Why Orchid exists
Claims should be easier to defend before they are harder to fix.
Orchid brings payer operations, evidence clarity, and accountable human judgment together to help specialty practices make sense of recurring claim issues.
Focused on evidence that can support a decision
Orchid begins with adjudicated claims, remittance evidence, and one recurring issue so a qualified reviewer can see what appears supported, what remains uncertain, and what may warrant action.
How we build and how we behave
Reviewable by design
Keep the evidence, rationale, and unresolved questions close to each finding.
Evidence before inference
A material finding should identify its available basis and what still needs support.
Human reviewers stay in control
Qualified people remain responsible for decisions and action. Orchid does not make autonomous billing decisions.
A controlled approach to data
Orchid’s public website collects only limited business contact information. If a Review is accepted, Orchid confirms the approved de-identified evidence, non-public transfer method, and appropriate safeguards before information is exchanged.
Do not send patient information, claim records, remittance records, or clinical details through public website channels.
Read the Website Privacy Notice for details about the public site.
Founder-led, accountable, and close to the work
Orchid is led by Andrew Shirer, who founded the company to help specialty practices understand recurring claim issues through clearer evidence and accountable review.
Each accepted Review begins with a defined issue, a bounded evidence scope, and a clear role for the practice’s qualified people.
The aim is to make the next decision easier to explain—not to replace the judgment of coders, billers, clinicians, compliance leaders, or practice owners.
Andrew Shirer
Founder
Founder-led, with more than a decade across healthcare payer operations and consulting.
Discuss a recurring claim issue
15 to 30 minutes. Discuss one recurring billing, claim, or reimbursement issue and whether Orchid Review may be a fit.