healthcare payment solutions

Intelligent Payment Automation for Healthcare Payments

OrboAccess extracts and automates healthcare payment and remittance data for cash posting functions, enables full research access to transactional data and enables business intelligence on a variety of payment sources. OrboAccess drives value to the revenue cycle by completing the electronification of payments from health insurance companies (payers) and patients to the healthcare provider, significantly reducing costs by as much as 50% per claim and improves collections of denied claims.

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Denial Intelligence

EOB Conversion

Payment Reconciliation

Patient Payments

Correspondence Letters

Access EOB Conversion

Access EOB Conversion extracts data from scanned images or PDF documents created from paper-based Explanation of Benefits (EOB) or Explanation of Payments (EOP). Access EOB then delivers EDI 835 Electronic Remittance Advice (ERA) files ready for cash posting in practice management (PM) or hospital information systems (HIS).  A variety of new capabilities are now available.

Access Correspondence Letters

Access Correspondence Letters extracts index data from scanned images of paper-based correspondence letters typically mailed from payers to healthcare providers. Correspondence, also referred to as denial letters, represent a variety of health plan/payer communications.

Hosted on the

Healthcare Payment Automation Center (HPAC)

Access Patient Payments

Access Patient Payments extracts important transaction data from scanned images of paper-based patient payment coupons/statements as well as check image transaction information to generate EDI 835 cash posting files ready for import to practice management (PM), hospital information systems (HIS) or patient billing systems.

Access Denial Intelligence

Access Denial Intelligence is the newest addition to the OrboAccess suite. The system can be run stand alone, but is also created to complement existing denial management systems by delivering improved insight to denied claims and supporting prioritization of worklists.

Access Payment Reconciliation

Access Payment Recognition leverages EFT Reassociation to ERA matching technologies to link remittance advices to payments via a reference identifier (TRN). By matching the transaction number systematically, a list of outstanding payments is easily generated and more easily managed.

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It is estimated that there are over 7B healthcare claims processed annually in the US. The check payment along with paper-based explanation of benefits/explanation of payments forms, continue to be resilient as reliable payment vehicles in many market segments. According to CAQH, 45% of remittance advices are either fully manual or only partially electronic.

Healthcare Claims Processed in the U.S.
%
Still using paper checks and remittances
Hospitals in the U.S.
$.46
Cost of Claim Payment
$.19
Cost / Manual Claim
$
Est. industry savings using electronification

“The OrboAccess Access suite of healthcare payments solutions is a strategic investment for the company. OrboAccess delivers virtually 100% electronification of healthcare payments as part of an industry-wide initiative to reduce healthcare costs.”

-Avikam Baltsan, Co-President and Chief Technology Officer

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