Know what the evidence supports, what needs attention, and why.
Orchid connects claims to the payer rules and evidence that apply, showing what appears supported, what's uncertain, and what needs attention.
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.
Orchid Review helps explain what happened, why, where the issue repeats, and how much it matters. Orchid Prevent operationalizes what you learn before the next claim goes out.
Diagnostic engagement
Orchid Review
Understand what happened, why, where it repeats, and which issues deserve attention first.
Diagnose · Quantify · Prioritize · Scope
Scalable decision layer
Orchid Prevent
Address sufficiently understood issues before the next claim reaches the payer.
Operationalize · Scale · Repeat
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.