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.
Flagship - Denials, appeals & AR
Where the cycle gets decided
Denials are where the cycle’s upstream errors finally show up, so this is the stage we instrumented hardest - twelve steps, from the moment a denial lands to the moment revenue is recovered.
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?
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.