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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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May 20-21, 2019
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Industry Videos

News and trends for 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

Corporate Video & Podcast

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

EDI 835 Formatting

EDI 835 Formatting

The ANSI X9 standard for the EDI 835 file format has enabled the healthcare industry to move forward with Administrative Simplification part of the Affordable Care Act. However, as IT, programmers and HIS/PMS system vendors know, the complexity of the healthcare payment process does not always allow for “standard” EDI 835 file autoposting.

Because of these technical file differences, simply converting to electronic EDI 835 files cannot be done without strong format and posting tests along with accuracy validation. The role of this function is typically placed on a healthcare provider’s IT group, a billing company or facilities management company.

HPAC EDI 835 customization capabilities include examples like these:

  • File Structure Modifications – delimiter changes, line-breaks (carriage returns), etc.
  • File Naming Conventions –rename 835 output based on lockbox control file, image name or other customer request
  • Output Grouping – ability to output multi-payer files, single-payer-grouped files or by individual transaction
  • Payer Information – ability to ingest a clearinghouse or PM vendor Payer Table and modify 835 ISA, GS, BPR, TRN and N1 fields based on cross-walked values
  • File Content Modification – Ability to add static or variable values for non-ANSI-required fields such as REF segments, PER segments and DTM*405 segments.

OrboGraph Electronic2Post (E2Post) Solution can ingest virtually any existing EDI 835 file and enhance the data for autoposting in the PMS/HIS or billing system. Additionally, E2Post can take EDI 837 claim files and append specific claim fields into the EDI 835 files for enriched posting data.

healthcare payment solutions

Achievements

  •  Enhance posting data with higher quality and greater detail
  • Append patient claims information in posting file
  • Improve quality of posting
  • Improve research process with archive of transaction data and images
  • Provide full payment picture from claim creation, insurance remittance to patient payments
  • Reduce receivables and improve collection process
  • Reduce exceptions
  • Long term archive of transaction data and images integrated with remittance and claim information
  • Free software upgrades
  • Performance monitoring and trend analysis by OrboGraph Client Services
  • Business Intelligence (BI) and volume tracking 

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Healthcare Payments Automation Center

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OrboGraph P2Post/E2Post

Testimonials

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"The versatility of HPAC to address the varying needs in EDI processing provides the foundation for universal acceptance of electronic transactions for financial institutions, billers, clearinghouses and healthcare providers.”

Barry Cohen

Co-President, OrboGraph

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