Ravon
Ravon · 2026

The governance platform
for health plan stewardship.

Signals surface early. Playbooks run automatically. Every decision leaves an evidence trail.

Ravon
CAR
Carrier
MGU
MGU
GA
Gen. Agent
EMP
Employer
TPA
TPA
ADV
Advisor
Sales · 2026 Value-chain edition
01 / 10
Ravon
The shared blind spot

The data exists. No one's acting on it.

Too much noise
Claims data flows continuously — but without thresholds, everything looks the same. Nothing stands out.
Too infrequent
The monthly report arrives. The intervention window closed three weeks ago. You're managing history, not trajectory.
No shared accountability
MGU, carrier, GA, TPA — everyone assumes someone else is watching. No one owns the signal.
Claim trajectory · Acme Corp · 30-day window
Intervention window closed
Day 1 Day 10 Day 20 Day 30 Intervention window Threshold Monthly report
Day 1
Day 5
Day 10
Day 15
Day 20
Day 25
Report
Data present
Claims accumulate from day one — the trajectory is visible in the data.
Window closes ~Day 12
Early intervention is possible for the first two weeks. After that, cost containment is reactive.
Report arrives Day 28
The monthly report confirms what already happened. No one acted. The window is gone.
Data present · no signal Window closed Shared blind spot · every partner
02 / 10
Ravon
The Intelligence Engine

Configurable signal detection that only surfaces what matters.

Five detection domains. Configurable evaluation gates. Only the signals that cross your thresholds become governance events — everything else stays noise.

Engine Output
0claims ingested
0patterns evaluated
0records sealed
Ingest
Evaluate
Deduplicate
Seal & Output
Large Claims
Utilization
Clinical Risk
Specialty Rx
Cost Trends
Dollar Threshold
Diagnosis Match
Concentration
Trend Deviation
1
2
3
4
5
6
7
8
Per-Claim Detection
Book-of-Business Intelligence
Governance Event
HRD Evaluator — catastrophic ICD-10 on arrival
Claimant Velocity — spec breach projected 6 wks out
Permanent Record
Immutable audit entry
Carrier-visible evidence
03 / 10
Ravon
The loop underneath

A claim doesn't surprise anyone.

One loop. Four states. Always running.

Governance
Ravon
always running
01 · DETECT
Signal fires
02 · MATCH
Playbook engaged
03 · ACT
Owner notified
04 · SEAL
Record written
Continuous · 24/7 · Per program
A trajectory crosses your threshold.
A play matched. Evidence pre-loaded.
The right human gets the action.
The Governance Ledger seals the record.
Detect · Match · Act · Seal Per program · per signal
04 / 10
Ravon
Detect → Match → Run

One rule. Every matching signal. Automatically.

Configure once — every matching signal runs the same play.

Signals
Large Claim Trajectory
Critical · Acme M-7842
Large Claim Trajectory
High · Member M-9103
Utilization Shift
Moderate
Network Leakage
Moderate
Signal Pattern
Large Claim Trajectory
All trajectory crossings, regardless of tier.
2 active
Playbook Rules
Notify carrier · clinical review
Tier · Critical
Route to GA · early-intervention
Tier · High
Weekly digest only
Tier · Moderate
Auto-generated Actions
Carrier notified · package opened
Steve · 09:14
Clinical review scheduled
SLA confirmed · 11:38
GA briefed · intervention pack sent
Daron · 09:15
Evidence Trail
Governance Ledger · M-7842 ⬡ Sealed
Trigger fired · 20% spec
Day 0 · 09:12
3 actions dispatched
Day 0 · 09:13
Carrier notified
Day 0 · 09:14
Clinical review confirmed
Day 0 · 11:38
GA pack sent · Daron
Day 0 · 09:15
Auto-compiled · immutable
Playbook Engine Auto-routed
05 / 10
Ravon
Playbook Library

Pre-built signals. Your rules, configured once.

Every signal type ships with a default playbook. Adjust the threshold, set the autonomy mode, assign the owner — then let it run.

Signal library · pre-built
Large-claim trajectory
Cumulative claims crossing a configurable % of the spec deductible.
Critical · High Claims layer
Utilization shift
Unusual change in claim frequency or service category over a rolling window.
Trend detection Rx · Medical
Vendor outcome · SLA breach
Vendor fails to respond or document within the configured SLA window.
Vendor accountability
Network leakage
Out-of-network claims exceeding a configurable share of total spend.
Cost containment Claims layer
Playbook rule · configure
Large-claim trajectory · Critical tier
Autopilot · on
Trigger threshold
20
% of spec deductible
Autonomy mode
Approval required
Staged to owner
Autopilot
Actions on trigger
Clinical review request → carrier
Steve R. · 48h SLA
GA intervention briefing → named advisor
Auto-routed
MGU case owner notification
Sara M.
+ Add action
4 signal types · 11 rules configured across 3 programs
Pre-built library Configurable thresholds Per-rule autonomy
06 / 10
Ravon
Automated Dispatch & Routing

One signal.
Dispatched, tracked,
escalated, closed.

