See whether the record supports the claim — before you send it.
Orchid reads the medical record against the reimbursement requirements that apply and shows your reviewer what is supported, what needs attention, and why.
The record, rule, and claim already exist.
The note is written, the rule is published, and the claim is drafted. Same question, better moment to ask it.
After submission
Claim goes out
Issue surfaces
Rework begins
Before submission
Claim drafted
Orchid surfaces the reason
Reviewer acts
Claim proceeds
What Orchid asks about the claim.
Does the requirement apply?
Which reimbursement rule governs this service, for this payer and date.
Does the record support it?
Whether the documentation shows what is being billed, or assumes it.
Does anything else deserve attention?
Modifiers, related services, frequency, or timing that raise a question.
Every finding arrives with the passage it came from, the rule that governs it, and what Orchid could not settle.
Where Orchid fits.
Between a drafted claim and the moment it is submitted. Nothing about how your team bills or submits has to change.
Drafted claim
Record + claim + payer context, before submission.
Orchid
Pre-submission reimbursement review
The record checked against the requirements that apply.
Medical record + drafted claim + payer and date context
Checked against the governing reimbursement requirement
- Appears supported
- Needs attention
- Uncertain
Evidence, rule, and reason stay attached to the finding
Your team
Qualified human action
A person decides what happens next.
- Continue
- Resolve issue
- Gather evidence
- Route for review
Existing submission workflow
Submission remains in the system your team already uses.
Orchid shows the evidence and rule. Your team decides what happens next.
Orchid does not alter or submit claims.
- Starting scope
- One reimbursement question, and the claims and records behind it.
- Next
- Controlled validation with an RCM organization using authorized historical claims and supporting records.