Pre bill claim validation that reduces denial and DRG downgrade surprises
Orchid surfaces payer specific risk drivers with evidence linked rationale before billing. Your team stays in control. Your workflow stays intact.
For Hospital and Health Systems
CFO / Finance
Quantify dollars at risk before they become write offs. Prioritize the few drivers that move real money.
VP Revenue Cycle
Fewer surprises between coding and final payment. Clear signals before claims go out the door.
HIM / CDI
Target documentation gaps that drive payer pushback. Evidence linked guidance your clinicians can trust.
Coding leaders
Reduce payer disputes caused by vulnerable documentation and sequencing. Coder friendly rationale and exact record references.
How it works
No EHR integration required to start. Pre-Pilot runs on read-only, export based data.
Why this matters
Denials and downgrades create avoidable rework and unpredictable cash timing when evidence is weak at submission. Industry and government reviews show many denials are later overturned, which points to upstream preventability and process gaps, not just clinical disagreement.
