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.
Too much research
Finding the right rule takes time.
Different reviewers. Different answers.
Similar cases can land differently when evidence is scattered.
Senior staff become the fallback
Hard questions often reach the people with the most experience.
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.
Start small. Prove what's useful.
01
Pick one problem
Choose a specialty, payer, or issue family.
02
Review the findings together
Compare Orchid's findings with your reviewers.
03
Decide whether to go further
Expand only if the evidence justifies it.
Initial Review starts with historical, de-identified claims and does not require changing your active submission workflow.
Start where we're strongest.
Orchid is deepest today in outpatient podiatry. For multi-specialty RCM teams, podiatry is a practical place to start.
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.