How Orchid works

See how Orchid turns claim signals into a reviewable decision.

The demonstration follows one bounded path: identify a claim or remittance signal, connect the available evidence and payer context, make uncertainty visible, and route the issue to a qualified person.

Talk through a reimbursement workflow

Four Review Moves

From signal to accountable action

Follow one issue from an observed signal to a reviewable decision with evidence and uncertainty kept visible.

01
Identify a signal
Start with a claim or remittance result that suggests a recurring issue deserves a closer look.
02
Connect the available evidence
Bring the claim result, remittance context, and relevant payer guidance into one reviewable view.
03
Separate support from uncertainty
Distinguish supported findings from unresolved questions and evidence gaps that prevent a conclusion.
04
Route the next action
Give a qualified person the context needed to take action, investigate further, or take no action.

Inside the Demonstration

Keep the evidence close to the decision

See how a reviewer moves from a claim signal to an evidence-backed next action.

See where the team should focus
Orchid Review separates appeal review, correction review, evidence retrieval, and no action across the cohort.
Inspect the evidence behind the decision
The decision basis stays traceable to the record and the applicable CMS coverage and billing authority.
Make uncertainty visible
What Orchid can determine, what it cannot, and what is needed to continue stay separate and stated.
Route the next action
Payer result, financial effect, Orchid's determination, evidence status, and the next action stay distinct.