Too many reimbursement problems are found after submission.
The rules, documentation, and judgment needed to catch them sit across different systems and people.
Hard claims pull in your best people.
Scrubbers can catch mechanical errors. The harder judgment still lands on a person.
- 01
Rule hunting
Reviewers reconstruct payer guidance, dates, claim context, and documentation before they can decide.
- 02
Reviewer variance
Similar claims can land differently when the evidence and rationale are not shared.
- 03
Senior bottleneck
The hardest questions keep escalating to the same experienced people.
Bring the evidence to the reviewer.
Start with what happened
Orchid reviews adjudicated claims and remittance evidence.
Bring the rule to the claim
Compare the claim with the evidence that applies.
Keep the decision with your team
Your people make the final call.
Orchid does not autonomously code, alter, or submit claims.
Understand what happened. Act before it repeats.
Review explains what happened. Prevent flags issues before submission.
After submission
Orchid Review
Understand what happened and why. See where issues repeat and how much they matter.
Before submission
Orchid Prevent
Flag issues before the next claim goes out. Use what Orchid has learned to show your team what needs attention before submission.
Initial Review starts with historical, de-identified claims and does not require changing your active submission workflow.
Start with one problem worth understanding.
Bring the reimbursement question you already have. Before each Review we confirm whether Orchid can evaluate it from the claim population, payer context, and the evidence available.
Current examples are illustrative and use representative data.
Bring us one reimbursement workflow.
15 to 30 minutes to talk through one recurring claim issue and whether Orchid Review may be a fit.
Orchid Review is available to a limited number of qualified RCM organizations supporting professional specialty claims within Orchid's current scope, and qualified professional specialty practices.