Built for claim problems that keep coming back.
Orchid connects adjudicated claims to the payer rules that apply, showing what appears supported, what's uncertain, and what deserves attention.
Why recurring issues stay hard.
It repeats
The same reimbursement question can show up again and again.
The research takes time
Finding the rule that applies can interrupt the work already on your team's plate.
The context changes
The answer can depend on the payer, plan, service, and date.
Start with one recurring issue.
Qualified specialty practices may be a fit. Before each Review, Orchid confirms whether it can evaluate the issue from the claims and evidence available.
Examples from outpatient podiatry
- Modifier 25 and same-day E/M
- Routine foot care exceptions
- Q7, Q8, and Q9 support
Current examples are illustrative and use representative data.
What it takes from you.
Bring one recurring issue, the de-identified claims that show it, and one responsible person to review what comes back.
An initial Review works from historical claims and does not require replacing your billing system or changing active claim submission.
Hospital and DRG engagements are outside this professional-practice offer.
Qualified people remain responsible for decisions and action. Orchid does not make autonomous billing decisions.
Start with one recurring claim issue.
Talk through the issue, the evidence available, and whether Orchid Review may be a fit.