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.
01A live healthcare call
One call, first ring to signed wrap-up.
A sample patient billing call with Joy, start to finish.
Disposition
Denial reason
Balance
Fallback
Follow-up
Notes
+1 (•••) •••-4410
00:02
On the linemasked as it is heard
On call · Patient billing · US
Steps
- Greeting
- HIPAA verification
- Minimum necessary
- Claim status
- Plan & close
Sample call · Cedar Valley Health · Patient billing · US
02The hard part
What makes healthcare calls so hard to get right.
Verification has to be exact
Sharing details before confirming who is calling is a privacy incident. So is over-sharing.
Denial codes confuse everyone
Agents translate payer codes into plain language while the patient waits.
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.
- 01
When
Call opens
Orian shows
Identity checks, sharing only what is needed
- 02
When
Patient asks about a denial
Orian shows
Denial-reason card in plain language, with the payer rule
- 03
When
Balance over the plan threshold
Orian shows
Payment-plan options from the financial policy
- 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
Call summary
- Disposition
- Denial reason
- Balance
- Fallback
- Follow-up
Agent confirms with Enter
Draft ready to confirmSample 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 protected06One 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.