For Philippine hospitals
Get paid for the care your hospital already gave
Your charts prove more than your claims say, so your hospital is paid less. Oriaris helps your team close that gap, with training and tools that will check your claims.
Founded by an emergency physician · Built for Philippine hospitals
The gap in your claims
The chart says
Hypotension, cold clammy extremities
The claim says
Dengue, routine. No shock coded
The problem
A doctor saves a life
The hospital is not paid
One code was missing
PhilHealth pays by case mix, and secondary codes set your tier. When a complication your chart documents never reaches the coding sheet, PhilHealth prices a routine case and your hospital loses the difference. Not fraud, not poor care. Just a gap.
The same patient, coded two ways
As submitted
A91 only
Dengue without warning signs, Tier 1
₱24,000
As documented
A91 plus R57.8
Infectious diseases with MCC, Tier 3
₱166,500
The chart already proved the shock. The claim never said so. Illustrative figures based on PHL-DRG tier differentials
One in ten Philippine inpatient claims cannot be classified under DRG at all, because the clinical data is incomplete. PIDS, 2018 to 2023 study
How we help
Five ways to close the gap, starting with your team
Training and advice come first, because they help you now. The software follows, built on what teams like yours tell us.
- 01Oriaris AcademyPHL-DRG training for your coders and clinicians, plus internships for students.Launching first
- 02Oriaris NexusPhysician-led advice to get your claims process ready, plus NeuroBloom for parents and caregivers.Launching next
- 03Oriaris HorizonSee how your claims compare, using public PhilHealth data and your own numbers.After Nexus
- 04Oriaris CoreWill catch the missing code before your claim is submitted, with your coder approving every change.In research
- 05Oriaris RelayWill connect Core to the systems your hospital already runs.Later
We understand
Your coders are not the problem
Nobody holds 26 major diagnostic categories and 12 secondary diagnoses in their head at 3am. The gap is not between good staff and bad staff. It is between the chart and the claim, and it closes with practice and better tools, not blame.
- Physician led
- Founded by an emergency medicine specialist, MD FPCEM, who will review every lesson and every clinical rule
- Built for Philippine hospitals
- Real deficiency patterns from Philippine facilities and PhilHealth's own rules, never generic international material
- Honest about what exists
- Nothing here is described as ready before you can use it. You will always know what exists today
Where to start
One path for each of you
Coders, encoders and billing staff
Get the free guides
Learn how claims are priced and where codes hide in a chart. Free, no sign up.
Hospital leaders
Get advice for your hospital
Physician-led readiness reviews with Nexus, and a say in how Core is built.
Students and recent graduates
Start your career in health tech
Internships and OJT across five tracks, from claims to marketing, on real work.
Straight answers
Questions you might have
What does Oriaris do?
We help your hospital get paid for the care it already gave, by closing the gap between your charts and your claims. Five lines do that: Academy trains your team, Nexus advises you, Horizon benchmarks you, Core checks your claims and Relay connects your systems.
Can I use anything yet?
Yes, the free guides, today. Academy comes first and Nexus next, then Horizon, Core and Relay. We will never tell you something is ready before you can use it.
Will Oriaris store our patient data?
No. We collect no patient data today, and Core is being designed never to keep yours: a claim will exist in memory only for the moment it is checked, and nothing identifying is ever written down.
Is Oriaris affiliated with PhilHealth?
No. Oriaris is an independent company. Our guides cite PhilHealth's own circulars and manuals so you can check every rule at the source, but PhilHealth has not reviewed or endorsed them.
Who is behind Oriaris?
Oriaris Health Intelligence, Inc., in Bonifacio Global City, founded by an emergency medicine physician, MD FPCEM, who will review every lesson and every clinical rule before anyone relies on it.
Full DRG transition is coming, learn the rules before it arrives
The habits that close the gap are learnable. Start with the free guides today, and bring your whole team with you.