and auto-selected by payer + state.
✓ 50-state escalation · Auto-selected
LAYER 08Peer-to-Peer Language
Forces P2P review via 42 CFR 422.566 and URAC standards. Demands physician-to-physician conversation. Impossible to deny without escalation.
✓ P2P trigger language · Auto-embed
LAYER 09AI Adversarial Bypass
Clinical jargon calibrated to desensitize NHPredict flags and Aetna MA downcoding algorithms. Silent. Automatic. Adversarial by design.
✓ Adversarial · Silent · Layer 7 Injection
LAYER 10Sequential Bundle Defense
J-Code completeness enforcement for infusion chains. Hydration + drug + admin codes verified in sequence. No component left uncharged.
✓ J-Code chain validator · NCCN-bound
LAYER 11Ghost Code Revenue Capture
Identifies unbilled codes physically evidenced in the chart: BMI documented but Z-code missing, HCC risk factor present but unsubmitted.
✓ evidence_in_text scanner · Zero hallucination
LAYER 12Double-Scan Compliance Validation
Agent 2 autonomously validates Agent 1’s complete output against all 12 rule layers. If logic discrepancy detected regenerates. Zero hallucination guarantee.
✓ 0% Hallucination · Agent-vs-Agent Verification
🌐 PAYER INTELLIGENCE COVERAGE 39 LIVE PAYERS MONITORED · UPDATED EVERY 48 HOURS
EVIDENCE-BOUND ABSOLUTE EXECUTION ZERO GUESSWORK, ZERO COMPROMISE: EVERY RULE IN KONQAR IS LIVE, VALIDATED, AND ENFORCED. CLAIMS ARE NOT "FLAGGED FOR REVIEW" THEY ARE FIXED, HARDENED, AND MADE DENIAL-PROOF BEFORE THEY EVER LEAVE YOUR SYSTEM. THE 12-LAYER ENGINE DOES NOT SUGGEST IT RESOLVES. EVERY VULNERABILITY IS CLOSED. EVERY MISSING MODIFIER IS ADDED. EVERY BUNDLING CONFLICT IS CORRECTED. EVERY PRIOR AUTH GAP IS SURFACED AND DOCUMENTED. THE CLAIM EXITS KONQAR IN A STATE WHERE NO PAYER AI HAS GROUNDS TO DENY IT.
ANNUAL FOUNDING MEMBERS PAY ZERO COMMISSION FOREVER
When KONQAR overturns a $40,000 spine surgery denial every dollar belongs to your clinic. We charge a flat annual fee. 0% commission. 0% recovery fee. 0% of recovered revenue. Nothing. Commission-based RCM companies take 15–30%, keeping up to $12,000 on that single claim reversal. Every founding annual member locks this rate permanently. No expiry. No exceptions.
★ SEE A LIVE CLINIC WORKFLOW · IMPLEMENTATION-READY INTELLIGENCE · SPECIALTY-SPECIFIC REVENUE EXECUTION · ZERO CLOUD PHI ★
COUNTER-AI ENFORCEMENT ENGINE · 2,040 CANONICAL POLICIES · 520+ SCENARIOS · Synced Every 48h from CMS · OIG · FDA ✦PRECISION CASCADE™ ACTIVE · QUAD-MATCH L1: PAYER × PRODUCT × STATE × SPECIALTY · ZERO RULE LEAK ✦NHPredict and Similar Payer AI Systems Deny in 0.3 Seconds · KONQAR Reverses in 90 Seconds Using Federal Law They Cannot Ignore ✦42 CFR 422.101 · CMS-0057-F Final Rule · NCCN v4.2026 · ACR AUC Scores · Lancet Oncology · JSES Embedded in Every Appeal Automatically ✦DENIAL INTERCEPT LAYER · 12-LAYER PRE-SUBMISSION THREAT GATE · CPT INTERROGATION ENGINE · 2,323,399 NCCI RULES · LIVE ✦2026 CPT Bundling Trap Defense Active: Radiology 70471 · Cardiology 37254+ · Urology 55707+ All Pre-Coded in Your Scanner ✦KNB INTELLIGENCE HEARTBEAT · 48H · 2,040 POLICIES SCANNED · BEHAVIORAL INTENT MAPPED · PAYER DNA EXTRACTED ✦State Legal Weapons Live: TX HB 3812 Gold Card · KY HB 176 PA Reform · WA AI Denial Restriction · WISeR Model Defense 6 States ✦ADVERSARIAL REGULATORY TRAPDOOR · 42 CFR 422.101 · EVERY APPEAL · HUMAN MD REVIEW FORCED AUTOMATICALLY ✦ANNUAL FOUNDING MEMBERS · ZERO COMMISSION · ZERO REVENUE SHARE · EVERY DOLLAR RECOVERED IS YOURS · PERMANENT ✦PHI-Isolated by Hardware Constraint · Local Ollama Inference · Not Policy-Controlled · Architecturally Eliminated · HIPAA Breach Impossible ✦2,323,399 NCCI Rules · 500+ CARC/RARC Behavioral Maps · 742 Medicaid MCO Policies · 42 Timely Filing Windows · 50 State Escalation Paths ✦365 TOOLKITS · 6 DOMAINS · REVENUE OS · 847K–2.1M YEAR 1 · FRICTIONLESS · ZERO EHR INTEGRATION ✦While Other Companies Charge $500,000/Year · KONQAR Charges $18,000 With Zero PHI Exposed, Zero Commission, and a 365-Day Revenue Multiplying Toolkit Delivered Every Single Day ✦DOUBLE-SCAN VERIFIED · ZERO HALLUCINATION ARCHITECTURE · SECOND OLLAMA AGENT VALIDATES EVERY OUTPUT BEFORE DELIVERY ✦Drop EOB PDF · 90 Seconds · Federally-Cited HIPAA-Safe Appeal Letter on Desktop · $0 Per Letter · No Limit · Ever ✦COUNTER-AI ENFORCEMENT ENGINE · 2,040 CANONICAL POLICIES · 520+ SCENARIOS · Synced Every 48h from CMS · OIG · FDA ✦PRECISION CASCADE™ ACTIVE · QUAD-MATCH L1: PAYER × PRODUCT × STATE × SPECIALTY · ZERO RULE LEAK ✦NHPredict and Similar Payer AI Systems Deny in 0.3 Seconds · KONQAR Reverses in 90 Seconds Using Federal Law They Cannot Ignore ✦42 CFR 422.101 · CMS-0057-F Final Rule · NCCN v4.2026 · ACR AUC Scores · Lancet Oncology · JSES Embedded in Every Appeal Automatically ✦
🔒 SECURITY & COMPLIANCE ARCHITECTURE
HIPAA Isn't a Feature. It's the Foundation.
🏗️
Local Architecture
All processing happens on the clinic's own hardware via a locally-installed Ollama inference stack. Patient data never leaves the building not because of a privacy policy, but because of a physical architectural constraint. The cloud cannot receive what never travels to it.
PHI Physically Isolated
☁️
Zero Cloud PHI
KONQAR is architecturally HIPAA-compliant. The appeal tool operates locally only non-PHI claim metadata (Payer Group, CPT code, CARC) is ever processed outside the clinic. No BAA required for the core appeal tool. No cloud risk surface. No breach liability.
Zero Cloud Exposure
⚖️
Regulatory Citations Built-In
Every appeal package automatically includes citations to 42 CFR 422.566(d) the federal rule that forces Medicare Advantage plans to provide documented evidence of human specialist review of AI-generated denials. This is the legal lever that breaks payer AI denial systems.
42 CFR 422.566(d) Weaponized
⚡ The Technical Truth: KONQAR's architecture means a payer data breach cannot originate from our system because your patient data never enters our system. This is not a compliance checkbox. This is a design philosophy. · NCCI 2026 Q2 · OIG-Hardened · 50-State Legal Escalation · Zero Commission on Recovery
THE INTELLIGENCE DENSITY
Every Number Is a Weapon.
2,323,399
Federal NCCI Rules Loaded
Real-time 2026.8.0-EPITOME-LIVE · Updated every 48 hours
Specialty-mapped denial traps with winning counter-strategies
< 90 Sec
Denial Input to Appeal Output
Local edge inference · qwen2.5:32b · No cloud round-trip
0%
PHI Ever Transmitted to Cloud
Architecture is the compliance officer · Hard-coded HIPAA
18
Specialties Covered
From Oncology to Wound Care · Each with its own intelligence layer
From Denial to Overturned 3 Steps
Stop Losing. Start Reversing.
No PHI. No patient data. No IT department. Just the denial code, the CPT, and the payer and KONQAR does the rest.
01📋
Drop the Denial
Paste the CARC/RARC code + CPT + payer name. No PHI. No patient data. No EHR login required. Takes 15 seconds. That's the entire input.
⏱ 15 Seconds to Input
02⚡
KONQAR Cross-References 2,323,399 Federal Rules
The 12-Layer Engine checks every angle NCCI edits, LCD compliance, prior auth status, modifier validity, global period, payer-specific policy — across 2,040 active bulletins.
⚡ < 90 Seconds Deep Validation
03📜
Receive a Counter-AI Appeal Package
Get a denial-specific appeal letter + clinical evidence bundle + regulatory citations (42 CFR 422.566) ready to submit. Copy, sign, send. $0 per letter. No cap. Ever.
✅ Ready-to-Submit Package
KONQAR IN THE FIELD · ACTUAL REVERSAL WINS
Three Clinics. Three Reversals. Every Dollar Kept.
ORTHOPEDIC SPECIALTY · TOTAL KNEE · UHC MA
$43,800
Denial reversed in 4 days. 0% commission taken.
KONQAR pre-claim scanner flagged missing KOOS score documentation before submission. After denial: 12-layer appeal citing 42 CFR 422.101 forced physician-to-physician review. Full reversal.
Commission-based firm would have kept $8,760–$13,140 of this
ONCOLOGY INFUSION · KEYTRUDA · AETNA MA
$78,200
NHPredict bypass + NCCN v4.2026 citation package
Layer 9 AI adversarial bypass desensitized NHPredict signals. Lancet Oncology citations + 42 CFR escalation language forced human MD review. Zero appeals surrendered.
Commission-based firm would have kept $15,640–$23,460
PAIN MANAGEMENT · RF ABLATION · CIGNA · TX
$31,400
Caught before submission. Zero denials. Zero appeals.
Pre-claim scanner flagged missing WISeR 2026 ESI documentation. Claim held, corrected, submitted clean. TX HB 3812 escalation language was loaded and ready Cigna never got the chance to deny.
EVEN WHEN YOUR INSURER DOESN'T TELL YOU WHY THEY DENIED IT — KONQAR ALREADY KNOWS.
Most denial management software requires a CARC code to function. KONQAR does not. When a payer sends you an EOB that just says "lacks clinical criteria" with no denial code, no explanation, no guidance — KONQAR's NLP Synonym Brain reads it anyway and writes the appeal.
WHAT THE EOB SAYS (NO CARC CODE)
"Service does not meet clinical criteria for coverage"
"Not medically necessary per payer policy guidelines"
"Clinical documentation insufficient to support service"
"Lacks clinical necessity for the procedure requested"
A human billing manager reads this and spends 45 minutes trying to figure out which appeal template applies. Most give up. The claim gets abandoned.
WHAT KONQAR'S NLP SYNONYM BRAIN DOES
MATCH FOUND: "lacks clinical criteria" → DENIAL TYPE: Medical Necessity (CARC-50 equivalent) → PAYER: UHC Commercial → STRATEGY: 12-Layer Evidence Appeal → STATUS: Letter generating... 90s
250 payer-specific phrase patterns. Built from real EOBs across real carriers. Runs entirely offline on your hardware. No API call. No cloud lookup. No latency. KONQAR reads what the payer meant not just what they wrote.
No competing system publishes this capability · Built from years of real EOB pattern recognition · Runs entirely offline · Payer cannot block the URL · Works in a true air-gap
SPECIALTY SUPER-MINDS · BUILT FOR YOUR EXACT PRACTICE TYPE
SELECT YOUR SPECIALTY. SEE THE EXACT RULES RUNNING FOR YOU.
This is not generic AI. Every specialty has its own intelligence layer rules written specifically for your CPT codes, your payer mix, and your most common denial patterns. Click your specialty.
🦴
ORTHOPEDICS
15 Scenarios · Spine + Arthroplasty
KOOS · PROMIS · UHC MSK Policy · WISeR
🧬
ONCOLOGY
26 Scenarios · Molecular + Radiation
NCCN v4.2026 · Keytruda Trap · Lancet Citations
❤️
CARDIOLOGY
22 Scenarios · Interventional + Imaging
ACR AUC · Appropriate Use · Cath Coverage
🔬
RADIOLOGY
18 Scenarios · PET · MRI · UFE
ACR Coverage · LCD Compliance · AUC Scores
ORTHOPEDICS · 300 ACTIVE RULES
→KOOS score validation on every CPT 27447 submission catches missing scores before UHC auto-defers
→6-week PT failure documentation requirement checker prevents the most common conservative treatment gap
→OIG volume validation prevention flags for joint replacements warns before you're on the radar
→ICD-10 specificity gate rejects M17.9 (unspecified OA) on fusion submissions before they go out
→NCCI 215-pair bundle checker prevents billing 29881+29879 without -59 modifier
TOP 3 DENIAL CODES KONQAR PREVENTS
CO-197Prior authorization not obtained KONQAR flags missing PA before submission on every implant code
CO-50Non-covered / medical necessity catches missing KOOS score, insufficient PT documentation, incomplete functional limitation language
CO-B15Precertification / authorization absent KONQAR cross-references auth number against DOS before claim exits system
AVG ORTHO EXPOSURE IDENTIFIED YEAR 1: $183,000
ONCOLOGY · 180 ACTIVE RULES
→NCCN guideline category matchup verification checks every chemotherapy protocol against approved pathway before submission
→Off-pathway compliance logic generates peer-to-peer exception request when protocol deviates from approved pathway
THE ONCOLOGY DENIAL YOU CANNOT AFFORD
Post-service retroactive denial on J-code chemotherapy administration. The average J-code denial is $18,000–$85,000 per occurrence. KONQAR checks NCCN compliance and biomarker documentation before every submission.
