For the owner and CFO

The claim lives in the same record as the order.

Every break between your LIS and billing platform is a place where money goes missing. The 837P and the 835 posting are one object — not exported to a partner.

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270 / 271

Eligibility at order entry

Checked before the specimen is drawn. Not reconciled after the fact in a billing system that has never seen the order.

837P

Claim built from the order

837P constructed directly from the order record. No export, no re-keying, no translation layer between clinical and financial.

835 / ERA

Auto-posting and denial routing

ERA and 835 auto-posting. Denial worklists route back to the coder attached to the accession that caused the denial.

REF LAB

Reference lab billing

Pass-through, direct, and client bill — tracked per order. Modifier rules including −90 and Medicare anti-markup applied at the claim level.

Z-CODE

MolDx Z-codes as first-class fields

Not a workaround, not a notes field. Z-codes live in the same data model as the order, CPT, and ICD-10.

One platform, or two

What actually changes when the claim and the specimen are the same record.

Not a feature list. These are the specific things that stop being possible the moment your billing lives at another company.

LIS + separate billing productLab A SaaS
Order and claimTwo records joined by an exportOne record, never separated
EligibilityChecked in the billing system, after the fact270/271 at order entry, before the draw
A denialArrives as a file, matched back by handOpens attached to the accession that caused it
Coding changesUpdated in two places, drift between themOne place
Month-end closeReconciliation between systemsNothing to reconcile
When it breaksTwo vendors, each pointing at the otherOne number to call
Order and claim
LIS + billing
Two records joined by an export
Lab A SaaS
One record, never separated
Eligibility
LIS + billing
Checked in the billing system, after the fact
Lab A SaaS
270/271 at order entry, before the draw
A denial
LIS + billing
Arrives as a file, matched back by hand
Lab A SaaS
Opens attached to the accession that caused it
Coding changes
LIS + billing
Updated in two places, drift between them
Lab A SaaS
One place
Month-end close
LIS + billing
Reconciliation between systems
Lab A SaaS
Nothing to reconcile
When it breaks
LIS + billing
Two vendors, each pointing at the other
Lab A SaaS
One number to call

Show us your worst denial report.

Thirty minutes, your actual data. We will walk one specimen from accession to posted payment.

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