Skip to content

AI Innovation

Both the financial and healthcare industries are undergoing an AI evolution. Review our vision for Artificial Neural Networks (ANN) and deep learning targeting these industries.

AI-Based Check Automation

Check recognition & fraud detection are the most important components in today's check processing and omni-channel capture. Learn how OrboAnywhere using OrbNet AI technology reduces costs and mitigates risk.

AI-Based Healthcare Electronification

OrboAccess, powered by OrbNet AI, provides electronification to remits and payments, enabling RCM companies to automate posting, improve research, and deliver business intelligence

About Us

Celebrating 25 years of innovation, OrboGraph has transformed into an AI company delivering targeted automation solutions to the banking and healthcare industries.

Resources

From news and events to case studies, trends, and videos, this section provides a range of information resources for payment automation in the banking and healthcare industries.

Blogs

OrboGraph produces four blog series on a weekly basis covering topics from check processing, fraud prevention, AI technologies, RCM, and healthcare electronification. Select one the blog to the right. We hope you enjoy!

Access Denial Intelligence

Comprehensive business intelligence solution analyzing denied claims.

Access Denial Intelligence

Access Denial Intelligence is the newest addition to the OrboAccess suite. The system analyzes and identifies denied claim trends and improves work processes as a decision support resource.

 

Built on the framework and technology of business intelligence, reporting views can be “sliced and diced” from a variety of interrelated data sources including; EDI 837 claims, EDI 835 ERA, EOB/EOP, ACH, and checks.  By incorporating both clinical and revenue cycle data into insightful metrics, management can identify and prioritize problematic trends in denied claims. The result is to maximize the recovery of revenue on denied claims, reduce leakage, and shorten accounts receivables.

 

The system offers a highly intuitive user experience designed for use by multiple levels of management and users across the healthcare provider.  C-level and revenue cycle management can use the system as a benchmark for success, monitor key performance indicators (KPIs) and create direction for proactive denial correction. The system also delivers predefined schedule reports.

RARC Analysis
claim denial intelligence
image 4

System Benefits

Analysts, denial group managers and billing specialists can interrogate custom data, export worklists and run custom queries based on a wide array of fields. Examples include:

 

  • Claim Adjustment Reason Code (CARC)
  • Remittance Advice Reason Code (RARC)
  • Claim Status
  • Payers
  • Providers (Rendering Physicians)
  • HCPCS
  • Diagnosis

 

Using a well-defined methodology to identify the most denial-prone entities within each category will enable the user to create a more efficient recovery process as well as a proactive program for denial prevention.

Want to learn more?

Access Denial Intelligence Brochure

Join OrboNation

Access to critical updates, new industry insights, & thought leaders.

Review your needs with an OrboGraph expert.

Sign up below for your complimentary assessment or to request
estimated solution pricing from OrboGraph.