We optimize front-end intake by automating demographic data extraction from lab requisitions, EMRs, and order entry systems. Our real-time eligibility verification tools integrate directly with payer databases, enabling precise coverage validation and reducing delays caused by incorrect or incomplete patient information.

Our certified coding specialists are proficient in lab-specific coding standards, including CPT, HCPCS, and ICD-10, spanning services from routine pathology to advanced molecular diagnostics. We leverage natural language processing (NLP) to interpret lab reports and suggest compliant codes that maximize reimbursement efficiency and accuracy.

Using our proprietary AI-powered claim scrubbing engine, every claim is rigorously validated against payer rules, bundling protocols, and modifier logic. This process ensures a higher clean-claim rate and significantly reduces rework associated with rejections or denials.

Our automated systems post payments from ERAs and EOBs directly into your billing platform, ensuring fast and accurate reconciliation. Any anomalies — such as underpayments, missed adjustments, or missing remittances — are immediately flagged for follow-up by our revenue cycle specialists.

Our denial management strategy is driven by predictive analytics that identify patterns and root causes before they impact cash flow. Denied claims are followed up with timely appeals supported by payer rules, clinical documentation, and proven case histories — improving recovery rates and reducing revenue leakage.

We handle patient billing with care and professionalism, providing tailored statements, flexible payment options, and responsive call center support. Optional chatbot and IVR integration enhances the patient experience while reducing internal support workload.

We maintain the highest standards of data security and compliance, fully aligning with HIPAA, PCI-DSS, and SOC 2 protocols. All sensitive data is encrypted both in transit and at rest. Robust access controls and regular audits across our delivery centers ensure regulatory integrity at every step.