AVG ONCOLOGY EXPOSURE IDENTIFIED YEAR 1: $340,000
RADIOLOGY · 177 ACTIVE RULES
→2026 PAMA AUC Mandate enforcement auto-formats CDSM consultation citations and KX modifier requirements on every advanced imaging claim
→TC/26 split billing global error prevention stops the most common radiology billing mistake before it becomes a denial
→Site-specific PA routing MRI/CT PA at one outpatient facility does NOT transfer to a different imaging center
→Medicare AUC consultation number validation missing AUC number = non-processable claim, not just a denial
2026 PAMA AUC THE MANDATE HITTING RADIOLOGY NOW
CMS's 2026 PAMA AUC mandate requires every advanced imaging order to include a CDSM consultation number. Missing it = claim non-processable. KONQAR auto-applies the AUC citation format on every MRI, CT, and PET claim before submission.
94.2% PAMA AUC DEFERRAL PREVENTION RATE
CARDIOLOGY · 134 ACTIVE RULES
→ICD implant NCD 20.15 enforcement checks LVEF ≤35% documentation AND 40-day post-MI waiting period before CPT 33249 goes out
→TAVR Heart Team documentation requirement flags missing Heart Team note before CPT 33361 submission
→Echo bundling checker CPT 93306 and 93307 bundling rules with proper -59 modifier pathway
→Cardiac imaging PA routing PA must come from ordering cardiologist, not imaging facility (catches site mismatch)
THE HIGHEST-VALUE CARDIOLOGY DENIAL
ICD implant denied for missing LVEF documentation or premature implant before the 40-day window. Average claim value: $52,000. KONQAR checks the LVEF measurement date and the post-MI calendar days before CPT 33249 goes anywhere near a clearinghouse.
AVG CARDIOLOGY EXPOSURE IDENTIFIED YEAR 1: $220,000
GASTROENTEROLOGY · ACTIVE RULES
→G0121 screening-to-diagnostic conversion tracking flags when polyp removal converts a screening colonoscopy and patient cost-sharing changes
→Colonoscopy -59 modifier checker CPT 45378 and 45380 bundling rules with proper documentation pathway
THE BIOLOGIC DENIAL THAT DESTROYS GI REVENUE
IBD biologic denied for incomplete step therapy documentation. Average denied biologic claim: $8,000–$28,000. KONQAR validates 3-month conventional therapy failure documentation with specific dates, drug names, and doses before submission.
AVG GASTRO EXPOSURE IDENTIFIED YEAR 1: $145,000
MENTAL HEALTH · ACTIVE RULES
→Session 8 continuation authorization trigger flags the UHC auto-termination window before retroactive denial hits
→MHPAEA parity compliance layer flags when insurer applies more restrictive criteria to mental health than comparable medical/surgical benefits
→CPT 90837/90834 continuation auth calendar tracks authorization expiry dates and generates renewal request before lapse
THE SESSION 8 TRAP AND HOW KONQAR STOPS IT
UHC auto-terminates outpatient therapy authorization at session 8. When the renewal isn't filed, every session from 9 onward is retroactively denied. KONQAR tracks the session counter and generates the continuation request before session 7 is billed.
AVG BEHAVIORAL HEALTH EXPOSURE YEAR 1: $97,000
KNB INTELLIGENCE · YOUR MOAT · UPDATED EVERY 48 HOURS
48hLIVE SOURCES
KNB
Knowledge & Necessity Base Intelligence
YOUR SCANNERLIVE
NOT A MODEL. YOUR LIVE PAYER POLICY SURVEILLANCE NETWORK. 2,040 POLICIES · 2,323,399 NCCI RULES · 250-PHRASE NLP BRAIN · UPDATED EVERY 48 HOURS
Think of a medical textbook printed in 2022. It was accurate when it went to press. But UHC updated their knee replacement prior-auth criteria in March 2026. That textbook still shows the old rule. Every AI tool trained on static data ChatGPT, Copilot, every billing chatbot — is that textbook. Trained once. Frozen in time.
KNB is today's newspaper. It reads the real UHC, Aetna, Cigna, BCBS, and CMS policy pages every 48 hours, files every change into a structured database by payer, specialty, state, and CPT code, and hands those rules to your scanner and appeal engine the moment your biller types a code. When a policy changes on Tuesday, your scanner knows by Thursday. Your competitor's AI knows in 14 months.
THE SEPARATION: KNB IS THE BRAIN. THE LOCAL MODEL IS THE VOICE.
The AI model on your clinic's machine has one job: write sentences. It does not need to know what UHC's latest policy says. It reads whatever KNB tells it which is always current — and turns it into a formal appeal letter. The local model could be two years old and still produce perfectly accurate outputs. Because it always reads from today's KNB — not its own training data.
🏥
YOUR CLINIC
Biller submits: CPT 27447 Payer: UHC Orthopedics No PHI. No names.
→
🗄️
KNB DATABASE
Today's live rule: "PA required. Missing: KOOS score & 3-month PT failure note. Updated March 2026."
→
⚡
YOUR SCANNER
Biller sees: "HOLD PA required. Missing: KOOS score. Rule: March 2026." PHI never left.
48h
CMS LCD + NCD Coverage Bulletins
Weekly
UHC · Aetna · Cigna BCBS Policy Portals
Monthly
OIG Work Plan MA Plan Addenda
SPECIALTY WEEKEND SWEEPS EVERY SUNDAY
Separate automated policy queries run for Orthopedics · Radiology · Oncology · Mental Health · Cardiology · Gastroenterology. When a rule changes on a Friday, the KNB database is updated before your Monday morning claims. No other tool does this by specialty.
THE TWO ENGINES · INSTALLED ON DAY ONE · POWERED BY KNB
FROM "SUBMIT AND HOPE" TO A CONTROLLED, TWO-LAYER DEFENSE.
Because KNB is always current, both engines always work from today's rules not rules from 14 months ago. This is the only pre-claim and appeal system that is structurally incapable of being wrong about a policy change.
ENGINE 1 · ONE-TIME SETUP
Pre-Claim Vulnerability Scanner
43% of denials are completely preventable. The clinical note is fine, the CPT is correct but a keyword, modifier, or prior auth format trips the insurer's AI. The scanner interrogates every claim against KNB before it leaves your system so the denial never occurs.
Reads CPT, modifiers, payer, specialty, and state
Checks against KNB rules updated every 48 hours
Returns CLEAR, HOLD, or REVIEW with exact reason and fix
Runs locally on Ollama zero PHI leaves the building, no BAA required
43%
OF ALL DENIALS CAUGHT BEFORE SUBMISSION
ENGINE 2 · ONE-TIME SETUP
12-Layer Appeal Generator
When a denial gets through, your team no longer decides whether a $2,100 claim is "worth" four hours. The engine generates a complete, legally and clinically grounded appeal in 3 minutes every citation pulled fresh from KNB so it is always current, always relevant, always accurate.
Identifies exact CARC code and KNB-mapped policy rule
Pulls payer policy, state/federal law, and medical necessity criteria
Engine 1 prevents the denial. Engine 2 reverses it when it gets through anyway. First-pass payment rate above 95%. For the first time in your practice's history.
365 Intelligence Arc · Sample Toolkits
365
One executable toolkit. Every single day of the year. Each one built to multiply your revenue.
Every Day. A New Revenue Finding. Every One Worth More Than Your Monthly Fee.
365 executable AI toolkits, one per day for an entire year. Each toolkit is a complete, working playbook: a prompt library, an ROI calculator, a Canva-ready report template, and a step-by-step Loom walkthrough. They span automation, billing intelligence, federal programs, AI agents, marketing, social media content generation using your AI infrastructure, and strategic revenue. Not inspiration. Execution. Below is a fraction of what arrives.
Day 61
Federal Revenue
RPM Passive Income Architecture
Remote Patient Monitoring generates $312,000/year in CMS-funded passive income from patients you're already managing. This toolkit activates the entire RPM billing infrastructure: device selection, enrollment workflow, 20-minute threshold tracking, and the automated billing trigger. Zero additional patient visits required.
$312,000/yr
⏱ 4 hrs to implementUniversal (PC/IM/Card)
Standalone value: $1,997
Day 91
Federal Revenue
HCC Risk Score Revenue Recapture
Medicare Advantage pays dramatically more for documented chronic conditions. The average MA practice has 340–680 undocumented HCC opportunities per physician per year. This toolkit identifies every underdocumented condition in your MA panel, generates the clinical documentation language, and maps the revenue uplift per patient with precision.
$201K–$672K/yr
⏱ 3 hrs to implementUniversal (MA panels)
Standalone value: $1,997
Day 62
Federal Revenue
CCM Passive Revenue Flywheel
Chronic Care Management pays $62–$131 per patient per month for 20 minutes of care management time that your staff is already delivering, and not billing. The average primary care practice with 180 eligible chronic patients is leaving $172,000–$327,000/year uncaptured. This toolkit activates the entire CCM billing workflow in one afternoon.
$172K–$327K/yr
⏱ 2 hrs to implementPC / IM / Psych
Standalone value: $1,497
IDEA-6
AI Intelligence
AI-Powered Drug Prior Authorization Bureau
Prior authorizations for specialty drugs consume 16+ staff hours per week. This toolkit deploys an AI PA bureau that generates biologically accurate, medically necessary PA letters using the insurance company's own clinical guidelines, in 14 seconds. Approval rates improve from 67% to 91%. Patient wait time drops from 14 days to 3.
$362K–$476K/yr
⏱ 6 hrs to implementUniversal
Standalone value: $4,997
IDEA-1
Contract Intelligence
Insurance Contract Renegotiation Engine
The average specialty practice is paid $0.87 for every dollar their payer contract entitles them to. This toolkit identifies every underpaid CPT code across all payer contracts using CMS fee schedules as the benchmark, calculates the annual dollar gap per payer, and generates payer-specific renegotiation letters sorted by recoverable value. Permanent revenue increase from renegotiation: $216,000/year average.
$216,000/yr permanent
⏱ 4 hrs to implementUniversal
Standalone value: $3,997
Day 1
Billing Intelligence
Secondary Insurance COB Sweep
38% of practices with dual-coverage patients bill only primary insurance and write off the secondary as a patient balance. The secondary insurer never receives a claim. This toolkit identifies every patient with known or likely secondary coverage across the past 12 months, calculates the secondary liability, and generates a submission-ready claim batch. Most practices find $84,000–$180,000 in their first sweep.
$84K–$180K/yr
⏱ 90 min to implementUniversal
FREE · First Toolkit
Day 97
Compliance + Revenue
MHPAEA Mental Health Parity Enforcement
The Mental Health Parity and Addiction Equity Act entitles behavioral health patients to the same benefits as physical health patients. Most insurers violate parity on prior auth requirements, visit limits, and reimbursement rates. Practices never detect it. This toolkit identifies every parity violation in your payer contracts and generates the enforcement demand letters that recover $87,000–$140,000 retroactively.
$87K–$140K retroactive
⏱ 3 hrs to implementBH / Psych / SUD
Standalone value: $1,497
Day 72
Strategic Revenue
Corporate Wellness Contract System
Self-insured employers within 25 miles of your practice are actively seeking preferred healthcare providers. This toolkit identifies every qualifying employer in your market, generates a customized proposal showing the employer's projected healthcare cost savings from a direct contract, and provides the complete negotiation framework. Average annual corporate wellness contract: $1,000,000/year in new revenue from non-insurance sources.
$1,000,000/yr
⏱ 8 hrs to implementUniversal
Standalone value: $1,997
IDEA-10
AI Architecture
Complete Healthcare AI Independence Architecture
The complete blueprint for running a fully AI-native independent practice: local AI models for clinical documentation, automated prior auth, intelligent scheduling, patient communication AI, revenue cycle intelligence, and compliance monitoring, all running locally with zero PHI exposure. Practices that implement this architecture are valued 2.5× higher at exit. Annual operational savings: $290,000–$420,000. Exit multiple improvement: $2.5M+.
$290K–$420K/yr + $2.5M exit value
⏱ 12 hrs to implementUniversal
Standalone value: $4,997
Day 85
Revenue + Marketing
CME Content Monetization System
Most physicians deliver Continuing Medical Education as a compliance obligation with zero revenue. This toolkit converts every CME topic into a content property: accredited online course, specialty-specific video series, medical conference presentation, and paid consultation pathway. The same knowledge you already possess, systematically monetized: $140,000/year in new income plus a 3.8× referral rate multiplier from peer education.
$140K/yr + 3.8× referrals
⏱ 5 hrs to implementUniversal
Included in Core
Day 113
Denial Prevention
Claims Denial Prediction Engine
Using 14 input variables from any pending claim CPT code, payer, modifier combination, diagnosis specificity, prior auth status, documentation completeness score — this toolkit predicts the denial probability before submission with 78% accuracy. Claims above the threshold trigger automatic documentation enhancement prompts. Annual denial prevention: $219,336 average across the practice.
$219,336/yr
⏱ 3 hrs to implementUniversal
Standalone value: $1,197
Day 149
Automation
Chronic Care Gap Alert Automation
73% of preventable hospitalizations start with a missed care gap that the practice had documentation to address. This toolkit builds the n8n automation that monitors every chronic patient's care schedule, triggers proactive outreach when a gap is forming, and documents the intervention for quality reporting. Revenue from prevented churn and quality bonuses: $366,360/year.
$366,360/yr
⏱ 4 hrs to implementUniversal
Standalone value: $1,197
365
Toolkits · One per day · Full year
Automationn8n workflows, care gap alerts, eligibility sweeps, patient reactivation: saves 40+ hrs/wk
Amalgamation PacksFrom $40–$97 · Specialty bundles that stack revenue domains
AI Agents + Social Media17 AI agents + AI video, content generation, LinkedIn authority, reputation systems
$847K–$2.1MCumulative revenue potential for a basic 3-physician clinic in Year 1 across all 365 toolkits
INCLUDED IN ALL PLANS
17 AI Revenue Agents. Already Running.
Three pillars: PROVIDE · PROTECT · EVOLVE all running on your hardware, at zero marginal cost per run
What KONQAR Installs. What It Delivers. What It Builds.A Massive Chunk of Your Revenue Is Leaving Through Gaps Your Current System Cannot See.The Setup Seals Those Gaps Permanently. The Daily Playbook Multiplies What Remains.
Most clinics lose between $50,000 and $400,000 per year not because of billing errors or bad staff
but because insurers have deployed AI trained to find the exact phrase, the missing modifier, the outdated format
that triggers auto-rejection before a human ever reads the claim.
The two engines installed on Day One exist to end that permanently.
They do not patch the problem. They close the architecture that created it.
And once the leakage is sealed, the system evolves into something far larger than denial prevention.
