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.
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 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.
Join OrboNation
Access to critical updates, new industry insights, & thought leaders.
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.
Hospitals in the U.S.
Cost of Claim Payment
Cost / Manual Claim
Est. industry savings using electronification
Review your healthcare payments and cash posting needs with an OrboGraph expert.
Sign up below for your complimentary assessment or to request
estimated solution pricing from OrboGraph.