Revenue cycle management
From
registration to
recovery
AI agents run every stage of your revenue cycle - patient access, coding, claims, and denials - in one platform.
Denials are where we go deepest - twelve instrumented steps from intake to recovery, with every root cause routed back upstream so the next claim never fails the same way.
The platform
One system for the whole cycle
Orbion runs every stage from registration to recovery on one set of data. Denials are where we go deepest - and where the rest of the cycle learns from what it finds.
01
Patient Access
Coverage confirmed and authorized before the patient is seen, so the claim starts clean.
02
Mid-Cycle
Every encounter coded, captured, and documented to the standard the payer will hold you to.
03
Claims & Payment
Claims scrubbed against payer rules, submitted electronically, and reconciled on the way back.
04
Denials, Appeals & AR
The stage that decides whether the work above becomes revenue. Twelve steps, fully instrumented.
Denials are where the revenue cycle fails loudest, so it is where Orbion goes deepest.
The problem
Built for a volume nobody planned for
The result: lost revenue, burned-out staff, and zero visibility.
Your revenue cycle is four systems that do not talk
Eligibility lives in one tool, coding in another, claims in a third, denials in a spreadsheet. Nobody can trace a denied claim back to the registration error that caused it, so the same error bills again tomorrow.
AR over 60-90 days is choking cash flow
Claims past 60 days are 2-3x less likely to recover. Working capital dries up while finance scrambles for answers.
Your team is buried in rework instead of prevention
Experienced specialists spend the day copy-pasting between the EHR, payer portals, and shared drives. Every week is triage, and the work that moves the needle never gets done.
Works with
and moreOrbion
Unified Revenue Cycle
Connects to
and moreIntegration
Connects to what you already use
Orbion sits at the center of your revenue cycle, pulling data from every source and pushing resolutions back - without replacing a single tool in your stack.
The platform, as your team sees it
Welcome to an entirely new way of working.
One denied claim, start to finish
What your team sees when Orbi works a denial: the reason in plain English, the evidence already gathered, and a corrected claim ready to send.
Around every claim
Agents, search, dashboards and team chat, all working from the same claims.
Agents you can see and configure
Orbi-Denials works a denied claim end to end, and the Orchestrator hands each request to the right specialist agent.
Put an agent on a schedule
Give it a goal, success criteria and a budget, then let it run the morning denials review on its own.
One search across the cycle
Claims, agents, documents, dashboards and support tickets, from a single search box.
Denial KPIs, live
Touches per claim and the top denial codes by dollar value, refreshed every minute while open.
Your team, beside the work
Shared channels and direct messages, so escalations never leave the platform.
Bring your BI with you
Embed Power BI, Looker Studio, Tableau or any URL as a dashboard panel.
Revenue at risk
What denials really cost
Adjust the sliders to match your organization. See the real revenue at risk - and what Orbion can recover.
$1,170,000
750
$1,800,000
$1,062,000
Assumptions: 65% recovery rate on denials that are actually worked, $118 average rework cost per denial (MGMA), 12-month projection. Actual results vary by specialty, payer mix, and denial complexity.
Ready to stop the revenue bleed?
Product modules
Start with denials, run the whole cycle
Denial Management is where Orbion goes deepest. Eight more modules run on the same platform and data, so the rest of the cycle is there when you need it.
Flagship module
Denial Management
Where Orbion goes deepest. Twelve steps from intake to recovery, each one automated, tracked, and fed back upstream so the same denial does not happen twice.
- Every payer source in one queue within minutes
- Root cause classified on every denial
- Appeals assembled in under an hour, not days
- Fixes pushed back upstream to Patient Access and coding
Accounts Receivable Follow-up
Open claims worked in order of what they are worth, before they age past recovery.
Eligibility & Verification
Coverage and benefits confirmed in real time, before the patient reaches the front desk.
Prior Authorizations
Payer requirements checked, requests assembled, and status tracked to a decision.
Payment Posting
Remittances posted against the original claim, with underpayments flagged on arrival.
Claim Scrubbing & Submission
Claims checked against payer rules and corrected before they leave the building.
Secondary Billing
Balances rolled to the next responsible payer automatically, so nothing stalls after primary.
Reporting & Analytics
Executive dashboards and payer scorecards built on every action across the cycle.
Super Agents
AI agents configured to your own workflows, automating the work specific to your business.
Capabilities
What runs across every stage
Four capabilities that work the same way whether the task is an eligibility check, a coding review, or a second-level appeal.
Integration
Universal Connectivity
Every payer portal, clearinghouse, and remittance source through a single integration layer - feeding eligibility, claims, and denial data into one system of record.
Intelligence
Orbion Score
Work is scored 1 to 100 - weighted by dollar value, resolution probability, and deadline proximity - so your team works the list top-down. No guessing. No wasted effort.
Automation
Agentic Workflow Engine
AI agents handle the repeatable work across every stage - eligibility checks, coding suggestions, claim edits, appeal assembly - and route the exceptions to your team.
Prevention
Closed-Loop Prevention
Every denial is traced to its upstream cause and the fix is pushed back into Patient Access, coding, or claim edits automatically. The cycle teaches itself.
Why Orbion
Built by the people who lived this
Orbion was founded by revenue cycle operators, software engineers and architects, and security experts who spent years fighting denials with the wrong tools.
Enterprise Engineering
Scalable architecture for health system volume
Healthcare Security
HIPAA-compliant infrastructure built from day one
Health System Finance
Deep understanding of revenue cycle economics
Revenue Cycle Operations
Built by people who ran the cycle end to end
Who it’s for
Every tier of care
Hospitals
End-to-end cycle intelligence across complex payer contracts, prior authorization requirements, and high-volume claim flows.
Specialty & Surgical Groups
Authorization and coding logic tuned for high-complexity specialties - Cardiology, Oncology, Orthopedics - where medical necessity is decided before the claim goes out.
Labs & Diagnostics
Purpose-built workflows for reference labs, pathology, and molecular diagnostics - where coverage and authorization decide the outcome.
Get started
See what you’re leaving on the table
A personalized revenue impact analysis in a 30-minute walkthrough. Your data, your payer mix, your recovery potential. No slides.