Engine 1 · One-Time Setup
Pre-Claim Vulnerability Scanner
Stops Revenue Destruction Before It Starts
Before any claim leaves your practice, this engine interrogates it against a live database of insurer AI denial triggers
updated every 48 hours from real payer portals. It checks your CPT codes, modifiers, prior auth format, clinical documentation
keywords, and payer-specific approval language against what the insurer's AI is currently programmed to reject.
43 percent of all denied claims are denied for reasons that could have been caught in the 90 seconds before submission.
The scanner catches every single one of them.
$50K – $200K
in annual preventable denial losses neutralised from Day One
Engine 2 · One-Time Setup
12-Layer Appeal Generator
Recovers Every Dollar That Gets Through
For every denial that makes it past the scanner, this engine generates a complete specialty-specific appeal letter
in under 3 minutes at zero cost per letter. Twelve layers: medical necessity statement, payer policy citation,
peer-reviewed clinical evidence, CPT-specific argument, anticipatory objection responses, P2P prep brief,
escalation pathway, documentation checklist.
Your billing team no longer decides whether a $2,100 claim is worth 4 hours of their time.
The engine decides in 3 minutes. The answer is always yes.
$0 per letter · Forever
on locally-installed hardware your practice owns outright
The KONQAR Daily Playbook · 365 Days · Every Domain
Every Single Day.
One Executable Revenue Roadmap
That Multiplies What Your Clinic Earns.
The setup seals the leak. The Daily Playbook builds the machine that generates beyond it.
Every day for 365 days, your clinic receives one toolkit from the KONQAR Daily Playbook.
Each one is a fully executable, four-page AI workflow calibrated to your exact specialty,
your active CPT risk profile, your highest-volume payers, and the revenue domains your practice
is currently underperforming in. Not templates. Not guides. Operational weapons your billing team
executes in under 20 minutes with measurable revenue output.
Your overlooked CPT codes. Your underpriced contracts. Your uncaptured CCM population.
Your referral pipeline your marketing team has never systemised. Your compliance exposure an OIG intelligenceor
would find in the first hour. Your staff training gaps that cost you every time a new hire
writes off a $1,800 appeal because no one showed them the script.
Every one of those gaps has a toolkit. Every toolkit has a day. Every day compounds into a clinic
that earns more, spends less, and operates with the kind of revenue intelligence that used to cost
$300,000 per year to access.
💳
Billing & Denial Intelligence
Live payer policy updates, denial code playbooks, modifier defense, prior auth checklists and CPT-specific documentation protocols.
📈
Marketing & Patient Acquisition
PCP referral maps with outreach copy, patient reactivation campaigns, procedure education content and Google Business intelligence.
Payer rate benchmarks, renegotiation letter templates sorted by recoverable CPT value, contract expiry alerts and payer leverage analysis.
🎓
Staff Training & Operations
Collection script upgrades, new biller orientation protocols, EHR workflow improvements and the Clone Your Best Biller methodology.
🤖
AI Tool Adoption
Monthly guides for the AI tools your staff will use every day: safely, compliantly, and in ways that directly reduce workload and cost.
Day 1
Day OneBoth engines installed. Leakage sealed permanently. First claim scanned.
Day 30
Day 3030 toolkits delivered. Staff running daily AI revenue workflows.
Month 6
Month 6Billing, marketing and contracts compounding simultaneously.
Month 13
Month 13365 roadmaps executed. Your clinic runs AI completely independently.
What KONQAR Actually Is · Category Definition
Every. Single. Day.One Execution-Ready Roadmap.That Multiplies Your Revenue. For 365 Days Straight.
KONQAR is not software. It is not a billing service. It is not a dashboard.
KONQAR is the AI infrastructure layer for clinics:an execution-first intelligence systemthat delivers one revenue-multifolding operational roadmap to your clinic every single day for 365 days.
Each toolkit carries executable intelligence calibrated to your specialty, your payers, your CPT codes, and your overlooked revenue gaps: the ones your billing team walks past every morning without knowing they exist.
Your denied claims. Your underpaid CPTs. Your unsigned contracts. Your uncaptured CCM patients. Your compliance exposure. Your marketing blindspots. Every single one, addressed systematically, day after day, until there is nothing left on the table.
365Execution Roadmaps
One toolkit delivered every day for 13 months. Each one a live, specialty-specific, revenue-targeted workflow your billing team can execute in under 20 minutes. Not a newsletter. An operational weapon.
6Revenue Domains
Denial recovery. Contract renegotiation. Marketing and referrals. Social media presence. Staff training. AI tool adoption. Every function of your clinic that leaks revenue: covered, calibrated, executed.
13 moTo Full AI Independence
By Month 13, your team does not need a consultant, a marketing agency, a billing coach, or an AI adoption guide. Your clinic runs its own AI. That is the point, and the structural reason KONQAR clients do not leave.
The KONQAR Category Statement · Read This Once
The age of AI is not a trend your clinic can wait out.
Every major insurer is already running agentic AI against your claims, right now, on every submission you send.
Your CPT codes are leaving money on the table. Your payer contracts are underpriced relative to benchmarks your billing manager has never seen. Your staff spends 4 hours writing appeals that should cost 3 minutes. Your CCM patients are not being billed. Your compliance profile has flags an OIG intelligenceor would find in 20 minutes.
This is not a technology problem. It is a daily execution problem.
KONQAR solves it the only way it can actually be solved: by delivering the intelligence, the roadmap, and the execution tools every single day, compounding your revenue advantage until your practice operates at a level that used to require a $300,000-per-year enterprise AI contract and a full-time consulting team.
You get there in 13 months. For a fraction of the cost. Starting on Day One.
Month 1: Infrastructure installed. Pre-claim scanner live. First toolkit delivered. First denial prevented. Month 6: Billing team executing AI workflows without you. Marketing generating referrals. Contracts being renegotiated. Month 13: Your practice is AI-native. Your revenue has compounded. Your team is independent. You own the infrastructure outright, and it never stops working.
The Architecture · From Zero to AI-Native in 25 Minutes
How KONQAR Actually Works
Two phases. One complete system. Day One installs your infrastructure locally. Every day after, live intelligence and 365 toolkits arrive across every function of your clinic all under the $597/month subscription.
PHASE 1 · ONE-TIME SETUP · $18,000
Your AI Infrastructure Is Installed in 25 Minutes
01
📋
Hardware Check
Complete a 2-minute pre-install form confirming your machine meets specs. We run a quick compatibility check before your playbook is issued. No IT team needed.
⚡ A Strategic Note on Hardware Read This Before You Start
This is not just about KONQAR. This is about the next 5 years of your clinic's operations.
AI is not a trend your practice can step around. It is the infrastructure layer that will define which clinics thrive and which ones spend the next decade in catch-up mode. Every administrative workflow from prior auth to billing to compliance to patient outreach will be AI-assisted within 3 years. The clinics that own local hardware capable of running AI models privately will have a structural advantage that compounds every year.
We strongly advise investing in an Apple M-series Mac (M2 Pro or above, 16GB+ unified memory) or a future-proof Windows workstation (AMD Ryzen 9 / Intel Core i9, 32GB+ RAM, dedicated GPU). Not just for KONQAR but because in 18 months, every AI tool your staff needs to run — locally, privately, without cloud subscription fees — will require exactly this hardware. You'll use it for medical transcription AI, clinical documentation AI, local model fine-tuning, imaging analysis tools, and workflows that don't exist yet but will.
This hardware purchase will pay for itself before your second year of AI adoption. A clinic that owns this machine owns its AI future. One that doesn't will be paying per-token cloud fees to vendors forever.
02
⚙️
Install Your Local AI Engine
We send you a complete IKEA-style setup playbook: step-by-step diagrams, plain language, no technical background required. Your billing manager follows the guide and has both engines running locally in 25 minutes. Everything installs on your own machine. Nothing goes to any cloud. No vendor ever touches your data.
03
🔑
KNB API Key Activated
Your live payer intelligence API key is activated. The scanner now queries real payer portal data updated every 48 hours. Current PA requirements, denial triggers, and approval keywords. This is the layer no competitor can offer: live intelligence, not stale training data.
✓
🚀
Infrastructure Live. You Are Now AI-Native
Your 17 AI agents are running. Every claim you submit from this point is scanned before it leaves your practice. Every denial that does get through gets a 12-layer appeal letter in 3 minutes at $0. You have joined the fraction of independent specialty clinics in America operating with enterprise-grade counter-AI infrastructure.
Consultant-equivalent value delivered per year 365 toolkits × avg $500 consultant value
÷
$5,964
What the subscription costs per year $597/month · Month 1 free
=
30.5×
Return on subscription alone Before a single denied claim is recovered
THE MECHANISM HOW WE WIN EVERY TIME
How KONQAR Beats NHPredict & Every Payer AI System At Its Own Game
This is not a rules engine. This is a counter-intelligence system that weaponizes federal regulation against the same AI that denied you.
STEP 01 · THEIR MOVE
NHPredict auto-denies in 0.3 seconds
Their algorithm scans for vague language, missing clinical quantifiers, incorrect modifiers. Anything ambiguous gets denied. A physician never reads it. This is legal unless you know how to challenge it.
STEP 02 · PRE-CLAIM SHIELD
KONQAR scanned it before you submitted
98%+ accuracy. LVEF%, AUC scores, IPSS/AUASS, KOOS/WOMAC scores every measurable clinical criterion checked against 2,040 canonical payer policies before the claim leaves your system. Catches what NHPredict is trained to flag.
STEP 03 · THE REGULATORY TRAPDOOR
When they deny anyway, KONQAR builds the counter
Not a template. A regulatory enforcement document citing 42 CFR 422.101, CMS-0057-F, NCCN pathways, ACR AUC scores, Lancet Oncology, JSES the exact language payer AI is programmed to escalate out of the auto-deny queue.
STEP 04 · THE RESULT
Payer AI routes appeal to a human medical director
Federal law requires human physician review when federal statute is cited. KONQAR removes the appeal from every automated denial pathway and places it on a medical director's desk. By law. By design. Every time.
"KONQAR doesn't fight payer AI. It makes payer AI work against its own masters by invoking the federal law they cannot ignore."
2026 REGULATORY LANDSCAPE
New Traps. New Laws. New Weapons. All Coded and Live.
⚠ 2026 CPT BUNDLING TRAPS ACTIVE NOW
Radiology: CPT 70471 bundling wave old code sets losing $8K+ per case to NHPredict flags Cardiology: 37220-37235 deleted → 37254+ crosswalk triggering mass auto-denials Urology: 55707+ prostate biopsy shift payer AI denying correct submissions Every 2026 CPT transition is pre-coded in KONQAR's scanner. Your team doesn't memorize 400 code changes. The system flags them before submission.
⚖ STATE LEGAL WEAPONS LIVE IN YOUR DATABASE
Texas HB 3812: Gold Card exemption automation bypass prior auth for qualified providers Kentucky HB 176: PA reform enforcement force payer compliance with new timelines Washington: AI denial restriction invocation legally force disclosure of AI use in denial decisions Not future features. Active in your intelligence database today. Updated 48 hours after every legislative change.
🛡 CMMI MODEL DEFENSE LIVE
WISeR Model: Pain/spine care delays actively defended in 6 states ACCESS Model: Integrated as intelligence is published CMS-0057-F Final Rule: Prior auth transparency requirements enforced in every applicable appeal Synced every 48 hours. Automatically. No action required by your billing team.
RECOVERY SNAPSHOTS
What Happens When You Cite Federal Law in an Appeal
"The first appeal KONQAR generated cited 42 CFR 422.101. Aetna overturned a $14,200 spine surgery denial in 11 days. I've been in billing for 22 years. I've never filed an appeal that specific or that fast."
Billing Director · Independent Orthopedic Group · Texas · 3 Providers
$14,200 Recovered · 11 Days
"We had 17 IBX Radiology denials sitting for 60 days. KONQAR processed all 17 in under 4 hours using the IBX 14% reduction counter-strategy. 14 overturned in the first round. That's $89,000."
Practice Administrator · Radiology Group · Pennsylvania
14 of 17 Overturned · $89K
"KONQAR's NCCI bundling detection caught a CARC-97 error before we submitted. That's a $22,000 Oncology infusion code we would have lost for 90 days. The pre-claim scanner is worth the annual fee on its own."
RCM Manager · Oncology Clinic · Florida
$22,000 Stopped Pre-Submission
LIMITED FOUNDING COHORT · ANNUAL PLANS ONLY
50 Founding Spots. The Zero-Commission Window. Closing.
After the first 50 annual members, commission-free status closes permanently. This is not a promotional period. Founding members lock their annual rate forever and never pay commission on recovered revenue ever.
FOUNDING GOLD SLOTS ANNUAL ONLY
34 of 50 claimed
16 ANNUAL SPOTS REMAINING
After spot 50 · Commission-free status closes · Annual only · No exceptions
✦
Zero Commission Permanent
Every dollar recovered stays in your clinic. Forever. No expiry.
✦
Annual Rate Locked Never Increases
Founding annual rate is your rate for the lifetime of your subscription.
✦
48-Hour Priority Onboarding
Your first appeal letter generates within 48 hours of installation.
✦
Direct Intelligence Request Line
Tell us which payer/CPT is hitting you. We add it to the next sync.
$18,000 flat. Nothing else. No setup fee, no per-claim charge, no per-user seat cost, no integration fee, no support tier upsell, and 0% commission on every dollar KONQAR recovers. One number. No surprises.
Can I pay quarterly instead of committing to a full year?
▼
Yes — quarterly payments are available. Your quarterly breakdown is based on the $22,000 Solo tier, split into manageable payments so your clinic can start without taking on the full annual payment at once.
But the bigger value is the Founding Annual upgrade. If you upgrade before the founding window closes, you unlock the full 365 Revenue Toolkits — one delivered across the year, just like the COB Sweep playbook you already reviewed. These are revenue recovery systems your team can actually use, not theory.
Important: this is a limited-time founding upgrade. After the founding window closes, access to the 365 Toolkits moves to the $30,000 pricing tier. The founding annual plan also pauses your price at this level permanently, removes commission in the long run, and means you never have to separately pay for future toolkits.
What does "0% commission" actually mean?
▼
Every dollar KONQAR reverses belongs entirely to your clinic. When KONQAR overturns a $40,000 surgical denial, you keep $40,000 — not $28,000 after a 30% commission. Founding members lock this rate permanently. No future repricing. No exceptions.
Can I try KONQAR before paying anything?
▼
Yes. We do not ask you to commit blindly. Give us your toughest denial — the one your billing team has not been able to crack — and we will generate the perfect appeal using the same engine the annual plan runs on.
