Built to Work With Your Lab’s Technology
Our workflows connect with the technology your lab already uses so billing data flows smoothly into clean claims.
Compatible with:
- Electronic Health Records (EHR)
- Clearinghouse claim networks
- Payer portals and reporting tools
This helps reduce manual processing and keeps your billing operation running efficiently.
Laboratory Revenue Cycle Services We Offer
MIPS Performance Reporting
Provider Credentialing & Payer Enrollment
Revenue Analytics & Financial Reporting
Denial Resolution & Appeals Management
Advanced Claim Scrubbing & Validation
Accounts Receivable Recovery
Balance Collections
Remittance Reconciliation
What Keeps Our Billing Process One Step Ahead
Nationwide Coverage with Deep Payer Knowledge
Clinical laboratories do not operate within a single payer environment. Each region brings its own mix of Medicare contractors, Medicaid programs, and commercial insurance plans, all with different billing rules and documentation requirements. Our clinical laboratory billing services support laboratories across the United States, giving you a team that understands how reimbursement works beyond a single local market.
Over time, we have built working knowledge of more than 800 insurance payers, including national carriers, regional plans, Medicare Administrative Contractors, and state Medicaid programs..
For laboratories that serve physicians and patients in multiple states, this kind of payer familiarity matters. Instead of learning each insurer’s requirements from scratch, we already understand how different payers handle laboratory claims, coding requirements, and documentation standards. The result is a billing process that adapts to your payer mix and helps your lab maintain consistent reimbursement across the country.
Turning Everyday Challenges Into Practical Solutions
Dedicated Account Managers
Each laboratory works with a dedicated billing manager who understands your toxicology workflow, payer mix, and billing priorities
Up to 50% Lower Administrative Overhead
Reduce billing and operational costs by eliminating the need to build and maintain an in-house toxicology billing team.
LIS Integration Support
Connect billing with your Laboratory Information System so test orders, results, and billing data move directly from the lab to the claim without manual re-entry.
Are Your Toxicology Tests Being Paid the Way They Should?
We will review your current toxicology billing workflow at no cost, identify gaps that may be causing denials or lost reimbursement, and share practical recommendations. No sales pitch. Just an honest assessment so you can decide the next step.
Out-of-Network Laboratory Claim Management
When laboratories provide services for patients outside their contracted payer networks, billing requirements can change significantly. Reimbursement rules and documentation expectations may differ from standard in-network claims.
We manage out-of-network claim submissions and follow-up so laboratories can still pursue reimbursement where coverage allows.
Customized Solutions for Multiple Lab Types
Laboratory billing complexity varies depending on the type of diagnostic testing. Our clinical lab billing solutions are available for:
Clinical diagnostic laboratories
Routine blood testing, chemistry panels, microbiology, and hematology.
Pathology laboratories
Biopsy analysis, cytology, histology, and surgical pathology.
Molecular & genetic testing laboratories
Genomic testing, DNA sequencing, and advanced molecular diagnostics.
Toxicology laboratories
Drug screening and confirmation testing.
Reference laboratories
High-volume diagnostic testing for hospitals and physician practices.
Our compliance framework supports:
- CLIA billing requirements
- Payer medical necessity policies
- CPT and ICD-10 coding updates
- Local Coverage Determinations (LCDs) and National Coverage Determinations (NCDs)
- CMS Clinical Laboratory Fee Schedule (CLFS) for 2025–2026
- PAMA (Protecting Access to Medicare Act) Reporting Requirements for 2025–2026
Receive a 30-60-90 day improvement plan with measurable targets.
With our clinical laboratory billing services, most labs see measurable improvements within the first 90 days:
- 96%+ Net Collection Rate
- ≤2% Overall Denial Rate
- 98.5%+ Clean Claim Submission Rate
- 98%+ Documentation Accuracy for Laboratory Test Billing