Ravon dispatches, tracks SLAs, detects silence, escalates conditionally, and closes the loop — without a human in the loop.

Signal · Playbook engine matched
Large-claim trajectory detected
Member M-7842 · $41,280 · Day 0 · 09:14
Playbook running…
Carrier · Steve R.
Clinical review
Sent
Clinical review package dispatched
Day 0 · 09:14 · Auto
Awaiting response · 48h SLA
Monitoring…
Silent past 48h — auto follow-up sent
Day 2 · SLA breach · Auto
Clinical review filed · case unblocked
Day 4 · Resolved
GA · Marcus T. — Bridgepoint Benefits
Early intervention
Sent
Intervention pack dispatched
Day 0 · 09:15 · Auto
Acknowledged · reply parsed & filed
Day 1 · SLA cleared · Auto
Day-14 check-in scheduled
Day 1 · Auto-queued
MGU · Sara M.
Oversight & escalation
Watching
Program flag raised · watching
Day 0 · Monitoring
Carrier SLA breach — escalation task fired
Day 2 · Triggered by carrier silence
Sara called carrier · review confirmed
Day 3 · Logged & filed · Auto
Escalation closed · all routes confirmed
Day 4 · Resolved
All routes confirmed · Case sealed · Ledger immutable
Day 30 · Auto
07 / 10
Ravon
Governance Ledger

Every action sealed.
Renewal walks in with proof.

The Governance Ledger is the automatic byproduct of detection done right — no manual assembly, no reconstructed history.

Governance Ledger · M-7842 · Acme Corp
⬡ Sealed · immutable
Trigger fired · large-claim threshold · 20% of spec
Member M-7842 · Acme Corp · autopilot · $41,280 of $200K spec
Auto · system
Day 0 · 09:12
Playbook matched · 3 actions dispatched simultaneously
Clinical review → Steve R. · GA briefing → Daron · MGU notify → Sara M.
Auto · playbook engine
Day 0 · 09:13
SLA breach · follow-up auto-sent · human escalation task created
48h no response from carrier. Sara M. assigned: direct phone contact required.
Auto · escalation
Day 2 · 09:14
Human follow-through · Sara M. called Steve R. · case unblocked
Clinical review scheduled. Call outcome logged. Escalation resolved.
Human · logged
Day 4 · 14:22
Inbound email parsed · PDF extracted · evidence filed
clinical-review-M7842.pdf · 3 pages · filed via Resend intake · case status updated
Auto · intake
Day 5 · 11:08
Case management referral confirmed · case closed · ledger sealed
All actions resolved. Evidence packet compiled. Record locked.
Auto · sealed
Day 6 · 16:45
Evidence Packet · exportable
Renewal-ready. Carrier-defensible.
6 ledger entries across 6 days
1 PDF filed via inbound intake
Full escalation chain documented
No manual assembly — auto-compiled
Exportable for carrier and board review
100%
Of actions timestamped automatically
0
Manual entries required to build this record
6 days
Signal to sealed record
1 PDF
Ingested via email · no portal login needed
08 / 10
Ravon
Playbook Engine

Rules run the engine.
You control the autonomy.

Hold for approval, stage to an owner, or execute automatically.

Approval required
Early-intervention · Critical tier
Carrier notified with clinical package
Every action waits for your sign-off. The default for every new rule — full human control, always.
Pending your approval Carrier notification ready · waiting
Staged to owner
GA briefing · High tier
Intervention pack delivered to named advisor
Action arrives pre-loaded in the owner's queue. They review and send. You stay close without being a bottleneck.
Sara M. · ready to send Pack staged · 1 action waiting
Runs automatically
Vendor outcome · Capture trigger
Outcome logged and tagged to renewal record
Validated over 60 runs. No judgment required. Executes the moment the signal matches — documented automatically.
Executed · 09:15:03 Outcome sealed · record written
Rule fired · 3 seconds ago
Member M-7842 matched · outcome logged · 09:15:03
Member M-9103 matched · outcome logged · 09:22:47
Member M-5519 matched · sealed to renewal · 10:04:11
Per-rule autonomy Approval mode always available Rules-based · not AI
09 / 10
Ravon
Where this goes next

One program.
90 days. The record builds itself.

A scoped pilot on one existing program. Signals running, rules configured, ledger live — then expand at the speed of trust earned.

Step 01
Connect the feed
Medical, Rx, eligibility · TPA bundle or direct PBM.
Step 02
Configure two playbook rules
Large-claim early intervention. Vendor-outcome capture.
Step 03
Close the loop
Signals fire. Cases thread. Ledger seals. Renewal walks in with evidence.
Start the pilot · benjamin@ravon.co →
10 / 10