That means one full counter-appeal, built with payer-specific logic, clinical evidence structure, and the federal argument stack, delivered as proof of work. In many cases, that one recovered denial can fund the entire Founding Annual deal by itself.
We also give you one toolkit to showcase our proof of work — the same kind of practical revenue toolkit as the COB Sweep you saw on this page. So before you pay anything, you see one real appeal and one real toolkit. That is how we earn trust.
Do you sign a BAA? Is KONQAR HIPAA compliant?
▼
Yes — BAA available at no extra cost. But more importantly: KONQAR's engines run on your local hardware. PHI never transmits to our infrastructure. This is architectural compliance — the breach surface literally doesn't exist.
How does the setup actually work — step by step?
▼
PHASE 1 · ONE-TIME SETUP · 25 Minutes
Your AI infrastructure is installed locally on your billing workstation. No cloud accounts. No IT vendor coordination. No EHR integration project.
PHASE 2 · FIRST OUTPUT · 90 Seconds
Drop a claim or denial file into your designated folder. KONQAR's engine initiates a multi-pass intelligence sequence — it gathers denial context, cross-references live payer policy, detects known denial traps for your specific CPT and payer, and injects the most current federal regulatory mandates. A local AI model then drafts the appeal. Before the letter reaches your folder, a secondary Quality Gate evaluates it: medical necessity strength is scored, citations are verified, and a PHI safety scan confirms zero patient identifiers appear in the output. Only appeals that pass all four gates are marked APPROVED / READY TO SUBMIT. Appeals needing clinical documentation are flagged CONDITIONAL / NEEDS REVIEW with a specific note telling your biller exactly what is missing.
PHASE 3 · DAY 45 ONWARD · Daily Revenue Intelligence
Your 365 Revenue Multiplying Toolkit stream activates. Every single day, a new implementation-ready upgrade is delivered — payer behavior shifts, COB sweep triggers, workflow optimizations, AI-driven revenue capture opportunities, and compliance mandates — building compounding revenue infrastructure that strengthens your clinic every day you use it.
We already have an RCM company. Why would we need KONQAR?
▼
KONQAR doesn't compete with your RCM company — it becomes the layer they never had. But more importantly: KONQAR is strategically built to make itself the last revenue infrastructure your clinic will ever need.
Here is why. Most RCM companies react to denials after they happen. KONQAR's pre-claim scanner is engineered to eliminate the conditions that cause denials to form in the first place — cross-referencing your claims against live payer AI behavior, NCCI edits, and 520+ known denial trap patterns before a single claim leaves your system. Fewer denials formed means less to fight.
And for what still gets through — the appeal engine fights back at the same AI speed payers use to deny. Then starting Day 45, the 365 Revenue Multiplying Toolkits arrive daily — compounding your clinic's revenue intelligence, workflow efficiency, and payer strategy every single day. Over time, KONQAR does not just recover revenue. It builds a clinic that structurally generates more of it.
Is there a cancellation penalty or lock-in trap?
▼
12-month commitment, no auto-renewal traps. You receive a 60-day renewal notice before any billing cycle. On cancellation: your local installation deactivates, you keep every appeal letter and scan output generated — because your data was never on our servers.
Are payer policy updates included, or extra?
▼
Included. All 39 live payer updates, CMS quarterly releases, OIG Work Plan alerts, HCPCS J-code patches, and state MCO policy syncs run automatically every 48 hours. No manual update process. No separate subscription for "live data."
What EHR systems does KONQAR work with?
▼
All of them. KONQAR is EHR-agnostic — it processes standard CMS-1500 and 837P claim files. Epic, Athena, Kareo, eClinicalWorks, ModMed, NexTech — if your EHR exports claims in any standard format, KONQAR processes them. No integration project. No API setup.
Do our staff review the output or does it auto-submit?
▼
Always human-reviewed. KONQAR generates the output — your billing team reads it, approves it, and submits. Nothing is auto-submitted to any payer. Your team retains full control of every claim and every appeal letter. KONQAR is a precision tool, not an autonomous agent.
How many founding slots remain and why does it matter?
▼
Founding membership is capped at 50 clinics globally. These 50 lock the $18,000 rate and 0% commission forever — no repricing when KONQAR scales. Future pricing will be higher. Quarterly members can upgrade to Founding Annual if a slot remains, but slots are not held. This is not manufactured scarcity — it is a deliberate commitment to the first clinics that trust the product before it has mass-market proof.
Select your specialty. We'll send the 5 most dangerous denial scenarios hitting your specialty right now in 2026 with the exact federal statute KONQAR uses to counter each one. Instantly useful. Zero cost.
→Specialty-specific 2026 denial scenarios with CPT codes
→The exact federal statute that defeats each denial type
→Payer-specific intelligence for your state and payer mix
Select Your Specialty
No account. No credit card. No sales pitch. Just the intelligence.
The Reality No Payer Wants You to Know
Systems Like NHPredict Denied Your Claim Before a Physician Read It.
NHPredict caught being used by Cigna, Aetna, UHC, and multiple Medicare Advantage plans — auto-rejects claims in 0.3 seconds using algorithmic pattern matching. The AMA confirmed in 2025 that over 85% of these denials are never contested. Hospital systems pay $200K–$500K/year for counter-AI. Independent clinics had nothing. Until now.
$1.2M
Silent Annual Losses Per 5-Physician Group
Across 6 revenue drain categories: preventable denials, abandoned appeals, contract underpayments, E&M under-coding, missed billing codes, and compliance penalties. Most practices think they're doing fine. They are not.
43%
Denials Are Completely Preventable
43% of all denied claims were submitted with the right procedure and the right documentation. They were denied because insurer AI found a missing phrase, an outdated PA format, or a documentation keyword it was programmed to reject. You never needed to appeal. You needed a pre-claim scanner.
65%
Denied Claims Are Never Appealed
Billing teams make a rational economic decision every day: writing a $2,100 appeal takes 4 hours at $25/hour. At a 50% win rate, the expected value is $1,050. The math says write it off. KONQAR reverses that math: the appeal costs $0 in software and takes 3 minutes.
$182K
Annual Consultant Value of the Subscription
365 daily executable AI toolkits · each worth $200 to $500 in consultant equivalent · across billing, marketing, social media, contracts, training, and AI tool adoption. Delivered to your billing manager's inbox every single day.
Your Silent Revenue Drain Calculator
Find Out Exactly What You Are Losing
Enter your practice profile below. The calculator identifies your annual revenue drain across all 6 loss categories and shows you what the KONQAR setup costs as a percentage of your identified exposure.
Revenue Drain Analysis
1. Preventable Pre-Claim Denials$0
2. Abandoned Post-Denial Revenue$0
3. Contract Underpayment Gap$0
4. E&M Under-Coding Loss$0
5. Missed CCM + AWV Revenue$0
6. Compliance Exposure Risk$0
Run the calculator aboveEstimated Annual Silent Revenue Drain · Based on Your Inputs
0%Total Year 1 KONQAR investment vs. identified drain · The scanner pays for itself the first time it stops a $14K denied claim from leaving your practice
Set the Record Straight
What KONQAR Is Not
Before you categorise us with your existing billing vendor, read this. The mental model that kills conversions is "we already have a billing company." That conversation ends when billing directors realise what we actually are.
What We Are NOT
A billing service or outsourced RCM company
A cloud-based denial management subscription
A commission-based recovery service (we take 0%)
A tool that requires EHR integration or an IT department
A cloud AI that sends your patient data to any server
A replacement for your billing company
A generic AI chatbot wrapped in healthcare language
What We Actually Are
The AI you install on your clinic's own machine and own forever
A live payer intelligence layer updated every 48 hours from real policy sources
A pre-claim vulnerability scanner that reads every claim against current insurer AI denial triggers before you submit
A local appeal generator that writes the same letter a $500/hour healthcare attorney would, in 3 minutes, at $0 per letter
365 executable daily AI toolkits across 6 domains delivered to your billing manager every single day
The system that makes your existing billing company 40% more effective
A 13-month transformation that makes your clinic fully AI-native
How KONQAR Works
Two Phases. One Complete AI Transformation.
The $18,000 is not a subscription. It is the AI infrastructure your clinic owns permanently. The $597/month is the live intelligence layer that keeps the scanner accurate and the toolkits flowing. Without the subscription, the scanner runs on stale data. With it, you are always one step ahead of every payer policy change. For Founding Annual clinics, the $597/month intelligence layer begins from Year 2 — and founding members receive priority access to every new AI automation tool and advanced perks as they are released, before the general membership.
Phase 1 · One-Time Setup · Install and Own Forever
$18,000
"What hospital systems pay $300,000 for. Delivered to your clinic in 25 minutes."
✓ Pre-Claim Vulnerability Scanner (Engine 1): queries live payer denial triggers before every submission
✓ 12-Layer Appeal Generator (Engine 2): runs entirely on your own device, PHI never leaves your building
✓ IKEA-quality 25-minute installation playbook. Zero IT staff, zero EHR integration.
✓ Concierge Setup Call: 45-minute Zoom screen-share walkthrough included
✓ Hardware pre-check form: ensures successful installation before you pay
✓ KNB Intelligence API key: first 30 days of live payer intelligence included
✓ First month of toolkits delivered on Day 1 of activation
✓ BAA template for any PHI-touching premium service tier
"30 executable AI toolkits every month across 6 domains. Plus live intelligence that keeps your scanner sharp."
✓ 30 daily AI toolkits delivered every month across billing, marketing, social media, contracts, staff training, AI tool adoption
✓ Live KNB payer intelligence: updated every 48 hours from actual payer portals and LCD bulletins
✓ Monthly denial code trend alerts: what's spiking at your payers for your specialty right now
✓ Payer policy change notifications: you find out 48 hours before your billing team finds out the hard way
✓ OIG watchlist alerts, relevant to your specialty, monthly
✓ 365 days of transformation toward full AI independence
✓Month 1 is completely free · See the value before your first charge
✓ Month 1 Completely on Us
vs Enterprise Pre-Claim AI Systems
What Hospitals Pay $300,000 For. You Get It for $18,000.
Systems like NHPredict deployed by Cigna, Aetna, UHC, and multiple Medicare Advantage plans — are designed to deny at scale. Hospital systems counter them with $200K–$500K/year enterprise software. Independent clinics had nothing. KONQAR is the first counter-AI enforcement engine built specifically for independent specialty clinics, at 2–6% of enterprise cost, installed in 48 hours, running locally with PHI never leaving the building.
Enterprise · Hospital Systems Only
Waystar / Optum Insight
$80K – $500K+/yr
✗ Hospital systems and IDNs only. Independent clinics: not served.
✗ Uses NHPredict-class AI to evaluate claims same tools as payers
✗ PHI transmitted to cloud. BAA required.
✗ 6–12 month IT implementation. Dedicated team required.
✗ No 42 CFR 422.101 automated citation. No legal enforcement layer.
✗ Take $6,000–$12,000 from a single $40K claim reversal
✗ No pre-claim scanning. Denials happen first, then they appeal.
✗ No 2026 CPT bundling trap defense built-in
✗ No state law enforcement (TX HB 3812, KY HB 176, WA)
✗ No 42 CFR 422.101 citations. No regulatory trapdoor.
✗ Annual cost scales with your recovery never capped
✗ PHI handled externally. HIPAA breach possible.
KONQAR · Any Independent Specialty Clinic
KONQAR Founding Annual
$18,000–$30,000/yr flat
✓ Any independent specialty clinic. No minimum billing requirement.
✓ Counter-NHPredict architecture: 2,040 policies enforcing federal law
✓ PHI isolated by hardware constraint physically impossible to expose
✓ 48-hour install. Zero IT staff. Zero EHR integration required.
✓ 42 CFR 422.101 + CMS-0057-F embedded in every appeal automatically
✓ TX HB 3812, KY HB 176, WA AI denial law active in database
✓ 0% commission. Annual founding members keep 100% of every dollar recovered. Forever.
Pricing shown for enterprise competitors is based on published industry benchmarks and analyst reports for large hospital/IDN deployments as of April 2026. NHPredict is referenced based on reporting by AMA, ProPublica, and STAT News. KONQAR is not affiliated with, endorsed by, or in partnership with any competitor or payer system named above.
Pricing ranges shown for Waystar and Availity+CombineHealth are based on industry benchmarks for large hospital/IDN deployments as of March 2026. Actual enterprise quotes vary based on volume, modules selected, and negotiated contract terms. KONQAR is not affiliated with, endorsed by, or in partnership with any competitor named above.
Live KNB Intelligence Demo
The Intelligence That Stops Denials Before They Happen
This is what our KNB Intelligence layer looks like. Any billing manager can type a payer, CPT code, and state and get back current PA requirements, denial trigger keywords, and documentation needed. Updated every 48 hours. Generic AI has none of this. It was trained on data from 12 to 18 months ago. We query live payer portals.
Policy Snapshot · Live Intelligence Query
KONQAR KNB Intelligence API · Live Query
PayerUnitedHealthcareCPT27447StateFlorida
PA RequiredYES · Mandatory prior to service
Effective DateJanuary 15, 2026
Documentation RequiredKOOS or Oxford Knee Score (mandatory since Jan 2026) Conservative treatment ≥ 6 weeks documented BMI documented with functional limitations narrative X-ray with Kellgren-Lawrence grade ≥ 3
Denial TriggersMissing KOOS score · Insufficient conservative treatment documentation · Absence of functional limitation language
First-Pass Approval Rate94.2% With correct documentation
Last verified: March 27, 2026 · Source: UHC Provider Portal Section IV.A.3 · Next review: March 29, 2026
Your billing manager would have submitted without the KOOS score. UHC would have auto-denied within 24 hours. You would have found out in 30 days, after 8 more claims had the same problem. KONQAR finds this before submission every time.
What the Subscription Actually Delivers
This Is What Arrives in Your Billing Manager's Inbox on Day One
Not a newsletter. Not a checklist. A fully executable AI workflow your front desk staff can complete in 18 minutes with the exact execution playbook, the expected output described, the HIPAA compliance note, and the revenue impact quantified. Every single day.
Domain 1 of 6 · Billing & Denial Intelligence · Week 1 of Month 1
⏱ 18 minutes to execute💰 $6,200 to $9,800/month protected🛡 Prevents 3 to 4 denials/month✓ HIPAA Safe · No PHI Required
What to do today: Before submitting any CPT 27447 claim to UHC this week, run this 4-step workflow. UHC updated their PA documentation requirements for total knee arthroplasty in January 2026. Submissions without a KOOS or Oxford Knee Score in the clinical notes are being auto-deferred. This toolkit takes 18 minutes and protects $6,200 to $9,800 in monthly revenue.
