ATLANTA — April 20, 2026
Executive Summary
MediStreams has entered into a strategic solution agreement with First National Bank of Omaha to deliver enhanced healthcare payment automation and reconciliation capabilities to FNBO’s healthcare clients. The collaboration integrates FNBO’s financial services infrastructure with MediStreams’ automation platform, enabling healthcare organizations to streamline payment workflows, reduce administrative burden, and improve financial visibility across the revenue cycle.
The agreement expands FNBO’s healthcare banking offerings by introducing automation-driven capabilities across remittance processing, payment posting, reconciliation, and correspondence management. The combined solution is designed to support healthcare organizations in managing increasingly complex financial operations while improving efficiency and accuracy across the payment lifecycle.
Announcement Overview
MediStreams, a provider of healthcare payment and remittance automation solutions, has announced a strategic collaboration with First National Bank of Omaha (FNBO) to enhance the bank’s healthcare-focused financial services platform. Through this relationship, FNBO will offer an integrated solution that combines banking services with automation technology, enabling healthcare providers to better manage payment processing and reconciliation activities.
The collaboration is focused on delivering end-to-end revenue cycle enhancements, particularly in areas where manual processes and fragmented systems can create inefficiencies. By integrating MediStreams’ platform into FNBO’s healthcare banking ecosystem, the solution provides a unified framework for managing payment data, remittance information, and financial reconciliation processes.
This initiative aligns with FNBO’s ongoing efforts to support healthcare organizations facing challenges such as declining reimbursements, rising patient financial responsibility, and increasing operational complexity, while enabling improved financial performance and operational consistency.
Key Announcement Details
Partnership Structure and Objective
- Announcement Type: Strategic solution agreement focused on enhancing healthcare payment automation and reconciliation capabilities
- Announcement Date: April 20, 2026
- Parties Involved: MediStreams and First National Bank of Omaha (FNBO), a subsidiary of First National of Nebraska, Inc.
- Primary Objective: Enhancement of FNBO’s healthcare banking offerings through integration of advanced automation and reconciliation technology
- Solution Framework: Combination of FNBO’s financial services infrastructure with MediStreams’ healthcare payment and remittance automation platform
- Core Outcome: Delivery of a unified, integrated solution for managing healthcare payment workflows and revenue cycle operations
- Client Base: Healthcare organizations and providers utilizing FNBO’s banking and financial services platform
Healthcare Banking Platform Context
- FNBO Platform Purpose: Designed to support healthcare providers in managing financial and operational complexities
- Industry Challenges Addressed:
- Declining reimbursement rates
- Increasing patient financial responsibility
- Rising operational and administrative complexity
- Existing FNBO Capabilities:
- Medical lockbox services for payment intake
- Patient financing solutions
- Merchant services supporting payment processing
- Financial Objective: Enable healthcare organizations to accelerate payments and maintain consistent cash flow
MediStreams Integration Capabilities
- Technology Contribution: MediStreams provides healthcare payment and remittance automation solutions that streamline complex workflows
- Integration Scope: Automation across key stages of the payment lifecycle within FNBO’s healthcare banking ecosystem
- Operational Enhancement: Introduction of automated workflows replacing manual processes in payment and reconciliation operations
- System Outcome: More connected and efficient revenue cycle experience through integrated data flow and processing
Payment Lifecycle Automation Components
Remittance Conversion and Normalization
- Functionality: Transformation of paper-based and PDF remittances into standardized, posting-ready digital formats
- Operational Impact:
- Elimination of manual data entry requirements
- Standardization of remittance data formats
- Improved compatibility with downstream systems
- Process Improvement: Enhanced accuracy and consistency in handling remittance data
Automated Payment Posting
- Functionality: Delivery of accurate, system-ready files for direct posting into financial systems
- Operational Impact:
- Acceleration of cash application processes
- Reduction in manual posting activities
- Improved speed of revenue recognition
- System Efficiency: Streamlined movement of payment data through financial workflows
Reconciliation
- Functionality: Alignment of remittance data with bank deposits
- Operational Impact:
- Reduction of discrepancies between payment records and deposits
- Improved financial accuracy and integrity
- Decreased manual reconciliation effort
- Financial Control: Strengthened reconciliation processes supporting audit readiness
Correspondence Management
- Functionality: Capture and organization of payer communications related to payments and adjustments
- Operational Impact:
- Centralized document management
- Streamlined workflow processes
- Improved accessibility of payment-related communications
End-to-End Revenue Cycle Coverage
- Lifecycle Scope: Coverage from medical lockbox intake through posting validation to financial reconciliation
- Data Alignment Objective: Ensuring payment data and deposited funds are matched prior to integration into downstream systems
- Operational Continuity: Seamless flow of financial data across the entire payment lifecycle
- Process Integration: Elimination of fragmentation between different stages of the revenue cycle
Operational and Financial Benefits
