Why Orchid exists
Orchid Healthcare Technologies builds AI-native, evidence-backed claim review for providers, RCM teams, and health plans.
I spent my career on the other side of the claim.
I've spent 15+ years across payer operations and health-plan work — claims operations, appeals, provider disputes, provider data, EDI, and the regulatory workflows around them. My job was usually to find out why something had gone wrong and stop it happening again.
The same shape kept showing up. A claim comes back denied or reduced, and someone experienced stops what they are doing to rebuild the whole picture: pull the record, find the policy that applied on that date, work out whether the note supports what was billed. Hours of careful work, done by the people you can least afford to have doing it.
What I could not get past is that almost none of that information was new. The note existed. The rule was published. The claim had already been assembled. We were not discovering anything — we were reassembling something that had been sitting there the whole time, except now there was a denial attached to it and less room to do anything about it.
We should not need a denial to find out whether a claim was supportable.
That question became Orchid.
Orchid brings the medical record, applicable reimbursement requirements, and claim context together before the financial outcome is locked in.
Providers and RCM teams can use Orchid before submission. Health plans can use Orchid before payment.
Orchid is AI-native by design. AI assembles and analyzes the relevant claim context, while the evidence and applicable requirements remain visible to the reviewer. A person makes the final decision.
That experience also shaped the product: the evidence and reimbursement rule stay visible, and a person keeps the final decision.
I built the thing I wanted to exist.
Orchid is founder-led and, so far, founder-built. I have done the product direction, the current implementation, the technical decisions, the QA, and the sales conversations myself. That is not a permanent arrangement, but it is an honest description of today.
That has a practical consequence: when a reviewer tells me the output missed the thing that actually mattered, it goes straight into the product rather than into a backlog on the way to someone else.
Andrew Shirer
Founder & CEO · Tampa, Florida
Andrew Shirer has 15+ years across payer operations and health-plan work.
Providers & RCM
Use Orchid before submission to identify claims that may need stronger documentation, coding support, or reimbursement review.
Health plans
Use Orchid before payment as an independent second pass to identify payment-integrity issues that warrant review.
The underlying approach is the same: bring the claim, record, applicable requirements, and evidence together before an avoidable payment problem occurs.
Use public website channels only for business inquiries. Do not send patient information, claim records, or clinical details through them.