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!

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 third 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 third 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 utilize OrbNet AI with deep learning models for extraction of posting data from PDF and paper-based remittances as well as correspondence letters. Additionally, the system provides full research and 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

Review your needs with an OrboGraph expert.

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