1
Open Claude.ai (free account · no patient data needed). De-identify your claim: replace patient name with "the patient," date of birth with age range, claim number with "#XXXXX," and diagnosis with the ICD-10 code only (M17.11).
2
Copy and use this exact execution playbook do not modify it:
You are a UHC prior authorization specialist for orthopedic procedures in Florida.
For CPT 27447 (Total Knee Arthroplasty), UHC currently requires these documentation elements in clinical notes before submission. Review this de-identified claim scenario and identify every missing or insufficient documentation element:
[Paste your de-identified claim here: age range, ICD-10 code, conservative treatment history in weeks, BMI range, functional limitation description, X-ray findings described generically]
For each missing element provide:
1. The exact documentation language UHC reviewers look for
2. The UHC policy section this requirement comes from (Section IV.A.3)
3. Denial probability if this is missing (HIGH / MEDIUM / LOW)
4. The exact sentence to add to clinical notes
Return as a numbered checklist I can hand to the physician today.
3
Review the output with the physician. Add the missing documentation language to the clinical notes before submission. Claims that pass this check have a 94%+ first-submission approval rate with UHC.
4
Submit the corrected claim. Track the outcome. After 3 months of this workflow, your CPT 27447 denial rate with UHC should drop below 3%. That is the difference between $9,800/month in preventable write-offs and $0.
KONQAR Engine Live Output · Sample Run
What the Scanner Sees Before Your Claim Leaves the Office
This is what Engine 1 outputs in real-time when your billing manager submits the morning batch. Not a log. Not a dashboard. A live denial-prevention signal every flag, every fix, before a single claim touches the payer.
KONQAR PRE-CLAIM VULNERABILITY SCANNER · KNB INTELLIGENCE v4.1 · LIVE
›Appeal Generator standing by for any post-submission denials · $0/letter · 3 min/appeal
$_
Illustrative output · Claim numbers and values are representative examples · Real scans run against your actual CPT mix and active payer policies
THE 365 REVENUE TOOLKIT SYSTEM · COMING SOON
Six Domains. One Complete AI-Native Clinic.
One toolkit delivered to your clinic every single day 365 days per year. Each toolkit is a complete, standalone executable workflow your billing team can run in under 20 minutes. No technical background required. Across 6 domains: Billing Intelligence, Marketing, Social, Contracts, Staff Training, and AI Adoption. Each toolkit carries a one-time consultancy value of $500 or more. You receive 365 of them. Delivery schedule announcement coming soon reserve your slot now.
The domain that justifies the entire system from day one. Every toolkit in this domain prevents a specific dollar loss or recovers a specific dollar amount quantified in the delivery. When UHC quietly updates their CPT 27447 prior auth requirements on a Tuesday, your Thursday toolkit shows your billing manager the exact documentation change and the exact phrase to add.
→ Directly prevents $50K to $200K in monthly denials · ROI visible from first delivery
Domain 02 · MARKETING & PATIENT ACQUISITION
Marketing & Patient Acquisition
Google Business posts · Patient reactivation campaigns · Procedure education content · PCP referral outreach
Every toolkit in this domain replaces something you are currently paying a marketing agency $3,000 to $8,000 per month to do. The referral intelligence toolkit alone a Claude-generated map of every PCP within 15 miles with personalized outreach letters — generates $40,000 to $200,000/year in new referral revenue for specialty practices.
→ Replaces $3K to $8K/month marketing agency spend · Referral map generates $40K to $200K/yr
Domain 03 · SOCIAL MEDIA PRESENCE
Social Media Presence
Full monthly content calendar · Educational reel scripts · FAQ carousels · Seasonal health campaigns · Staff spotlights
Every social media toolkit comes with the exact execution playbook, HIPAA compliance check, expected output, posting schedule, and 5 hashtags. Your front desk staff can generate 12 ready-to-post pieces in 20 minutes for free — every single month. The reel script toolkit alone generates a 30-second teleprompter-ready physician script that performs better than agency-produced content.
→ 12 ready-to-post pieces monthly · All HIPAA verified · Zero marketing degree required
Most practices signed payer contracts 5 to 7 years ago and have never renegotiated. The contract toolkit shows your billing manager how to compare every CPT code rate against current specialty benchmarks using Claude and the Medicare PFS and generates a payer-specific renegotiation letter sorted by dollar impact. Most practices find $40,000 to $300,000/year in underpaid codes on the first run.
→ $40K to $300K/yr in contract recovery identified · Renegotiation letters generated in 15 minutes
Domain 05 · STAFF TRAINING & OPERATIONS
Staff Training & Operations
New biller brief · Collection script refresh · EHR workflow tips · "Clone Your Best Biller" protocol
The "Clone Your Best Biller" toolkit is the most emotionally resonant product in our catalog. A 20-minute Claude interview process that captures everything your most experienced billing manager knows payer quirks, modifier strategies, P2P call scripts — into a structured Claude Project document. Every new hire thinks like your best biller from Day 1. Solves the terror of losing an experienced billing manager overnight.
Claude safe use guide · Perplexity for payer research · NotebookLM for patient education · SeedAnce for clinical video · n8n automation · Ollama for PHI-safe AI
No competitor offers this domain. Because your clinic owns the hardware setup capable of running local AI, you are the only platform positioned to teach your staff to use every major AI tool safely as part of their daily clinical and administrative operations. AI tools update constantly new Claude models, new NotebookLM features, new SeedAnce capabilities. Your monthly update shows exactly how to use each one safely for your specialty. Tech-forward practices find this domain alone justifies the subscription.
→ The domain no competitor offers · Teaches Claude, Perplexity, NotebookLM, SeedAnce, n8n, Ollama
Standalone Clinical AI Tools · Add Any One · Activates Within 48 Hours
8 Clinical AI Tools Your Practice Is Not Using Yet
These were built for the specific revenue gaps your billing team walks past every day. One-time tools deploy once and protect forever. Monthly tools run continuously and cancel anytime. Every value below is clinic-tested and repeatable.
📋
Medicare ABN Generator
Produces compliant Advance Beneficiary Notices in 90 seconds by service type and payer — before the patient leaves the room.
Reviews your Modifier 25, 59, and 95 usage patterns across all claims. The two most-validated modifiers systematic misuse triggers payer pre-payment review.
10-minute monthly cross-reference of patients seen vs. charges billed flags every unbilled hallway consult, phone adjustment, and same-day service gap.
Uploads your existing operative notes, consent forms, and post-op PDFs into NotebookLM outputs professional, specialty-specific patient education materials in under 2 hours.
All tools are add-ons to any plan or available standalone with no subscription. Email [email protected] with the tool name to get started. Most activate within 48 hours. All are HIPAA-safe by the same architecture as the core platform.
For Revenue Cycle Management Companies
You Are the Infrastructure. KONQAR Is Your Intelligence Layer.
The RCM firms that white-label clinical AI in 2026 will be the dominant players in their markets by 2028. The partnership model scales with your clinic count contact us for a tailored proposal.
WHITE-LABEL PARTNERSHIP
RCM Sovereign
PARTNERSHIP STRUCTURE
Base platform license + Per-active-clinic monthly fee + Volume scan allocation per clinic + Cloud Appeals upgrade available —— Minimum 10 clinics to activate
BAA REQUIRED · 72H ONBOARDING
WHAT YOUR CLINICS GET UNDER YOUR BRAND
White-Label UI
Pre-Claim Scanner
12-Layer Appeals
KNB Intelligence
365 Toolkits
Separate Data Isolation
BAA Chain
CLINIC TYPE BREAKDOWN CAPABILITIES & SCAN ALLOCATIONS
PER CLINIC · WHAT IS INCLUDED
3,000 pre-claim scans/month per clinic
Unlimited local appeal letters · $0/letter · no cap
Specialty KNB layer · 48h refresh · your brand
All 365 toolkits under your RCM name
MA routing layer · HIPAA SRA · OIG validation
YOUR MARGIN MODEL
You charge your clients a premium as an "AI Revenue Enhancement" add-on. The spread is your margin structured to be significant from clinic 1.
Radiology AUC compliance + CMS AUC consultation ID
Oncology pathway adherence layer
CARC → KNB feedback loop per clinic
Cloud 70b Appeals included clinic device does nothing
MARGIN & PRICING
Enterprise radiology clinics represent the highest-margin tier in the RCM partnership. Exact pricing and your margin structure are shared in the partnership proposal.
Scanner and appeals run on the clinic's own machine. KNB policy layer (billing codes only, zero PHI) passes through your white-labeled API. KONQAR signs a BAA with your RCM. You sign BAAs with each clinic.
SEPARATE SUPABASE PROJECT PER RCM · ISOLATED DATA · ISOLATED API KEYS
2026 Regulatory Arc · Live Intelligence · 48h Sync
Payers Update Their Rules. KONQAR Updates First.
Every 48 hours, KONQAR syncs against CMS final rules, OIG work-plan releases, state insurance commissioner bulletins, and quarterly HCPCS crosswalk updates. Your intelligence is never stale always current, always adversarial.
📋
CMS 2026 · MPFS + OPPS · Live
Physician Fee Schedule Final Rule · RVU Updates
2026 conversion factor, E/M leveling revisions, new CPT additions auto-loaded to KNB on release date. Day one. Not 30 days later.
🏛️
50-State Insurance Law · Active
TX HB 3812 · KY HB 176 · WA AI Denial Law
State-specific AI denial restrictions, prompt pay laws, and IRO pathways. Auto-selected by payer + state in every appeal letter.
🔬
HCPCS Q1–Q4 2026 · Crosswalk Synced
J-Code Crosswalks · Q-Code LCDs · Drug Codes
J-code crosswalks, biosimilar interchangeability, and quarterly HCPCS additions auto-patched across all 19 specialty modules. Zero manual intervention.
When OIG targets a CPT cluster, KONQAR Layer 5 activates tightening documentation requirements before submission, not after the validation letter arrives.
💊
WISeR 2026 Pilot · 6-State Defense
ESI + RF Ablation · Cigna / ACCESS CMMI
Pain management clinics get specialty-specific pre-claim rules flagging missing WISeR documentation before Cigna ever sees the claim.
🤖
Payer AI Pattern Library · Expanding
NHPredict · Aetna MA Downcoding · UHC Edits
Each confirmed payer AI pattern gets reverse-engineered and added to the bypass library. KONQAR defeats denial AI before it deploys against your next claim.
I BUILT THIS BECAUSE SPECIALTY CLINICS WERE BEING ROBBED IN PLAIN SIGHT.
I watched independent specialty clinics — orthopedics, oncology, cardiology — lose hundreds of thousands of dollars every year. Not because their care was substandard. Because they were being systematically overcharged, underprotected, and technically exploited. Commission-based billing companies taking 15–30% of recovered revenue. PHI transmitted to third-party clouds. AI-generated denials outpacing human appeal capacity. The system was designed to extract from clinics, not serve them.
So I built KONQAR. A pre-claim scanner and appeal engine operating entirely on your hardware — no PHI ever leaves your building, no commission ever leaves your recovered revenue. Two drop folders. Twelve evidence-bound layers. The goal: the moment you adopt KONQAR, denials stop forming. Not fewer. They stop. Because the claim exits your system in a state no payer AI has grounds to reject.
We are building a platform where every toolkit, every AI use case, every revenue playbook is shared across the community of independent specialty clinics — with intelligence hospital systems pay millions to access. Until every clinic that joins KONQAR has multiplied its revenue with complete ownership of its own technology.
ZERO PHI LEAVES YOUR BUILDING. ZERO COMMISSION TAKEN. ZERO CONTROL SURRENDERED. You carry your own intelligence. You own your own leverage. The future is a clinic that runs its own AI, on its own hardware, making its own decisions. That is what KONQAR is building toward — for every single clinic that joins.
Pricing · Annual Only · Founding Members · Commission-Free Forever
While Other Companies Charge $500,000, We Charge $18,000/Year.
While other companies charge $500,000 — we charge $18,000 with absolutely no PHI exposed, zero commission ever taken, and a massive 365-day revenue-multiplying toolkit delivered to your clinic every single day of the year.
NHPredict and equivalent payer AI systems auto-deny in 0.3 seconds. Three specialty clinics under one roof? Ask about Group Practice pricing. Hospitals pay $200,000–$500,000/year for counter-AI. Commission billing companies take 15–30% of everything you recover. KONQAR charges a flat annual fee. Commission: 0%. Annual founding members keep every dollar. Permanently.
One annual commitment. The pre-claim scanner, 12-layer appeal constructor, Counter-AI circumvention architecture, 2,040-policy live intelligence database with 2,323,399 NCCI rules, and zero-PHI local processing all of it. No per-claim fee. No commission. No hidden costs. Annual only.
MONTHLY INTELLIGENCE PLAN
$2,999/month
CLINIC-AUDITED · AI-OPTIMISED · MONTHLY
Seven personalised, specialty-audited revenue toolkits engineered for your clinic — continuously updated for up to 12 months. Prior authorisation AI workflow included from day one.
→7 clinic-specific, AI-audited revenue toolkits with 12-month rolling updates
→Prior authorisation with embedded AI workflow — fully included
→Denial-to-appeal letter generation — fully accessible
This founding rate will not be available after the initial cohort closes. Once gone, the standard rate applies — permanently.
The complete counter-AI platform plus the 365-Day Revenue Compounding Protocol reserved for the first 50 founding clinics only. Full Revenue OS at the founding exception rate, locked permanently.
→Pre-claim scanning — fully accessible
→Appeal generation — fully accessible, unlimited local redrafts
→48-hour live payer intelligence sync
→12-layer federally cited local appeal engine $0/letter forever
→365 execution playbooks all 6 domains, included at no added cost
→0% commission. Permanent. Every recovered dollar stays in the clinic.
→50-state legal escalation paths + state commissioner language
→Priority access to new specialty modules as they ship
→Zero cloud PHI architecturally eliminated
→Custom AI agents — fully configurable to your specialty
Need proof first? 4-month deployment windows available at a higher annualized run-rate. Serious buyers self-select into annual.
🛡️
PERFORMANCE GUARANTEE · ALL ANNUAL TIERS
If KONQAR does not identify at least your full annual fee in preventable denial exposure within 30 days of installation, we refund your full investment. No questions. No escalation. The intelligence pays for itself before Month 2.
THE KONQAR REVENUE PROMISE
When KONQAR helps overturn a $40,000 spine surgery denial all $40,000 belongs to your clinic. We take nothing. Not 1%. Not 0.5%. Nothing. Commission billing companies on the same reversal keep $6,000–$12,000 for themselves. We charge one flat annual fee. Everything else is yours.
