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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 Payment Reconciliation

Streamlines the reconciliation process of ERA, ACH, EOB and checks.

Access Payment Reconciliation

Access Payment Reconciliation 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 generated and easily managed. The HHS standard identifies the EFT transaction as a HIPAA transaction, and requiring Payers to provide the payment as an EFT via the ACH Network if requested by the Provider.

Reconciliation is challenging due to the complications of balancing transactions from a variety of sources.  Reconcilers need to review transactions from the HIS/PM system as well as log into the bank deposit account.  Many still utilize spreadsheets to track this process.

Healthcare payment processing

Even if providers have converted to 80 or 90 percent electronic remittances and payments, reconciliation can become a challenging exercise to reconcile the following scenarios:

  • Electronic claims (837) to electronic remittances (835) and EFT payments (ACH)
  • Electronic claims (837) to electronic remittances (835) and paper payments (check-only)
  • Electronic claims (837) to paper remittances (EOB) and paper payments (check)
  • Electronic claims (837) to paper remittances (EOB) and EFT payments (ACH)

Achievements

Tangible Achievements:

  • Reduces reconciliation time and reduces labor via automated matching and reporting
  • Identifies errors and misbalanced payments
  • Improves research process with archive of transaction data and images
  • Provides full payment picture from claim creation, insurance remittance to patient payments
  • Reduce receivables, revenue leakage and bad debt
  • Reduces suspense account entries
  • Ability to close your monthly and quarterly financial reporting faster and more accurately

Intangible Achievements:

  • Reduction in secondary billing delays
  • Reduction in delayed collection of patient self-payments
  • More accurate posting of receivables before cash is received (Note: it is a violation of the Sarbanes-Oxley provisions related to accuracy of financial statements)
  • Improves denials management

Want to learn more?

Access Payment Reconciliation Brochure

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