- Manual Processing Reduction: Decrease in reliance on manual workflows across payment and reconciliation processes
- Administrative Cost Impact: Lower administrative burden associated with payment handling and reconciliation
- Revenue Cycle Efficiency: Faster payment posting and accelerated revenue capture
- Financial Visibility: Enhanced visibility into payment activity across all stages of the revenue cycle
- Reconciliation Accuracy: Improved accuracy in aligning payments with deposits
- Audit Readiness: Strengthened audit processes through consistent and accurate financial records
- Month-End Close: Faster and more predictable financial closing cycles
- Workflow Efficiency: Improved consistency and reliability in financial operations
Onboarding and Implementation Enhancements
- Onboarding Experience: Streamlined onboarding process for new MediStreams clients within FNBO’s ecosystem
- Implementation Speed: Rapid support for deposit account implementations
- Time-to-Value: Near immediate realization of operational benefits following deployment
- Operational Stability: Implementation designed to avoid disruption to existing workflows
Strategic Positioning and Roles
- FNBO Strategic Focus: Commitment to delivering financial solutions that improve operational processes, strengthen controls, and accelerate revenue cycles
- MediStreams Strategic Contribution: Provision of automation capabilities to simplify complex payment workflows
- Collaborative Outcome: Enhanced ability for FNBO to support healthcare clients with advanced financial automation
- Client Value Proposition: Increased confidence in financial operations through improved accuracy and efficiency
Technology and Platform Characteristics
- MediStreams Platform Attributes:
- Industry-leading accuracy
- Real-time visibility into financial processes
- Rapid configurability for diverse workflows
- Workflow Transformation: Conversion of manual processes into automated, system-driven workflows
- Processing Capability: Faster posting and reconciliation of payments
- Financial Confidence: Improved reliability and transparency in financial operations
Organizational and Operational Context
- FNBO Institutional Profile:
- One of the largest privately held banks in the United States
- Nearly 170 years of operational history
- Approximately $35 billion in assets
- Workforce of more than 4,500 employees
- Geographic Presence:
- Headquarters in Omaha, Nebraska
- Banking offices across Colorado, Illinois, Iowa, Kansas, Missouri, Nebraska, South Dakota, Texas, and Wyoming
- Service Portfolio:
- Personal and business banking
- Mortgage services
- Payment solutions
- Wealth management
Regulatory and Compliance Disclosures
- Banking Status: Member FDIC
- Lending Status: Equal Housing Lender
- Investment and Insurance Product Disclosures:
- Not a deposit
- Not guaranteed by the bank or its affiliates
- Not FDIC insured
- Not insured by any federal government agency
- May decrease in value
Customer Impact and Use Case Outcomes
- Administrative Focus Reduction: Healthcare organizations can reduce time spent on manual financial processes
- Operational Efficiency Gain: Increased efficiency in payment handling and reconciliation
- Patient Care Focus: Ability for organizations to allocate more resources toward patient care
- Financial Management Improvement: Enhanced control and visibility over financial operations
- Workflow Simplification: Simplified management of complex payment processes
Access to Additional Information
- Solution Information Availability: Additional details on MediStreams solutions available via official website
- Digital Access Point: www.medistreams.com
Strategic Collaboration to Enhance Healthcare Banking Capabilities
The agreement between MediStreams and FNBO establishes a framework for delivering advanced automation capabilities within FNBO’s healthcare banking platform. This collaboration leverages the strengths of both organizations, combining financial services expertise with specialized automation technology to address critical operational needs in healthcare finance.
The integrated solution is designed to:
- Streamline payment workflows across the revenue cycle
- Reduce reliance on manual processes
- Improve accuracy and consistency in financial operations
- Provide enhanced visibility into payment activity
Healthcare organizations using FNBO’s platform will benefit from a more connected system that supports efficient data flow from payment receipt through reconciliation, enabling improved operational performance and financial management.
Extending FNBO’s Revenue Cycle Management Capabilities
FNBO’s healthcare banking platform has been developed to support providers navigating a range of financial and operational challenges. These include:
- Declining reimbursement rates
- Increasing patient financial responsibility
- Growing administrative and operational complexity
The platform currently includes solutions such as:
- Medical lockbox services
- Patient financing solutions
- Merchant services
These capabilities are designed to help healthcare organizations accelerate payment collection and maintain consistent cash flow.
Integration of MediStreams Automation Technology
The addition of MediStreams enhances FNBO’s platform by introducing automation across critical stages of the payment lifecycle. This integration expands the bank’s ability to deliver efficient, scalable, and accurate revenue cycle processes.
Key functional areas introduced through MediStreams include:
- Remittance Conversion and Normalization
- Automated Payment Posting
- Reconciliation
- Correspondence Management
Each of these components contributes to a more streamlined and efficient revenue cycle, reducing manual intervention while improving data accuracy and accessibility.
Detailed Breakdown of Payment Automation Capabilities
The collaboration introduces a comprehensive set of automation capabilities designed to address key challenges in healthcare payment processing. These capabilities are structured to improve efficiency at each stage of the revenue cycle.