ANNUAL MEMBERS ONLY·0% COMMISSION·PERMANENT·NO EXPIRY
BEFORE YOU BUY ANYTHING SEE IT CONQUER
BRING YOUR WORST DENIAL. WATCH KONQAR GENERATE THE COUNTER-APPEAL IN 90 SECONDS.
SUBMIT ONE DENIED CLAIM CPT CODE, PAYER NAME, DENIAL REASON. NO PATIENT NAMES. NO PHI. NO MEMBER IDs. KONQAR'S 12-LAYER ENGINE GENERATES A COMPLETE, IRREFUTABLE COUNTER-APPEAL IN 90 SECONDS AND DELIVERS IT TO YOUR INBOX. WHEN YOU SEE WHAT GETS RECOVERED YOU'LL INVEST IN THE ANNUAL PLAN FROM THAT REVENUE ALONE.
$0
COST TO YOU
90s
APPEAL GENERATED
11
LAYERS PER LETTER
DENIAL CHALLENGE NO PHI REQUIRED
No PHI accepted · No credit card · No sales call required · Appeal delivered by email
★ WHEN THE APPEAL RECOVERS YOUR MONEY THAT RECOVERY FUNDS YOUR ANNUAL PLAN. THIS IS THE PROOF OF CONCEPT. THIS IS HOW KONQAR EARNS YOUR TRUST. ★
FOR PRACTICES WITHOUT IN-HOUSE BILLING STAFF
DONE-FOR-YOU APPEAL SERVICE. WE HANDLE IT. YOU PRACTICE MEDICINE.
For practices that want the letters without the setup. Submit your denied claims CPT code, payer name, denial reason, no PHI. We generate complete 12-layer appeal letters using your payer's live intelligence and deliver them within 4 hours. Your billing manager reviews, adds patient context from EHR, and sends. When you see what gets recovered, you invest in the annual plan.
Delivery
4 Hours
PHI Required
Zero
Layers Per Letter
12
PRICING IS BASED ON VOLUME AND SPECIALTY. CONTACT US DIRECTLY FOR YOUR CUSTOM RATE NO PUBLIC PRICING BECAUSE EVERY CLINIC'S DENIAL PROFILE IS DIFFERENT.
Zero PHI transmitted · HIPAA safe architecture · Appeal delivered by email · Convert to annual from recovered revenue
What Happens After You Install
The 13-Month Transformation. Month by Month.
The subscription is not retained because of contract terms. It is retained because by Month 7, your clinic is running workflows that did not exist before KONQAR and cancelling means going backward. This is the 13-month arc from installation to full AI independence.
Months 1 to 2
Foundation Activated
Pre-claim scanner live on top 5 CPTs
First denials flagged before submission
First appeal letters generated locally
CCM revenue identified and billing activated
Staff trained on De-ID protocol
Months 3 to 4
Revenue Gaps Closing
Contract Rate Analyzer first run
First renegotiation letter sent to Aetna
AWV outreach campaign activated
E&M under-coding corrections implemented
First payer responses arriving
Months 5 to 6
Marketing Engine Running
Social content calendar running: 12 posts/month
PCP referral letters sent within 15-mile radius
First new referral patients arriving
Marketing agency contract cancelled
NotebookLM patient education content live
Months 7 to 8
Contract Renegotiation Results
First payer renegotiation settled
New contract rates implemented
Back-Office Pack re-run for gap analysis
Staff using all 6 toolkit domains independently
Clone Your Best Biller protocol deployed
Months 9 to 10
Referral Network Mapped
Referral Intelligence Map complete
Active referral partnerships with 5 to 10 PCPs
No-show recovery automation running
Claude, Perplexity, SeedAnce adoption across staff
n8n automation workflows live
Month 11
Compliance Validation
Annual OIG self-validation run
NSA compliance verified for self-pay
MIPS score projected and corrections made
HIPAA SRA document refreshed
Year-end tax optimisation review
Month 12
Performance Review
Annual ROI report delivered
Total appeals, denial value recovered, contract improvement
Year 2 subscription offer ($297/month) presented
Renewal conversation begins
Month 13
Full AI Independence
AI Independence Playbook delivered
Staff runs every agent independently
Billing, marketing, compliance, contracting all on KONQAR intelligence
Year 2 at $297/month: half the toolkits, full intelligence
Switching cost: catastrophic. By design.
HIPAA Architecture · The Local AI Advantage
Your Patient Data Never Leaves Your Building.
Every cloud-based competitor uses cloud AI for appeal letters and pre-claim analysis. That means your patient data travels to their servers, requires a BAA, depends on their uptime, charges per-token fees at scale, and creates data breach liability. KONQAR's architecture is fundamentally different and it is this difference that makes us HIPAA-safe by design.
Layer 1 · Pre-Claim Scanner · Engine 1
CPT codes are not PHI
The pre-claim scanner processes CPT codes, payer names, modifier combinations, and state codes. None of these are Protected Health Information under HIPAA they identify a procedure, not a person. The KNB API query that powers the scanner sends only: payer name, CPT code, and state. Zero patient data transmitted. Zero BAA required from KONQAR for this layer. Zero compliance risk.
No BAA Required · No PHI Transmitted
Layer 2 · Appeal Generator · Engine 2 via Ollama
PHI processed locally on your machine
When the appeal generator processes actual clinical notes and claim information, this happens entirely inside Ollama running on your clinic's hardware. Technically equivalent to a physician typing notes into a locally-installed word processor the AI model runs in RAM, processes the input, generates the output, and nothing is transmitted externally. Encourage your IT team to run Wireshark during an Ollama session and observe zero outbound network traffic. We actively encourage this verification.
BAA Not Required · Local RAM Processing Only
Layer 3 · Cloud Toolkits · Daily Delivery
De-identification makes cloud AI HIPAA-safe
Every toolkit includes the KONQAR De-ID Protocol (Page 3 of every delivery): a one-page process that converts any patient data to safe de-identified form before entering any cloud AI tool. Replace name with "the patient," date of birth with age range, claim number with "#XXXXX," and diagnosis with ICD-10 code only. The output is clinically complete. The input is 100% PHI-free. No BAA required. No enterprise subscription needed. Your billing manager is safe from Day 1.
De-ID Protocol Included · Every Toolkit · Every Delivery
KONQAR's complete HIPAA statement for your compliance officer: "KONQAR's pre-claim scanner processes CPT codes, payer names, and modifier combinations none of which are Protected Health Information under HIPAA. The appeal generator runs on Ollama, installed locally on your clinic's machine. Patient data processed for appeal generation never leaves your building. This is the only HIPAA-safe pre-claim AI architecture designed specifically for independent specialty clinics."
🎓 New Credential · RCABS Certification
Konqar Certified AI Billing Specialist
The professional credential that makes KONQAR structurally unremovable from any practice where a billing manager holds it. 5 self-paced modules, a LinkedIn badge, a printable certificate with your logo, quarterly CPT update emails, and a listing in the RCABS Directory. Once 500 billing managers have "RCABS" on their LinkedIn profiles, practices start filtering for it in job postings and RCABS-certified billing managers advocate for KONQAR when they move to new practices.
Per seat · 3 seats for $2,497
Annual refresh: $297 · Keeps certification current
Module 1 · HIPAA-Safe AI for Medical BillingModule 2 · Pre-Claim Vulnerability ScanningModule 3 · 12-Layer Evidence-Bound Appeal ArchitectureModule 4 · Contract Intelligence via AIModule 5 · Marketing & Growth AI Tools
INTELLIGENCE BRIEFING · EVERY OBJECTION ANSWERED
Every Question Your Billing Director Will Actually Ask
Every objection pre-loaded. Every answer exact. The most common: "we already have a billing company." Start with FAQ 4. The second: "is this legal?" FAQ 2. Read them all before your team asks.
KONQAR is not billing software. It is a counter-AI enforcement engine — the first system built specifically to reverse the algorithmic denial decisions made by systems like NHPredict. It has two core functions:
Pre-Claim Scanner: Interrogates every claim against 2,040 live payer denial triggers before submission — catching the exact criteria NHPredict and equivalent systems use to auto-deny. 98%+ detection accuracy for missing clinical quantifiers (LVEF%, AUC scores, IPSS/AUASS, KOOS/WOMAC). Runs locally in under 90 seconds per claim.
12-Layer Appeal Generator: When a denial happens anyway, generates a complete regulatory enforcement document in 90 seconds — citing 42 CFR 422.101, CMS-0057-F, NCCN pathways, ACR AUC scores, and peer-reviewed journals. Payer AI is programmed to route these to a human medical director. $0 per letter. No cap. Runs on your hardware. PHI never leaves the building.
Billing software manages your workflow. KONQAR fights your payer's AI. These are entirely different problems — and KONQAR solves the one your billing software was never designed to touch.
HIPAA: KONQAR is safe by architecture, not by policy. The pre-claim scanner processes only CPT codes, payer names, and modifier combinations — none of which are PHI under HIPAA. The appeal generator runs 100% locally on your clinic's hardware. Patient data never contacts our servers. This is a hardware constraint, not a privacy policy. No BAA required for the core architecture.
On citing 42 CFR 422.101: It is not only legal — it is the correct application of federal law. 42 CFR 422.101 requires Medicare Advantage plans to provide coverage decisions consistent with original Medicare guidelines. CMS-0057-F (effective 2024) mandates that prior authorization decisions be made by qualified clinical reviewers. KONQAR automates what healthcare attorneys charge $500/hour to do manually.
On NHPredict: KONQAR does not "hack" or exploit NHPredict. It generates appeals using the specific clinical language that federal regulations require payers to respect. When an appeal cites federal statute, payer AI systems are programmed to route it to human review — because that is what compliance requires.
Zero IT staff required. Zero EHR integration required. You need a Mac (2019 or later, M1/M2/M3 recommended) or Windows PC with 16GB+ RAM, and an internet connection for the initial download and 48-hour intelligence sync. That is the entire technical requirement.
The installation playbook is written at a 7th-grade reading level. A KONQAR team member walks through setup on a Zoom screen-share. Your billing manager or front office staff can complete this without any technical background. First appeal letter generated within 48 hours of installation — guaranteed. If anything goes wrong during setup, we fix it on the call.
No API keys. No EHR credentials. No IT department. Just a CPT code, a payer name, and a denial reason — and KONQAR does the rest.
KONQAR and your billing company operate in completely different layers — and the two work better together than either works alone. Your billing company manages the submission pipeline: coding, claim submission, payer follow-up, collections. They are excellent at this.
But they do not have 2,040 live payer intelligence rules checking your claims before submission. They do not automatically cite 42 CFR 422.101 in every Medicare Advantage appeal. They cannot scan for 2026 CPT bundling traps before the claim goes out. KONQAR catches the documentation gaps before the claim ever reaches your billing team — cleaner submissions, fewer denials, faster payments.
The financial distinction is even sharper: billing companies charge 15–30% of every recovery. KONQAR charges a flat annual fee and takes zero percent of anything you recover. For a practice recovering $400,000/year in appeals, that difference is $60,000–$120,000 annually — every year, permanently.
KONQAR supports 11 fully active specialty modules covering the highest-risk denial situations in each:
Each module includes payer-specific intelligence (Aetna, UHC, Cigna, BCBS, Medicare Advantage), 2026 CPT change integration, state-level law enforcement (TX HB 3812, KY HB 176, WA AI denial law), and CMMI model defense (WISeR, ACCESS). If your specialty isn't listed, email hello@getkonqar.com — we confirm coverage within 24 hours.
Every annual plan includes: the pre-claim scanner (unlimited scans, 2,040 policies), the 12-layer appeal generator ($0/letter, no cap), Counter-AI architecture with NHPredict defense, 48-hour intelligence sync from CMS/OIG/payer portals, your full specialty module, state law enforcement layer, and 2,323,399 NCCI bundling rules.
"Founding Member" means you are among the first 50 annual subscribers. Founding members receive: annual rate locked forever — never increases. Zero commission on recovered revenue, permanently. For a $40,000 claim reversal, that means 100% of it stays in your clinic. Also includes 48-hour priority onboarding and a direct intelligence request line.
After spot 50, the founding rate and commission-free status close permanently. This is not a promotion — it is a permanent structural benefit for early annual members only.
If KONQAR does not identify at least your full annual fee in preventable denial exposure within 30 days of installation, we refund your full investment. No questions. No escalation. The intelligence pays for itself before Month 2.
Beyond the guarantee: before you invest anything, we will generate a complete counter-appeal for your toughest outstanding denial — using the exact same engine your annual plan runs on — at zero cost. The recovered amount alone typically covers the full annual investment. You see proof before you pay anything.
Every 48 hours, KONQAR syncs against CMS final rules, OIG work-plan releases, state insurance commissioner bulletins, quarterly HCPCS crosswalk updates, and live payer portal policy changes. Your intelligence is never stale.
When UHC quietly updates their CPT 27447 prior auth requirements on a Tuesday, your Thursday morning scan already knows. This is the only pre-claim system structurally incapable of being wrong about a policy change — because KNB is always synced to live sources, not a training dataset from 14 months ago.
RAPID-FIRE ANSWERS · NO FLUFF
Every Objection. Neutralized.
Direct answers. No softening. If you have an objection, it is addressed below with data, not promises.
Yes. Zero cloud PHI. All processing happens on the clinic's own hardware. Patient data never leaves your building not by policy, by physical architectural constraint. No BAA required for the core appeal tool. The architecture is the compliance officer.
No. KONQAR works on any Mac (2019+) or Windows PC from the past 5 years with 16GB RAM. Setup guide included. Free 30-minute onboarding call walks you through every step. Your billing manager can complete this. First appeal letter generated within 48 hours guaranteed.
18 specialties including Orthopedics, Oncology, Cardiology, Radiology, ENT, Gastroenterology, Wound Care, Rheumatology, Mental Health, Pulmonology, Pain Management, Urology, Dermatology, Internal Medicine, Primary Care, and more. Each specialty has its own dedicated intelligence module.
Under 90 seconds from denial input to ready-to-submit output. Paste CARC/RARC code + CPT + payer name (15 seconds). The 12-Layer Engine cross-references 2,323,399 NCCI rules. Receive a complete appeal letter with clinical evidence bundle and 42 CFR 422.566 regulatory citations. Copy. Sign. Send.
KONQAR is EHR-agnostic. You paste the denial data no integration, no API connection, no IT project required. It works alongside Epic, Athena, eClinicalWorks, Kareo, or any other system. No configuration. No workflow changes.
