HMO & Insurance

Claims that
stop bouncing.

Rejected claims are usually a coding and documentation problem, not a dispute. Because Orion codes diagnoses against a standardised ICD library at the point of consultation, the claim you submit is already built on the evidence the HMO asks for.

Included from the Clinic plan upward.

What you get

HMO & Insurance Claims

Manage HMO enrollment, claim submission, and reconciliation entirely within Orion. Reduce the 15–30% rejection rates common with manual processing. Faster resubmissions and clear visibility on outstanding claims.

ICD-Coded Diagnosis Library

Code diagnoses against a standardised, searchable ICD library — bulk-importable and consistent across every clinician. Cleaner records, cleaner reporting, and fewer rejected HMO claims.

Corporate & Family Patient Groups

Group patients under a corporate or family account. Each member's charges tracked individually with a consolidated financial summary. Company health plans managed natively — no spreadsheets for HR departments.

What changes at the hospital

  • Diagnoses coded consistently by every clinician
  • Clear visibility on which claims are outstanding
  • Faster resubmission when a claim does bounce
  • Company health plans managed inside the system
Chat with us on WhatsApp