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Healthcare revenue cycle & payer

Clear billing calls. Minimum necessary, every time.

Orian guides identity checks, explains denials in plain words, and keeps health data masked, with AI running only on your own account.

Designed aroundHIPAAMinimum necessaryState residency rules

01A live healthcare call

One call, first ring to signed wrap-up.

A sample patient billing call with Joy, start to finish.

On the line

On call · Patient billing · US

00:02

Steps

  1. Greeting
  2. HIPAA verification
  3. Minimum necessary
  4. Claim status
  5. Plan & close
Quiet until it can help
Customer · Listening

Sample call · Cedar Valley Health · Patient billing · US

02The hard part

What makes healthcare calls so hard to get right.

01

Verification has to be exact

Sharing details before confirming who is calling is a privacy incident. So is over-sharing.

02

Denial codes confuse everyone

Agents translate payer codes into plain language while the patient waits.

03

Data location matters

Healthcare work comes with residency rules that cloud tools make hard to meet.

03Moments that matter

Protected health information stays protected.

Each prompt comes from a playbook your QA team approves.

  1. 01

    When

    Call opens

    Orian shows

    Identity checks, sharing only what is needed

  2. 02

    When

    Patient asks about a denial

    Orian shows

    Denial-reason card in plain language, with the payer rule

  3. 03

    When

    Balance over the plan threshold

    Orian shows

    Payment-plan options from the financial policy

  4. 04

    When

    Caller is not the patient

    Orian shows

    Authorised-representative check before any detail is shared

04The healthcare pack

Ready on day one, tuned to your client.

Steps, answers, phrases and fields for this work, ready to go. Add your client's QA form and script on top.

  • Identity checks, minimum necessary
  • Eligibility and benefits
  • Claim status and denial reasons
  • Prior authorisation steps
  • Billing disputes and payment plans
  • Health data masked by default

Wrap-up fields drafted at hang-up

DispositionClaim numberDenial reasonBalancePlan offeredFollow-up date
Salesforce · Case 0441-HB
Drafted by Orian

Call summary

Disposition
Denial reason
Balance
Fallback
Follow-up

Agent confirms with Enter

Draft ready to confirm

Sample data. Low-confidence fields are flagged for the agent to check.

05Proof for your client

What your client gets to see.

Every eligible call is scored on your client's own form. Signed results go to the Client Portal for programmes you share.

Verification

Every call checked for verification before details are shared

Health data

Masked by default, and sent only to your own AI account

Residency

The whole install runs in the region you choose

Sample call score on this programme: 98 / 100, verified good call. The agent sees it first and can dispute any line.

How data is protected

06One standard, every client

Most floors run several programmes. Orian runs them all.

UK financial services

Vulnerability cues, affordability and complaint handling.

Banking & cards

Disputes, fraud claims and card servicing.

Telecom & utilities

Retention, billing and vulnerable customers.

Any QA form

Import any form and script. Scored from day one.

See it on a healthcare call, with your own QA form.

Bring your QA form. We'll show Orian on a live call, then plan a free 30-day pilot if it fits.