UHC, Aetna, Cigna, BCBS, Humana, Medicare, Medicaid MCOs, and 30+ regional payers. 2,040 active policy bulletins indexed. Updated from live payer portal sources every 48 hours. KONQAR queried payer portals this morning. Generic AI was trained 18 months ago.
No lock-in. Founding members pay an annual fee not monthly, not per-claim, not commission-based. One flat annual investment. Zero commission on any revenue you recover. The founding rate locks permanently. After the founding cohort closes, the annual rate increases.
We offer a 90-day results guarantee. If KONQAR does not measurably improve your denial overturn rate within 90 days of installation, we provide a full refund. No questions. The guarantee exists because the system works. The federal citation architecture alone forces human review of AI denials by law.
⚔️ BEFORE YOU LEAVE — TWO REVENUE WEAPONS. ZERO COST.
Your Revenue Is Leaking. We'll Seal It Right Now.
We have two things that will protect your revenue starting today. Not next quarter. Not after a demo. We are handing both to you at no cost, no strings — because this is our proof of work, and we earn your trust before we ask for anything.
Send us your hardest outstanding denial. We generate a complete 12-layer adversarial counter-appeal using the exact engine your annual plan runs on — federal citations, clinical evidence, payer-specific argument. One letter. The recovered amount alone covers your founding annual investment.
A battle-tested, zero-friction execution playbook showing your billing team exactly how to recover the secondary insurance revenue your practice is currently writing off. Step-by-step. No fluff. Any consultancy bills this at $600 minimum. You get it free — because we want to show you what we build before you invest a dollar.
$600+ Consultancy Value · Free
🔒 Claim Both — Submit via Secure Form
No sales call · Delivered to your official clinic email · No commission on recovery No BAA required for playbook delivery · hello@getkonqar.com
⚖ NECESSARY FAQ YOUR CLINIC MUST HAVE
Every Question Before You Decide.
These are the exact questions every clinic administrator, billing manager, CFO, and physician-owner asks before signing. We answer all of them here — directly, without marketing language.
Admins ask
Will this disrupt workflow? How fast can staff learn it? Who owns the process?
Billing leads ask
Will it actually help on real CARC/RARC denials? Can I override it? Does it save time or add work?
CFOs ask
Where is the ROI? What is the total cost? Are there hidden fees? How do we justify this internally?
Physician-owners ask
Is PHI safe? Do you sign a BAA? Will this protect us or create more compliance risk?
🛡️
Product & How It Works8 questions
What exactly is KONQAR and what does it do?
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Core Product
KONQAR is a counter-AI revenue infrastructure built exclusively for independent specialty clinics. It operates as two engines: a Pre-Claim Scanner that runs every claim through 12 evidence-bound layers before submission — eliminating denial vulnerabilities before the payer AI ever sees your claim — and an Appeal Engine that generates a complete, irrefutable counter-appeal in 90 seconds when a denial does come through. A third layer, the 365 Toolkit Stream, delivers daily implementation-ready operating upgrades across billing, compliance, payer strategy, intake, and staff workflows. Install once. It gets smarter every day.
Is KONQAR a cloud-based software?
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Zero Cloud PHI
No. KONQAR's pre-claim scanner and appeal engine run locally on your clinic's hardware. Patient data never leaves your building — not during setup, not during operation, not ever. The only cloud component is the daily 365 toolkit delivery, which contains zero PHI. This makes KONQAR the only system in this category that is physically incapable of a cloud PHI breach.
How does KONQAR actually work — step by step?
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Workflow
KONQAR operates as two drop folders on your local system.
Pre-Claim (Engine 01): Drop a claim file in → KONQAR cross-references 2,323,399 NCCI rules, 2,040 live payer policies, 520+ specialty denial scenarios, and 742 Medicaid MCO policies across 12 evidence-bound layers → delivers a zero-denial-ready claim in under 90 seconds.
Appeal (Engine 02): Drop a denial in → KONQAR maps the CARC/RARC code, pulls the payer's own policy language, matches clinical evidence, injects federal regulatory citations, and generates a complete counter-appeal letter in 90 seconds.
Your billing staff runs it. No new workflow. No training program. No IT project.
What are the 12 layers in the appeal engine?
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12-Layer Architecture
Every KONQAR appeal letter contains all 12 layers simultaneously:
Layer 01 — Medical Necessity Statement (RAG-injected from payer's own LCD/NCD) Layer 02 — Federal Regulatory Citations (42 CFR 422.101, CMS-0057-F, No Surprises Act) Layer 03 — Clinical Evidence Package (NCCN, ACR AUC, Lancet Oncology, JSES — auto-matched by CPT) Layer 04 — Payer Policy Reference (verbatim excerpts from their own coverage policy) Layer 05 — Winning Strategy Embed (proven argument for this exact CARC type from 520+ KNB scenarios) Layer 06 — Documentation Checklist (exact evidence specified — zero ambiguity) Layer 07 — Escalation Triggers (50-state insurance commissioner paths, IRO referral, Medicare QIC) Layer 08 — Peer-to-Peer Language (forces P2P review via 42 CFR 422.566 and URAC standards) Layer 09 — AI Adversarial Bypass (calibrated to desensitize NHPredict and Aetna MA downcoding flags) Layer 10 — Sequential Bundle Defense (J-Code completeness enforcement for infusion chains) Layer 11 — Ghost Code Revenue Capture (identifies unbilled codes evidenced in the chart) Layer 12 — Double-Scan Compliance Validation (Agent 2 validates Agent 1's output — zero hallucination guarantee)
What EHR systems does KONQAR work with?
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EHR Agnostic
KONQAR is EHR-agnostic. It processes standard claim files — CMS-1500 and 837P formats. If your EHR exports claims in any standard format, KONQAR processes them. Epic, Athena, Kareo, eClinicalWorks, DrChrono, ModMed, NexTech — all compatible. No integration project. No API setup. No IT vendor coordination required.
What specialties does KONQAR cover?
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19 Specialty Modules
Full annual membership unlocks all 19 specialty modules: Orthopedics, Oncology/Hematology, Cardiology, Radiology, Gastroenterology, Pain Management/Interventional, Neurology, Urology, Dermatology, Ophthalmology, Pulmonology, Rheumatology, Nephrology, ENT/Otolaryngology, Endocrinology, Physical & Occupational Therapy, Podiatry, Emergency Medicine, and Hospitalist. Each module carries specialty-specific denial patterns, CPT/ICD mapping, and payer-specific clinical criteria unique to that specialty's claim landscape.
What payers does KONQAR cover?
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39 Live Payers
KONQAR monitors 39 live payers updated every 48 hours, including: UnitedHealthcare (NHPredict-mapped), Aetna/CVS MA, Cigna/Evernorth, Humana, BCBS Federal, Medicare FFS, Medicare Advantage, Medicaid MCOs (all 50 states), Anthem/Elevance, Centene/WellCare, Molina Healthcare, Independence BCBS, Florida Blue, Premera BCBS, and all regional BCBS plans. Payer policy updates sync automatically — you are never operating on outdated rules.
What if a denial still isn't overturned after KONQAR generates the appeal?
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Secondary Escalation
KONQAR's 12-layer architecture is built specifically to survive secondary denials. If a letter is denied again, you submit the secondary denial CARC/RARC code and KONQAR regenerates — incorporating the new denial reason, escalating the federal citation layer, and triggering Layer 07 escalation paths (state insurance commissioner, IRO referral, Medicare QIC). Each regeneration is a harder counter, not a repeat of the first letter.
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Security, HIPAA & Compliance8 questions
Is KONQAR HIPAA compliant?
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PHI-Safe Architecture
KONQAR exceeds HIPAA compliance by design — not just by policy. Because the scanning and generation engines run entirely on your local hardware, PHI never transmits to any external server. There is no cloud storage of patient data, no third-party processing of PHI, and no data transmission to KONQAR infrastructure during operation. This is architectural compliance — not contractual compliance. The breach surface does not exist.
Do you sign a BAA (Business Associate Agreement)?
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BAA Available
Yes. A BAA is available for any clinic that requires it for their compliance program. Because the local architecture means PHI never reaches our infrastructure, the BAA scope is intentionally narrow — but we provide it without hesitation and without additional cost. If your compliance officer or legal counsel needs to review it before signing, we accommodate that process directly.
What specific safeguards protect our patient data?
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Hardware Isolated
Three safeguards operate simultaneously: (1) Local execution — the AI engines process data only on your machine, never on external infrastructure. (2) No outbound PHI transmission — claim data does not leave your network during scanning or appeal generation. (3) Validation trail — every action KONQAR takes is logged locally with a timestamped record your compliance officer can review. The 365 toolkit stream (the only cloud component) is delivered as policy-and-workflow content — it contains zero patient data by design.
What happens to our data if we cancel our membership?
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You Own Everything
Since KONQAR runs locally, your data was never on our servers to begin with. On cancellation, your local installation is deactivated. You retain every appeal letter generated during your membership, every scan output, and all local logs. Nothing is deleted on our end because nothing was ever stored on our end.
Can staff review and override what KONQAR generates before submission?
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Human-in-Loop
Yes — always. KONQAR generates output; your billing staff reviews and submits. Nothing is auto-submitted to a payer without human review. This is intentional. The physician and billing team retain full control of every claim and every appeal letter. KONQAR is a precision tool, not an autonomous agent operating without oversight.
Does KONQAR comply with the CMS-0057-F Final Rule on prior authorization?
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Regulatory Live
Yes. CMS-0057-F Final Rule language is embedded in Layer 02 of every applicable appeal, specifically for prior authorization denials. KONQAR also incorporates the No Surprises Act, 42 CFR 422.101, and Medicare Act §1862(a)(1) across relevant denial categories. These citations are updated in sync with CMS quarterly releases — your appeals always reference current regulatory language, not outdated versions.
Has KONQAR undergone any third-party security validation?
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Architecture Transparency
KONQAR's security model is based on architectural isolation rather than validation-dependent compliance. Because the system processes no PHI on external servers, the attack surface that third-party validates typically evaluate does not exist for KONQAR's core engines. For clinics requiring formal documentation, we provide a full architecture whitepaper mapping data flows, PHI boundaries, and local execution parameters — reviewable by your IT team or compliance counsel before any commitment.
Does KONQAR support ICD-10, ICD-11, CPT, and HCPCS code sets?
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Full Code Coverage
Yes. KONQAR's knowledge base covers ICD-10-CM, CPT, HCPCS Level II (including J-code chains and quarterly updates), and NCCI edits. ICD-11 transition support is staged for rollout in alignment with CMS adoption timelines. J-code crosswalks (e.g., 81445/81455) are patched within 48 hours of HCPCS quarterly releases. You are never operating on outdated code mappings.
⚙️
Implementation & Workflow7 questions
How long does implementation take? What does Day 1 look like?
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Same-Day Operational
KONQAR is operational on the same day as setup. There is no 6-month onboarding. No data migration. No integration project. Day 1: Installation on your local machine (30–60 minutes). Day 1, within the hour: Drop your first claim or denial file and receive output in 90 seconds. Week 1: Your billing team is running the full workflow independently. KONQAR's onboarding support covers the first 30 days — live guidance available throughout.
Do we need to hire someone new or train our existing staff extensively?
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No New Hires
No. KONQAR runs with your existing billing staff. The workflow is two drop folders — the same pattern your team already uses for claim files. The output arrives in 90 seconds. No machine-learning expertise required. No certification program. No dedicated KONQAR operator role. Your billing team uses the output; KONQAR handles the intelligence layer behind it.
Will this replace our billing staff or our RCM company?
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Additive Layer
No. KONQAR is a precision layer that runs on top of your existing billing workflow. Your staff uses the output. Your RCM company's operational role does not change. What changes is how many denials get challenged, how fast, and how effectively. Think of it this way — your RCM company handles operations. KONQAR handles the counter-AI war that your RCM company's tools were not built to fight.
We already have an RCM company. Why would we need KONQAR?
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RCM Complement
Ask your RCM company this: "What percentage of our monthly denial volume do you actually appeal?" The industry average is under 20%. That means 80% of your denials are surrendered. KONQAR is the layer your RCM company does not have — a pre-claim scanner that catches what they miss before submission, and an appeal engine that fights the denials they walk away from. These are not competing functions.
What hardware does KONQAR require?
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Standard Hardware
KONQAR runs on Windows, macOS, and Linux. Minimum spec: 8GB RAM, 20GB available storage, modern multi-core processor (2018 or newer). No dedicated server required. Most clinic workstations already exceed these specs. If your billing team has a machine they currently use for claim submission, KONQAR runs on that same machine.
Will we continue to have access to our claim data and reporting?
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Full Continuity
Yes — completely. KONQAR does not touch your practice management software, your EHR, or your existing claim records. It receives a claim file as input and returns a processed output. All your existing reporting, dashboards, and claim history remain entirely within your current systems. KONQAR adds a layer; it does not displace any existing data access.
How are payer policy updates handled? Do we have to do anything?
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Auto-Sync 48h
Nothing. KONQAR's payer intelligence layer syncs automatically every 48 hours — CMS updates, OIG Work Plan alerts, quarterly HCPCS releases, state MCO policy changes, and payer-specific LCD/NCD revisions. Your team never manually updates a ruleset. When UHC changes a coverage policy or CMS releases a quarterly HCPCS update, KONQAR has it within 48 hours and applies it to every scan and appeal automatically.
What resources do you require from our team during implementation?
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Minimal Internal Lift
One billing lead, one workstation for installation, and one 30-minute kickoff call. That is typically the full requirement on the clinic side. There is no project manager requirement, no multi-department task force, and no long implementation checklist.
What are the common implementation risks, and how do you reduce them?
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Risk-Controlled Rollout
The main risks in RCM software rollout are workflow disruption, staff resistance, integration delays, and unclear ownership. KONQAR avoids those by not forcing a new platform, not requiring API integration, using your existing file flow, and assigning a single billing lead as the owner of the first-week rollout. The product is intentionally designed to feel additive, not disruptive.
What response times do you guarantee for support or urgent denial issues?
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Fast Response
Routine support requests receive same-business-day response. Urgent denial pattern questions, payer rule conflicts, or output-review requests are prioritized. Founding annual members receive direct support access, not a generic queue with multi-day delays.
💰
Pricing & Payment8 questions
What does KONQAR actually cost?
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Transparent Pricing
Three tiers:
Proof of Concept — (one-time): 3 of your real denials run through KONQAR, 3 complete appeal letters delivered within 24 hours. No setup required on your end. If you proceed to annual membership within 30 days, applies to your first year.
