Laboratory Services Built Around the Complexity of Clinical Diagnostic Testing.
Specialty-focused medical billing, coding, and revenue cycle support for clinical chemistry, hematology, coagulation, microbiology, immunology, molecular diagnostics, toxicology, genetic testing, specimen-based laboratory services, and complex laboratory claims.
Talk to Our Laboratory Billing Team
Tell us about your laboratory, testing services, and revenue cycle needs.
Laboratory Billing Connects Specimens, Testing, Documentation, Coding, and Payer Requirements.
Laboratory revenue cycle workflows can span the test order, specimen collection, processing, diagnostic testing, coding, claim submission, payer review, payment posting, and accounts receivable.
Specimen-Based Workflow
Accurate specimen identification, collection, handling, processing, and documentation support the billing process from the beginning.
Test-Specific Coding
Laboratory coding should correspond to the diagnostic service, assay, test, or procedure actually performed and documented.
Medical Necessity
Laboratory orders and supporting records should connect the clinical indication and diagnosis with the laboratory services being reported.
Payer & Regulatory Requirements
Laboratory workflows can involve payer policies, authorization requirements, CLIA-related considerations, coding edits, and claim documentation.
Laboratory Medical Billing Services
Connect eligibility, charge entry, laboratory coding, claims, denial management, payment posting, A/R, and revenue cycle operations through one coordinated workflow.
Laboratory Medical Billing
Billing workflows for clinical and specialty laboratory services based on documented testing.
Explore → 02Laboratory Coding
CPT, ICD-10-CM, HCPCS, documentation, and applicable coding-rule review.
Explore → 03Insurance Verification
Eligibility, benefits, payer requirements, and authorization workflow support.
Explore → 04Laboratory Charge Entry
Capture documented laboratory testing, diagnoses, charges, and claim information.
Explore → 05Laboratory Denial Management
Review coding, documentation, eligibility, medical necessity, and payer denial issues.
Explore → 06Laboratory A/R Management
Monitor unpaid claims, aging accounts, payer follow-up, and outstanding balances.
Explore → 07Laboratory Payment Posting
Process ERA, EOB, payments, adjustments, and reconciliation workflows.
Explore → 08Laboratory Revenue Cycle Management
Coordinate laboratory billing from service documentation through payment and A/R.
Explore →Clinical Chemistry, Hematology & Coagulation Billing Workflows.
Support billing workflows across routine clinical laboratory testing while connecting the documented test, specimen, diagnosis, coding, claim preparation, and payer requirements.
Clinical Chemistry
Billing support for documented chemistry testing, analytes, panels, and diagnostic laboratory services.
Hematology
Coding and billing workflows for applicable blood and hematology laboratory testing.
Coagulation
Support for applicable coagulation laboratory testing and documentation workflows.
Routine Laboratory Testing
Organize billing workflows for commonly performed diagnostic laboratory services.
Laboratory Panels
Connect applicable panel services with documentation and coding requirements.
Urinalysis
Billing workflows for applicable urine testing and documented laboratory services.
Analyte-Based Testing
Support documentation and coding around the laboratory analyte or test performed.
Diagnostic Laboratory Reports
Maintain alignment between laboratory results, reports, diagnosis, documentation, and billing data.
Infectious Disease and Immunologic Testing With Connected Billing Workflows.
Microbiology and immunology can involve cultures, organism identification, susceptibility-related work, serology, antibody testing, and other diagnostic laboratory services.
Our billing workflow connects documented testing with coding, payer requirements, claims processing, denial management, and accounts receivable follow-up.
Explore Medical Coding →Microbiology
Billing workflows for applicable microbiological diagnostic laboratory services.
Bacteriology
Support for applicable bacterial testing, culture, and diagnostic workflows.
Virology
Billing processes for applicable viral diagnostic laboratory testing.
Parasitology
Support for applicable parasitology testing and laboratory billing workflows.
Mycology
Workflow support for applicable fungal laboratory diagnostics.
Immunology
Claim workflows for applicable immunologic laboratory testing.
Serology
Documentation and coding support for applicable serologic and antibody testing.
Infectious Disease Testing
Payer-aware billing support for applicable infectious disease laboratory services.
Molecular Diagnostics, Genetic Testing & Specialty Laboratory Services.
Advanced laboratory testing may require close alignment between the test or assay performed, specimen, clinical indication, documentation, coding, authorization, and payer-specific requirements.
Molecular Diagnostics
Billing workflows for documented molecular diagnostic procedures and laboratory testing.
Molecular Testing
Connect applicable molecular assays with documentation, coding, claims, and payer rules.
Genetic Testing
Payer-aware workflows for applicable genetic diagnostic laboratory services.
Cytogenetics
Billing support for applicable cytogenetic and chromosome-related laboratory testing.
Specialty Diagnostics
Support for advanced laboratory testing with specific coding or payer requirements.
Reflex Testing
Organize billing workflows around applicable reflex-testing rules and documented services.
Biomarker Testing
Connect documented biomarker-related laboratory services with clinical and billing information.
Assay-Specific Billing
Review laboratory billing against the test or assay actually performed and documented.
Specialty Laboratory Services With Connected Billing Workflows.
Specialty testing can involve toxicology, drug testing, therapeutic drug monitoring, transfusion medicine, blood bank services, point-of-care testing, and other diagnostic laboratory workflows.
Toxicology
Billing workflows for documented toxicology laboratory services.
Drug Testing
Support applicable laboratory drug-testing services and claim workflows.
Therapeutic Drug Monitoring
Billing support for applicable drug-monitoring laboratory testing.
Transfusion Medicine
Laboratory billing support for applicable transfusion medicine services.
