Resources

Check out our reservoir of information related to check recognition and healthcare payment technologies. We frequently update this section with the latest news, trends, and analysis of the banking and healthcare industries.

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Platform Modernization

Both the financial and healthcare industries are undergoing modernization initiatives in check payments and remittance.  See how OrboGraph is using AI, self-learning and deep learning models to drive innovation in these industries to deliver workflow automation.

Platform Modernization

Modernizing payments in the banking and healthcare industries

AI, Self Learning & Deep Learning Technologies

Optimized AI and deep learning models for the automation of check processing and healthcare posting

Operationalizing AI & Self Learning in Checks

Revolutionizing check processing and fraud prevention for the banking industry

Delivering Healthcare Payment Electronification

Increased accuracy levels, decreased error rate for healthcare payments posting

Product Videos

See how each product/service module of OrboAnywhere and OrboAccess delivers value from our check and healthcare payment platforms

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See and hear how OrboGraph incorporates AI, deep learning and self learning technologies into its product suite

Healthcare Payments

OrboAccess automates remittance and payment posting as well as enables full research and business intelligence analysis for RCM companies, clearinghouses, billers, and providers.

Access EOB Conversion

Delivers EOB/EOP electronification with information intelligence via AI and deep learning technologies

Access Correspondence Letters

Extracts posting data and tracks reimbursement progress via workflow management

Access Payment Reconciliation

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

Access Patient Payments

Automates patient payments for posting

Access Denial Intelligence

Spotlights trends in denials to reduce receivables via prevention

Healthcare Payments Automation Center

Scalable, reliable, flexible cloud-based hosted data center on Amazon Web Services (AWS)

Check Processing

OrboAnywhere automates paper originated payments (i.e. checks, money orders, drafts) and remittances for balancing and posting while reducing risk and losses in the areas of check fraud, payment negotiability and compliance.

Anywhere Fraud

Transaction and image analysis for on-us and deposit fraud detection of counterfeits, forgeries, and alterations.

Anywhere Recognition

Divergent multi-engine CAR/LAR, ICR, OCR & AI check recognition for the Omnichannel

Anywhere Validate

Validate payment negotiability of paper originated items

Anywhere Payee

Match, read, and validate payees for risk and operational workflows

Anywhere Positive Pay

Payee name verification of business checks using issue files

Anywhere Compliance

Mitigate risk in check payments for OFAC, BSA/AML, UCC, Reg CC, and KYC

Restrictive Endorsement

Automatic validation of restrictive, mobile and non-restrictive endorsements

Traditional Products

Based on the Accura XV platform

Delivering Healthcare Payment Electronification

Delivering Healthcare Payment Electronification

The healthcare industry is striving to achieve 100% electronification of payments. Despite the efforts of the government to semi-mandate insurance companies, payers and providers to exclusively utilize EDI 835 electronic remittance advices (ERA) coupled with ACH payments, providers still receive billions of claim payments and remittances via PDF or paper-originated transactions. In fact, according to the latest CAQH Index, electronic transactions actually declined by 1% this year resulting in an increased reliance on EOBs.

 

Explanation of benefits (EOB) forms are typically generated as a paper or PDF remittance document while checks are the predominant payment type. To process these documents, providers utilize a variety of methods to cope with these non-postable transactions including:

  • Internal resources to key transaction data into practice management and hospital information systems
  • Outsource data entry to 3rd parties, including off-shore companies
  • Contract with revenue cycle management (RCM) firms to convert transactions into EDI 835
  • Rely on a clearinghouse as the conversion partner
  • Include EOB processing with their bank’s medical/wholesale lockbox services

 

The ability of a 3rd party RCM, clearinghouse or medical lockbox to deliver an excellent customer experience to the provider rests on their ability to provide an EDI 835 posting file with a high degree of accuracy, short turn-around time and streamlined process at a cost-effective price.

 

Modernization in healthcare payments occur when these vendors utilize advanced AI and Deep Learning technologies coupled with extensive quality control processes to achieve 100% electronification of remits and payments. The result is an automated cash posting environment for these transactions simplified to the following processes:

  • Automated upload of image and EDI 837 data
  • Automated download of EDI 835 with access via online content management

 

OrboAccess with Opti-Lift technologies operationalize AI and deep learning for extraction of posting data from PDF and paper-based remittances as well as correspondence letters while providing full research and system access to transactional data across multiple payment sources.

 

Companies around the globe recognize that physical data centers with pure data entry staffing is being replaced with cloud-based application deployments. OrboGraph has created a competitive differentiation by implementing an enterprise-grade infrastructure around a unique security implementation which adheres and exceeds strict regulatory compliance requirements of Protected Health Information (PHI), the Health Insurance Portability and Accountability Act (HIPAA) and HITECH. This approach can be deployed in multiple scenarios with RCM companies.

 

OrboAccess is the platform of the future, delivering the ultimate streamlined experience for electronification and automated posting into any practice management or HIS system. Click below to discuss how we can work with your RCM company, clearinghouse or lockbox in a wide range of configurations.

Platform Modernization

AI, Self Learning and Deep Learning Technologies

Operationalizing AI and Self Learning for Check

OrboAccess Product Videos

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