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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!

Continuing our mission to bring to our readers news, trends, and insights on how Artificial Intelligence, Deep Learning, Machine Learning, and other technologies are advancing the revenue cycle management and healthcare payments industries, this week's article from Modernizing RCM with AI brings to you a Unique Case Study of 3 Major Clearinghouses Leveraging AI Technologies for Platform Modernization.

The initiatives taken by each of the featured clearinghouses involve platform modernization for payment and remittance electronification. Healthcare claims clearinghouses continue to search for new service offerings and deployment opportunities of artificial intelligence (AI) as a means to reduce costs and drive strategic value to their clients. Additionally, with the COVID-19 pandemic affecting business across the globe, these clearinghouses benefit from solutions that are pandemic- and natural disaster-resistant.

Client Profile #1: Industry-Leading Clearinghouse -- a Subsidiary of a US-Based Fortune 500 BPO Service Provider

Challenge: This clearinghouse began their OrboGraph partnership because of their struggles with paper remit rates that reached 30%+. With their contract compliance solution relying on ERAs (835 EDI files), a prevalent gap was apparent as they were missing 30% of providers’ remitted claims. To address this challenge and improve analytics, they needed to increase electronic remittance coverage.

Medical Healthcare Research and Development Concept. Doctor in hospital lab with science health research icon show symbol of medical care technology innovation, medicine discovery and healthcare data.

Client Profile #2: Healthcare Solutions Provider with Clinical Data Clearinghouse

Calm doctor touching a medical interface in the hospital

Challenge: Like many other businesses in the world, this clearinghouse -- specifically their RCM processes and functions -- was greatly affected by the COVID-19 pandemic. With the shutdown of offices not just in the US but across the world, the clearinghouse experienced issues and delays with its current vendor -- which was unable to perform tasks from a work-from-home environment due to HIPAA. To ensure business continuity, HIPAA compliance, and build processes that are pandemic-resistant, this clearinghouse embarked on the initiative to transition from its current offshore business process operation (BPO) vendor to a technology vendor. The clearinghouse understood that in order to ensure business continuity with minimum delays, it must leverage AI technologies.

Client Profile #3: A Traditional RCM Clearinghouse

Challenge: Most of their hospitals are working with a bank lockbox, which involves processing and posting large volumes of scanned copies of checks/EOBs. For multi-faceted hospitals and systems dealing with large volumes, decentralized business processes, multiple tax IDs, and multiple facilities, this created an incredibly complex process.

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As you can see from the three profiles above, each client profile had a unique challenge. Click the button below to see how technology was key in overcoming their challenges.

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