For healthcare operations
The procedure is written down. The real work isn’t.
Eligibility, prior authorization, claim status, denials, and appeals move across EHR, payer, clearinghouse, queue, inbox, and spreadsheet screens. Orchard monitors activity within your defined scope to reveal where the administrative route varies between teams and where effort repeats. Investigate the evidence and choose which repeatable workflows to automate. Clinical, coverage, and payment decisions remain with people.
The shape of the problem
Where the hours actually go
The procedure stops at the handoff
Policy may describe the required result, but the screen-by-screen route across queues, portals, documents, and notes is often carried by the specialists doing the work.
Training follows whoever has time
New specialists learn the route from whoever is available, including the workarounds and personal reminders that never made it into the documented procedure.
The work crosses every system
EHR, payer portals, clearinghouses, spreadsheets, and inboxes each hold one part of the same case. The administrative route between them is performed by hand.
What the record holds
See the patterns behind the work.
- Which payer portal, which work queue, and how many times the same authorization screen is re-opened
- Where one specialist’s route through a denial diverges from the person sitting beside them
- The exact fields carried out of the EHR into the payer portal and back into the account note
- How long an eligibility response stays on screen, and how often the account is returned to afterwards
- Which accounts are touched a second and third time, and the step the earlier pass stopped at
Examples of patterns to investigate across supported systems and teams in your configured monitoring scope. The available activity determines the detail in each view.
The work
Eligibility, authorization, and denials
The repeatable stretch of your own operation, learned from the desks that already run it best.
- Verifying eligibility and benefits ahead of the schedule
- Assembling authorization requests the way each payer expects them
- Working denial and rejection queues through to resolution
- Keeping referrals and appeals moving instead of aging
How it learns the work
Monitor the work. Choose what happens next.
Monitor the work you choose
Define the teams, supported systems, and activity included in your monitoring scope. Orchard brings employee activity, software usage, and AI adoption into view while your teams work in their existing tools.
Repeated work becomes evidence
See where time goes, how work moves between teams, and which steps repeat or slow down. Compare patterns across the activity available to Orchard and explore exceptions without losing their context.
Explore the evidence with Isaac
Ask Isaac about the work behind a finding. Explore supporting activity, compare strategic scenarios, and see the evidence and assumptions behind each view. Build dashboards in Studio around the information that matters to your business.
Choose what runs and when
Record a task, review its procedure, and configure and test supported automation steps. Set available approval and execution controls, inspect run history, and pause when needed. Estimated time and labor value depend on the manual baseline and cost rate you provide.
Where this work happens today
Understand the work across your existing tools
- Epic
- Oracle Health
- athenahealth
- Availity
- Waystar
- Excel
- Outlook
These are examples of tools used for this work, not a list of guaranteed integrations. Orchard monitors activity across supported applications within your configured scope. Confirm the coverage and deployment requirements for your environment during your demo.
Control before autonomy
Your hand stays on the controls
- Choose the systems, teams, and activity included in your monitoring scope.
- Explore the evidence, context, and assumptions behind findings and modeled possibilities.
- Give leaders and teams access appropriate to their responsibilities.
- Choose and enable automations, set review requirements, and pause workflows when needed.