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Delivering Healthcare Payment Electronification

Delivering Healthcare Payment Electronification

The healthcare industry is striving to achieve 100% electronification of payments and remittances. Despite the efforts of the government to semi-mandate insurance companies, payers and providers to exclusively utilize EDI 835 electronic remittance advices (ERA) and ACH payments, the industry still generates billions of claim payments in checks with EOB remittances in the form of PDF or paper-originated transactions.

To process these documents, providers, service bureaus, and RCM companies utilize a variety of methods to cope with these unpostable transactions, typically relying on outdated data entry infrastructures. Modernization is now available via the use of AI and Deep Learning technologies hosted by cloud computing.

The healthcare industry has been very progressive related to cloud computing adoption (see case studies here).

EOB shaded blue

The Power of Cloud Computing

 Banks and financial institutions migrating to the cloud.

An excellent example of cloud computing is the OrboGraph OrboAccess suite, running on the Healthcare Payment Automation Center (HPAC). HPAC, residing on AWS, is the infrastructure which hosts the data lifting and conversion processes of Opti-Lift with OrbNet AI. Running hundreds of instances with NVIDIA GPU processing, this industrial strength solution can process for an unlimited number of clients and is monitored with Amazon QuickSight.

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