Remittance Conversion and Normalization
This capability focuses on transforming paper-based and PDF remittances into standardized, system-ready formats. By converting unstructured remittance data into structured formats, healthcare organizations can:
- Reduce manual data entry requirements
- Improve data consistency and accuracy
- Enable faster downstream processing
The normalization process ensures that remittance information is aligned with system requirements, facilitating smoother integration with existing financial systems.
Automated Payment Posting
Automated payment posting enables the delivery of accurate, system-ready files that can be directly applied to accounts. This functionality supports:
- Faster cash application
- Reduced processing delays
- Improved operational efficiency
By eliminating manual posting steps, healthcare organizations can accelerate the movement of funds through the revenue cycle while maintaining accuracy.
Reconciliation Across Payment Lifecycle
The reconciliation capability aligns remittance data with bank deposits, ensuring that financial records accurately reflect payment activity. This process helps:
- Reduce discrepancies between payment records and deposits
- Improve financial accuracy
- Support audit readiness
Reconciliation is extended across the entire payment lifecycle, enabling organizations to maintain consistency from initial payment receipt through final financial reporting.
Correspondence Management
Correspondence management involves the capture and organization of payer communications, including documentation related to payments and adjustments. This capability supports:
- Improved document management
- Streamlined workflows
- Enhanced access to payment-related information
By centralizing correspondence, healthcare organizations can reduce administrative complexity and improve operational transparency.
Driving Greater Efficiency and Financial Confidence
The integration of MediStreams’ platform into FNBO’s healthcare banking services is designed to deliver measurable improvements in efficiency and financial management.
End-to-End Payment Lifecycle Coverage
MediStreams extends reconciliation across the full payment lifecycle, including:
- Medical lockbox processing
- Payment posting validation
- Financial reconciliation
This comprehensive approach ensures that payment data and deposited funds are aligned before reaching downstream systems, reducing the risk of errors and inconsistencies.
Operational Benefits for Healthcare Organizations
Healthcare organizations leveraging this integrated solution can achieve:
- Reduced manual processing and administrative costs
- Accelerated payment posting and revenue capture
- Improved visibility into payment activity
- Enhanced reconciliation accuracy and audit readiness
- Faster and more predictable month-end close processes
These outcomes support more efficient financial operations and enable organizations to focus resources on core activities such as patient care.
Leadership Commentary on the Collaboration
Blake Sorrell, Director of Healthcare Banking at FNBO, stated:
“FNBO is committed to delivering thoughtful financial solutions that help healthcare organizations improve processes, strengthen controls, and accelerate their revenue cycle. By working with MediStreams, we are enhancing our ability to support our healthcare clients with automation that simplifies payment workflows and provides greater confidence in their financial operations.”
Joe Maher, President and Chief Financial Officer of MediStreams, commented:
“FNBO has a strong reputation for delivering high-quality financial solutions tailored to the healthcare industry. We’re proud to support them by bringing automation to complex payment workflows. In addition, this relationship enables a more streamlined onboarding experience for new MediStreams clients, including the ability to rapidly support deposit account implementations, which results in near immediate value without any operational disruption.”
Streamlined Onboarding and Implementation Advantages
The collaboration also introduces improvements in the onboarding process for new MediStreams clients within the FNBO ecosystem. The integration supports:
- Rapid deployment of automation capabilities
- Efficient implementation of deposit account structures
- Minimal disruption to existing operations
This streamlined onboarding process enables healthcare organizations to realize near-immediate value from the integrated solution, reducing the time required to transition from manual to automated workflows.
About MediStreams
MediStreams provides healthcare payment and remittance automation solutions designed to streamline complex financial workflows. The company’s platform focuses on delivering:
- Industry-leading accuracy
- Real-time financial visibility
- Rapid configurability
By transforming manual processes into automated workflows, MediStreams enables healthcare organizations to:
- Post payments faster
- Reconcile transactions more efficiently
- Improve overall financial confidence
The platform supports a wide range of healthcare payment processes, ensuring consistency and efficiency across the revenue cycle.
About FNBO
First National Bank of Omaha, a subsidiary of First National of Nebraska, Inc., is one of the largest privately held banks in the United States. The organization has been in operation for nearly 170 years and maintains a strong presence across multiple states.
Key organizational details include:
- Approximately $35 billion in assets
- More than 4,500 employees
- Headquarters in Omaha, Nebraska
- Primary banking offices across multiple U.S. states
FNBO provides a comprehensive range of financial services, including:
- Personal and business banking
- Mortgage services
- Payment solutions
- Wealth management
Founded in 1857, the bank has maintained a long-standing commitment to supporting customers and contributing to community development.
Regulatory and Disclosure Information
- Member FDIC
- Equal Housing Lender
- Investment and insurance products:
- Not a deposit
- Not guaranteed by the bank or its affiliates
- Not FDIC insured
- Not insured by any federal government agency
- May decrease in value
Media Contact
For additional information, visit medistreams.com.
Source Attribution
Source: Company announcement
