OrthoCarolina partnered with Truist to modernize its payment operations, replacing paper checks with secure ACH automation. This shift reduced administrative costs, improved cash flow predictability, and significantly lowered fraud risk. With enhanced reconciliation and vendor verification tools, the client is now positioned for future-ready payment innovation.

About our client

Company: OrthoCarolina

Headquarters: Charlotte, NC

Employees: 1,600

Industry: Health care (orthopedic care)

Background: A leading independent orthopedic practice in Southeast, serving patients since 1922


Challenge:

  • Heavy reliance on paper checks, posing operational inefficiencies and high administrative costs
  • Increased exposure to Business Email Compromise (BEC) and vendor fraud attacks, creating financial risk
  • A recent audit highlighted security vulnerabilities, prompting the need for secure, digital payment solutions

Solution:

  • Integrated Payables: Truist recommended ACH automation with vendor verification and account validation tools.
  • Vendor Enablement: Secure setup and verification of vendor banking information.
  • Efficient Processing: Payments scheduled for same-day, next-day, or future transactions.
  • Enhanced Reconciliation: Rich remittance and reconciliation data provided for seamless posting

Results:

  • Increased Efficiency: Reduced payment processing time and administrative costs
  • Enhanced Cash Flow: Accelerated payables and receivables provide better cash flow predictability
  • Reduced Fraud Risk: ACH adoption mitigated BEC risks, adding layers of security
  • Future-Ready: Prepared for adopting additional faster payment tools to continue optimizing operations.

OrthoCarolina’s take:
"One of the primary reasons we selected Truist over other banks was the people. Truist’s commitment to innovation aligns with our vision for efficiency and growth. Their ACH solution has helped us eliminate inefficiencies and added essential layers of security.“
— Director of Internal Audit & General Accounting, OrthoCarolina

Protect your company from fraud

Reach out to your Truist Treasury Consultant or Relationship Manager to learn more about how we can help mitigate ACH fraud attempts.

Learn more ~ about Truist’s ACH origination solutions

Wholesale Payments Truist Purple Paper® Developing a treasury ecosystem to propel your business

Learn how a new era of payments technology can transform the way you succeed.

Related resources

How to protect against AI-driven business fraud

How to protect against AI-driven business fraud

Fraud How to protect against AI-driven business fraud

Explore prevention and mitigation strategies for the cutting edge of cybercrime.

Article
10/28/2025
How to protect against AI-driven business fraud

Artificial intelligence (AI) has sparked a new generation of business cybercrime. Learn how to combat AI-driven fraud with modern fraud detection solutions.

How To Guard Against Card-Not-Present Fraud

How To Guard Against Card-Not-Present Fraud

Fraud How to guard your business from card-not-present fraud

This crime, called card-not-present (CNP) fraud, is a serious and rapidly growing threat to businesses and credit card companies.

Article
10/26/2025
How To Guard Against Card-Not-Present Fraud

E-commerce has made remote credit card fraud one of the most prevalent cybercrimes. Learn how to spot and defend against card-not-present fraud.

Fight fraud with digital payments

Fight fraud with digital payments

Risk management Fight fraud with digital payments

What can you do to protect your company against fraud? Start by securing your computer systems and educating employees about phishing, business email compromise, and other schemes. Most importantly, shift your payment methods from paper-based to digital.

Article
12/13/2023
Fight fraud with digital payments

Smaller businesses are almost twice as likely as large businesses to suffer instances of fraud. Learn how to keep your business safe by implementing simple changes with big impacts.

    {0}
    {6}
    {7}
    {8}
    {9}
    {12}
    {10}
    {11}

    {3}

    {1}
    {2}
    {7}
    {8}
    {9}
    {10}
    {11}
    {14}
    {12}
    {13}

    Stay informed and get connected

    Looking for fresh thinking and new insights to help uncover opportunities for your business needs?

    Helpful links




    Sign up for monthly articles on Business Insights

    Sign up to receive our business insights, thought leadership, and client success stories that can help inspire your next bold business move.

    Please enter a first name
    Please enter a last name
    Please enter a valid email address
    Please enter a company name
    I'm also interested in: Please select a campaign option