Founding Annual — $18,000/year: Full clinic deployment. Unlimited pre-claim scanning. Unlimited appeal generation at $0/letter. All 19 specialty modules. 365 daily toolkits. 0% commission permanently locked. 50 founding slots — rate locked forever once claimed.
Enterprise/White-Label — Custom: For RCM companies billing on behalf of 3+ clinics. Contact us for partnership terms.
Why is it $18,000 annually? That seems like a lot.
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ROI Context
Context: Hospital systems pay $200,000–$500,000 annually for counter-AI enforcement infrastructure through Optum and Cotiviti. Kareo charges $899 per provider per month — $10,788/year for a single provider with no appeal engine. Commission-based RCM companies take 15–30% of every reversed denial — on a single $40,000 spine surgery denial, that is $6,000–$12,000 taken by them.
KONQAR at $18,000/year is $49.32 per day. One reversed denial in your specialty covers the entire annual subscription. The question is not whether $18,000 is a lot — the question is whether the math works for your denial volume. We can run that calculation with you in 10 minutes.
What does "0% commission" mean exactly?
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0% Forever
It means every dollar KONQAR recovers belongs entirely to your clinic. We charge a flat annual fee. We take 0% of reversed denials, 0% recovery fee, and 0% of any revenue increase generated by KONQAR's pre-claim scanning. When KONQAR overturns a $40,000 surgical denial, your clinic keeps $40,000. Compare that to commission-based RCM: at 25%, they keep $10,000 of that single reversal. Founding annual members lock this rate permanently — no expiry, no exceptions, no future repricing.
Can we pay monthly instead of annually?
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Payment Options
Founding member pricing is structured as an annual commitment — that is how the 0% commission rate is permanently locked. For cash flow flexibility, we offer quarterly billing at $5,499 per quarter (4 quarterly payments, totaling $21,996 — designed for those who need staged access before the founding annual closes). Monthly billing is available at $1,797/month outside the founding rate structure. If cash flow is the primary concern, we recommend starting with the Proof of Work — if you move to annual within 30 days, that amount applies directly to your first year.
Is there a free trial?
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Better Than a Trial
We offer something more valuable than a free trial: send us your three worst recent denials — the ones you've already written off. We will run them through KONQAR and deliver complete counter-appeal letters within 24 hours. No installation on your end. No system access. No commitment. If the letters are compelling, we discuss moving forward. If they are not, you have lost nothing and kept the letters. That is a better proof mechanism than a 30-day free trial that requires setup time you may not have.
Are there any hidden fees — per-claim charges, per-user fees, overage costs?
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Zero Hidden Costs
None. The annual fee is the total cost. There are no per-claim charges, no per-appeal fees, no per-user licensing costs, no overage pricing, and no commission on reversals. A clinic submitting 200 claims/month and a clinic submitting 5,000 claims/month pay the same annual rate. Unlimited scanning. Unlimited appeals. Unlimited toolkit access. One flat number. No surprises.
Is there a contract lock-in? What if we want to cancel?
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Straightforward Terms
Annual membership is a 12-month commitment — that is how the 0% commission rate and founding pricing are permanently locked. There are no auto-renewal traps. You receive a 60-day renewal notice before any billing cycle. Cancellation does not erase your data (it was local to begin with). You keep every appeal letter and scan output generated during your membership. There is no exit penalty.
Can an RCM company use KONQAR for multiple clinic clients?
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White-Label Available
Yes. White-label partnership pricing is available for RCM companies operating on behalf of 3 or more clinic clients. The white-label build includes your branding on all output letters, a centralized dashboard for multi-clinic management, and a per-clinic pricing structure that protects your margins. Contact us directly for white-label partnership terms — these are negotiated case by case based on client volume and specialty mix.
What is the total cost of ownership over 12 months — including setup, support, updates, and training?
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Total Cost Clarity
For founding annual members, the total 12-month cost is $18,000 flat. That includes local deployment, onboarding support, unlimited pre-claim scanning, unlimited appeal generation, all 19 specialty modules, all payer/rule updates, and the full 365 toolkit stream. There are no setup fees, implementation fees, training fees, integration fees, support fees, attachment fees, or per-user add-ons layered in later.
Are software updates, policy updates, and future specialty modules included in the annual price?
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Included
Yes. Founding annual membership includes all payer intelligence updates, CMS/OIG/HCPCS syncs, specialty rule expansions, and newly released specialty modules during your membership term. Founding members also receive priority access to new modules as they ship, with no surprise upgrade charge during the active term.
Do you charge extra for implementation, onboarding, or premium support later?
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No Surprise Fees
No. We do not use the common vendor pattern of quoting a clean annual price and then adding setup, onboarding, premium support, interface maintenance, or training charges after signature. The number you approve is the number you pay.
📊
Results & Proof6 questions
What results can we realistically expect?
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Honest Benchmarks
Pre-claim scanning directly reduces denial rate by eliminating submittable vulnerabilities before payer AI ever sees the claim. Appeal generation targets the 85% of denials that most clinics never challenge — converting written-off revenue into recovered revenue. COB sweep identifies coordination of benefits errors that typically go undetected. Realistic first-year outcome for a mid-volume specialty clinic: reduction in initial denial rate, material increase in successfully appealed denials, and identification of unbilled revenue from ghost codes and COB errors. We do not publish fabricated percentage claims — we run your denial data and show you the math.
How is KONQAR different from what our clearinghouse already does?
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Different Layer Entirely
Clearinghouses (Availity, Change Healthcare, Office Ally) check claims for format and transmission errors — wrong field formats, missing required data elements, invalid codes. They do not analyze medical necessity, payer-specific clinical criteria, bundling logic, or denial pattern intelligence. KONQAR operates at the clinical and payer-intelligence layer — a fundamentally different function. Your clearinghouse and KONQAR solve different problems and run simultaneously without conflict.
How is KONQAR different from Optum, Cotiviti, or Waystar?
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Clinic-Scale Access
Optum, Cotiviti, and Waystar are enterprise contracts starting at $200,000–$500,000+ annually, designed for hospital systems and large health networks. They are not accessible to independent specialty clinics, and their architecture involves cloud PHI processing that creates compliance exposure. KONQAR brings equivalent counter-AI capability to your scale, your budget, and your local hardware — without cloud PHI exposure and without enterprise contract minimums.
Can you show us a sample appeal letter before we commit to anything?
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Yes — Immediately
Yes — and we encourage it. Send us one of your actual recent denials (with PHI redacted or as a scenario description) and we will run it through KONQAR and return a complete 12-layer counter-appeal letter within 24 hours. No installation. No commitment. No sales call required first. The output speaks for itself — evaluate it on your own time, share it with your billing manager, and decide from there.
What is the COB Sweep and is it really free?
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Genuinely Free
The COB (Coordination of Benefits) Sweep is a free analysis of your payer mix and claim volume that estimates how much revenue is sitting in undetected COB denial errors. COB errors are among the most under-appealed denial categories — most clinics never know the dollar amount because they do not have a tool to surface it. The sweep returns a dollar-range estimate of potentially recoverable COB denials specific to your payer mix. No setup. No PHI submission required. Request it on this page — delivered within 24 hours.
Does KONQAR guarantee appeal reversal outcomes?
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Honest Answer
No responsible system guarantees reversal outcomes — payer decisions involve human reviewers and internal processes that no external tool fully controls. What KONQAR guarantees is the quality and completeness of the counter-appeal: 12 evidence layers, regulatory citations that force human physician review, clinical evidence matched to your CPT and specialty, and adversarial language calibrated against the specific payer AI that issued the denial. The letter is the strongest possible legal and clinical argument. What the payer does with it is their decision — and KONQAR's escalation paths exist specifically for when they make the wrong one.
🤝
Vendor Trust & Support5 questions
Who built KONQAR and why should we trust a newer company with our revenue cycle?
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Founder-Built
KONQAR was built by a founder who spent years inside the US healthcare RCM problem — studying CARC/RARC denial patterns, payer AI behavior (NHPredict, Aetna MA downcoding), federal regulatory leverage points (42 CFR 422.101, 422.566), and the specific clinical evidence structures that overturn denials in each specialty. The product was not built by a software generalist who pivoted to healthcare. The system's depth — 2,323,399 NCCI rules, 520+ KNB denial scenarios, 19 specialty modules — reflects years of domain-specific build. The most honest trust signal we can offer is a 24-hour appeal letter test using your own real denials.
What support do we get after we sign up?
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Direct Access
Annual members receive: 30-day onboarding support (live guidance through first workflows), direct email access to the KONQAR team for technical questions, priority response for payer-specific issues (new denial pattern, unknown CARC code, policy change), and the 48-hour sync guarantee for payer and regulatory updates. There is no ticket queue. No offshore support center. Direct access to the team that built the system.
How do we know payer policies in KONQAR are current and accurate?
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48h Live Sync
KONQAR's payer intelligence database syncs every 48 hours against live CMS updates, OIG Work Plan releases, quarterly HCPCS publications, payer LCD/NCD revisions, and state MCO policy changes. The Live Intel Feed on the KONQAR dashboard shows the most recent sync event — date, payer, and what changed. You can see exactly what was updated and when. This is not a static database refreshed annually — it is a continuously maintained intelligence layer.
What if we have a denial category KONQAR has never seen?
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Adaptive Engine
Submit it. KONQAR's Layer 05 Winning Strategy logic pulls from 520+ known KNB scenarios — but the underlying appeal architecture (federal citations, payer policy language, clinical evidence, escalation paths) applies to novel denial types as well. For genuinely new denial patterns, the KONQAR team reviews the output before delivery and adds the scenario to the knowledge base. Every new denial category that comes through strengthens the system for every clinic using it.
Do you manage patient calls or patient billing on our behalf?
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Scope Clarity
No. KONQAR's scope is pre-claim scanning and denial appeal generation — the payer-facing revenue cycle. Patient billing, patient collections, patient calls, appointment reminders, and patient portal functions remain entirely with your existing systems and staff. KONQAR does not touch the patient-facing side of your revenue cycle. This keeps the system focused, fast, and free of scope creep that bloats other RCM platforms.
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Payer AI & The Denial War5 questions
What is payer AI and why is it a problem for our clinic?
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Threat Context
UnitedHealthcare's NHPredict and Aetna's Medicare Advantage downcoding algorithm auto-deny claims in 0.3 seconds — before any physician reads your submission. These systems are trained specifically to identify and deny patterns that clinics traditionally appeal successfully. In 2025, the average denial rate across US specialties has climbed past 15% — and 85% of those denials are never challenged. The result: clinics are losing $200,000–$500,000+ annually to surrendered denials, and most do not know the exact figure. KONQAR was built specifically to fight this automated system at the same speed and intelligence level it operates at.
How does KONQAR fight AI with AI without creating a HIPAA risk?
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Local AI Execution
KONQAR's AI engines run on your hardware. The intelligence (payer policies, NCCI rules, KNB scenarios, clinical evidence) is delivered as an updated local knowledge base. The AI processing — scanning, pattern matching, appeal generation — executes locally against your claim data. Nothing transmits outbound. The counter-AI capability exists entirely within your network perimeter. This is the architectural distinction that separates KONQAR from every cloud-based AI billing tool.
Does KONQAR work against Medicare Advantage plans specifically?
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MA-Specific Intelligence
Yes — and this is one of KONQAR's sharpest capabilities. Medicare Advantage denials are among the most aggressively appealed categories in 2025 because MA plans operate under 42 CFR 422.101, which gives clinics strong federal leverage. KONQAR's appeal architecture for MA denials specifically invokes this regulation, forces peer-to-peer review under 42 CFR 422.566, and uses the MA plan's own Evidence of Coverage language against the denial. Aetna MA downcoding patterns are mapped in Layer 09 with adversarial bypass logic calibrated to their specific algorithm behavior.
What is a timely filing window and how does KONQAR protect against it?
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Deadline Risk
A timely filing window is the deadline by which a claim must be originally submitted — and by which an appeal must be filed after a denial. These windows range from 90 days to 365 days depending on the payer and plan type. Missing the window permanently forfeits the claim — there is no recovery path. KONQAR maps 42 timely filing windows across all major payers and flags approaching deadlines in the appeal output. Your billing team always knows the deadline before they submit the counter-appeal.
Can KONQAR help with prior authorization denials specifically?
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Prior Auth Coverage
Yes. Prior authorization denials are one of the highest-volume denial categories in 2025, particularly in orthopedics, oncology, cardiology, and pain management. KONQAR's appeal for prior auth denials invokes the CMS-0057-F Final Rule, peer-to-peer language under URAC standards (Layer 08), and the payer's own clinical criteria for the procedure — cited verbatim against the denial. For MA prior auth denials, the 42 CFR 422.566 trigger is automatic, forcing physician-to-physician conversation before a final denial can stand.
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Getting Started4 questions
What is the fastest way to see if KONQAR works for our clinic?
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24-Hour Proof
Send us your three most painful recent denials — the ones your billing team has already given up on. Email them to demo@konqar.com with the CARC/RARC code, payer name, CPT code, and a brief description of the denial reason. Within 24 hours we return three complete 12-layer counter-appeal letters. No installation. No system access. No commitment. Evaluate the letters with your billing manager and decide from there.
How many founding slots are actually left?
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Limited
Founding membership is capped at 50 slots globally. Once those 50 clinics claim their rate, the founding pricing and permanent 0% commission lock are closed. Future pricing will reflect KONQAR's roadmap rate — which is higher. Founding members are the only cohort that locks the rate forever with no future repricing, regardless of how the product scales. This is not a manufactured scarcity — it is a deliberate commitment to the first clinics that trust the product before it has mass market proof.
What information do you need from us to get started?
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Minimal Onboarding
For the Proof of Concept: just the denial details (CARC/RARC, payer, CPT, denial reason summary) — no PHI required.
For full deployment: clinic name, primary specialty, payer mix (which insurers you bill most), operating system of the billing workstation, and a 30-minute onboarding call. That is everything. No intake forms. No IT questionnaires. No lengthy procurement process.
What if we are not sure KONQAR is right for our clinic size or specialty?
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Honest Fit Assessment
Book a 15-minute walkthrough call. We will ask you four questions about your claim volume, specialty, payer mix, and current denial handling — and give you an honest answer about whether KONQAR delivers meaningful value at your scale. If it does not, we will tell you. We are not building a client roster for its own sake — we are building a system that works specifically for the clinics it is designed for. A mismatched client serves neither side.
Three Clinics. Three Reversals. Every Dollar Kept.