Blood Bank
Organize billing workflows for applicable blood-bank laboratory services.
Point-of-Care Testing
Support applicable point-of-care laboratory testing and billing workflows.
Specialty Diagnostic Testing
Flexible workflows for testing with specific coding or payer requirements.
Laboratory Workflow Support
Connect laboratory operations, documentation, coding, claims, and payment workflows.
Connect the Test, Documentation, Code, Payer Rules, and Claim.
Laboratory coding workflows should reflect the service actually performed and documented, while considering applicable CPT, ICD-10-CM, HCPCS, NCCI, MUE, CLIA, medical necessity, and payer requirements.
CPT Coding
Laboratory procedure coding based on the documented service or testing performed.
ICD-10-CM
Diagnosis coding support connected to documented clinical indications.
HCPCS
Applicable HCPCS reporting workflows for laboratory services and testing.
Medical Necessity
Review supporting diagnosis, order, clinical indication, and applicable payer requirements.
NCCI Review
Review applicable National Correct Coding Initiative policies and coding relationships.
MUE Review
Consider applicable medically unlikely edit requirements during claim review.
CLIA-Aware Workflow
Incorporate applicable laboratory certification and CLIA-related billing considerations.
Reflex Testing
Review applicable reflex-testing and documentation requirements.
Connect Laboratory Coverage, Medical Necessity, Authorization, Documentation, and Claims.
Laboratory testing may involve eligibility checks, payer coverage policies, medical necessity, prior authorization, documentation requests, claim edits, and payer-specific requirements.
Eligibility Verification
Verify active coverage, benefits, insurance information, and applicable patient responsibility.
Laboratory Benefit Review
Review applicable coverage for clinical and specialty laboratory testing.
Prior Authorization
Support authorization workflows where a payer requires approval for applicable testing.
Clinical Indication
Connect the ordered or performed laboratory service with its documented clinical indication.
Medical Necessity
Organize supporting information around the service, diagnosis, order, and applicable payer requirements.
Documentation Requests
Coordinate orders, medical records, laboratory reports, authorization details, and supporting documentation.
A Connected Billing Workflow From Laboratory Service to Final A/R Resolution.
Laboratory billing continues beyond claim submission. Rejections, denials, documentation requests, payment posting, underpayment review, and aging A/R all require structured follow-up.
Verify
Eligibility, benefits, coverage, and payer requirements.
Authorize
Applicable authorization for laboratory testing and services.
Capture
Orders, specimens, tests, diagnoses, and documented charges.
Code
CPT, HCPCS, ICD-10-CM, and applicable coding requirements.
Review
Documentation, medical necessity, NCCI, MUE, and payer rules.
Submit
Clean claim submission and rejection management.
Resolve
Denials, payments, adjustments, underpayments, and A/R.
Laboratory Billing Across Different Practice Models
Billing workflows can be structured around the laboratory's testing services, specialty, site of service, payer environment, and operational model.
Laboratory Services FAQ
What laboratory services do you support? +
Our laboratory billing workflow can support clinical chemistry, hematology, coagulation, microbiology, immunology, molecular diagnostics, genetic testing, toxicology, drug testing, transfusion medicine, point-of-care testing, specialty laboratory services, claims, denials, payment posting, and A/R.
Do you provide laboratory medical billing services? +
Yes. Laboratory medical billing can include insurance verification, charge entry, laboratory coding, claim submission, payment posting, denial management, and A/R follow-up.
Do you handle clinical laboratory billing? +
Yes. Clinical laboratory workflows can include chemistry, hematology, coagulation, urinalysis, microbiology, immunology, and other documented diagnostic laboratory services.
Can you support molecular laboratory testing billing? +
Yes. Applicable molecular billing workflows can include molecular diagnostics, molecular testing, genetic testing, cytogenetics, specialty assays, documentation, coding, authorization, and payer follow-up.
Do you handle microbiology and immunology billing? +
Yes. Applicable workflows can include microbiology, bacteriology, virology, parasitology, mycology, immunology, serology, infectious disease testing, coding, claims, and payer follow-up.
Do you support toxicology and drug testing billing? +
Yes. Applicable laboratory billing workflows can include toxicology, drug testing, therapeutic drug monitoring, documentation, coding, claim submission, and payer review.
Why is specimen documentation important for laboratory billing? +
Specimen documentation helps connect the laboratory order, specimen, testing service, diagnosis, clinical indication, documentation, coding, and submitted claim.
Do you provide laboratory coding services? +
Yes. Laboratory coding workflows can include CPT, HCPCS, ICD-10-CM, documentation review, applicable modifiers, NCCI considerations, MUE review, and payer-specific billing requirements.
Can you help with laboratory prior authorization? +
Yes. Authorization support can include identifying applicable payer requirements, verifying benefits, tracking authorization status, and organizing supporting laboratory and clinical information where authorization is required.
Do you support CLIA-aware laboratory billing workflows? +
Laboratory billing workflows can account for applicable CLIA-related requirements, laboratory certification considerations, and payer claim rules.
Do you manage laboratory claim denials? +
Yes. Denial workflows can include reviewing coding, documentation, authorization, medical necessity, eligibility, payer processing, corrections, and applicable follow-up.
Can you handle laboratory A/R services? +
A/R workflows can include aging review, payer follow-up, underpayment review, unresolved balances, payment reconciliation, and account resolution.
How does laboratory revenue cycle management work? +
A connected laboratory RCM workflow generally moves from eligibility and authorization through laboratory charge capture, specimen and documentation review, coding, claim submission, denial management, payment posting, and A/R follow-up.
Build a More Connected Laboratory Billing Workflow.
Bring laboratory billing, clinical laboratory coding, claims, denials, payment posting, and A/R into one structured process.