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Healthcare & life sciences insights
Illustrative case studyHealthcare & life sciences 2 min read

Supporting healthcare growth with a clearer view of cash

How consulting can establish the financial priorities for expansion, with Orbis Agents helping a healthcare group build a more dependable view of collections and cash.

An illustrative business scenario, not a report of a completed client engagement. The benefits described are intended outcomes, not verified results.

The opportunity, connected01 / 03
Claims, Remittances, Receipts connected through consulting and Orbis Agents to support clearer cash visibility.ClaimsRemittancesReceiptsConsultingOrbis AgentsCapacity to growSTRATEGY → INTELLIGENCE → VALUE
Prioritise collection gaps

Consulting connects the business ambition with the processes, priorities and decisions that need to change.

01

The challenge

A growing healthcare group has a familiar problem: activity is visible at each site, but the financial picture takes longer to assemble. Claims, remittance files and bank receipts arrive through different channels. Small differences accumulate into a substantial reconciliation workload.

  • ClaimsCare sites
  • Remittance filesPayers
  • Bank receiptsBanking

What finance must tell apart

  • An ordinary timing difference
  • A missing payment
  • An unresolved adjustment

The finance team needs to distinguish an ordinary timing difference from a missing payment or unresolved adjustment. Without that distinction, collection priorities depend on manual investigation rather than a consistent view of the evidence.

02

Consulting and Orbis Agents in practice

01 / Consulting sets the direction

Prinorbis begins with the business ambition: extending care across more sites without losing financial visibility. The consulting work examines where revenue becomes difficult to collect or explain, identifies the most material gaps and defines a sequenced plan. Finance and site leaders agree the matching rules, decision owners and measures that would make the first deployment worthwhile.

02 / Orbis Agents support execution

Orbis Agents then bring those records together, prepares matches and groups unresolved items by likely cause. Each exception carries its supporting information and a clear owner. Staff review proposed adjustments and decide when to contact a payer. The workflow supports the existing finance systems; it does not make clinical decisions or authorise changes to patient care.

03

The business value

In this scenario, finance moves from searching for discrepancies to reviewing a prepared queue of decisions. Site leaders gain a more consistent view of outstanding revenue, and collection effort can be directed to balances that need attention. The intended benefit is clearer cash visibility without weakening financial oversight.

Illustrative impact

What better could look like

An example of the improvement consulting and Orbis Agents could support. These assumed before-and-after figures illustrate the scenario; they are not measured client results or forecasts.

−60%

Less preparation time

Monthly reconciliation effort

Before80
After32

hours

−60%

Faster resolution

Average exception age

Before15
After6

days

+35pp

Stronger oversight

Exceptions with evidence and an owner

Before55%
After90%

Basis: assumed values for a comparable workload and reporting period. Percentage reductions are relative to the starting value; pp means percentage points. Actual impact would be established through a measured pilot.

How success would be measured

A pilot would establish the baseline, agree targets with the process owner and track:

  • Time required to reconcile receipts
  • Age and value of unresolved balances
  • Share of exceptions with supporting evidence and an owner

The takeaway

Growth is easier to plan when financial visibility keeps pace with the care network.

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Your business

What could this look like for you?

Start with the process that needs attention. We can help assess the opportunity and define what a useful first step would deliver.