Catch claim issues before they become payment problems.
Orchid brings together the medical record, applicable policy and reimbursement requirements around a claim, then shows reviewers what warrants attention, why, and the evidence behind it.
The evidence often exists before the problem appears.
By the time someone reconstructs the record, the applicable rule and the reasoning, the financial outcome may already be harder to change. Orchid brings that context together earlier, while there is still time to review the claim.
For more than 15 years on the insurance side, I watched teams reconstruct claim decisions after the fact. The medical record existed. The applicable reimbursement rules existed. The claim facts existed. What was missing was a reliable way to bring them together before the financial decision.
I kept asking: why are we rebuilding the evidence after the outcome instead of assembling it before the decision?
A claim decision should not require rebuilding the evidence from scratch.
Record, rule, reason.
The record
Orchid reads the medical record behind the drafted claim.
The rule
It checks that record against the reimbursement requirement that applies.
The reason
Your reviewer sees what warrants attention, why, and the evidence behind the finding.
Built AI-native. Grounded in evidence.
Orchid was designed around a different claim-review model.
AI assembles and analyzes the relevant claim context. Orchid preserves the medical-record evidence, applicable policy, reimbursement requirements and reasoning behind each material finding.
The reviewer sees the evidence and decides what happens next.
- AI-native architecture.
- Evidence-backed findings.
- Human-controlled decisions.
Built around the teams already making these decisions.
Provider billing and revenue-cycle teams
Billing and revenue-cycle teams keep their existing workflow and final judgment. Orchid helps assemble the evidence before submission.
Health-plan teams
Payment-integrity and claims teams keep their existing edits, vendors and adjudication authority. Orchid adds an independent evidence-bound review before payment.
Start where the evidence already exists.
Validate retrospectively
Run Orchid against claims whose outcome is already known, and compare what it finds.
Run alongside
Apply the concepts that proved out beside the current workflow, without changing decisions.
Move upstream
Bring validated review into the moment before the claim is submitted or paid.
Start with the claims your team already reviews.
15 to 30 minutes to talk through what your team is seeing.