Laboratories billing
Lab billing, from requisition to payment
Lab claims are high in volume and low in dollars each, so small errors become large losses. We catch missing information at the requisition, check diagnosis codes for medical necessity, and follow every claim to payment.
What makes it hard
The rules that cost laboratories money
- Requisitions arrive missing insurance details or a diagnosis code
- Medical-necessity rules: the diagnosis must support the test ordered
- Medicare coverage rules and Advance Beneficiary Notices (ABNs)
- Patient balances spread across many small bills
- High claim volume that needs daily attention
How we help
What we do about it
- Requisitions checked for missing information before billing
- Diagnosis codes checked against payer coverage rules
- Claims sent daily, rejections fixed the same week
- Patient statements and online payment for patient balances
- Results-to-claim tracking in your Horizon portal
Services for laboratories
Questions from laboratories
Do you work with independent labs and physician-office labs?
Yes, both. Tell us your test menu and payer mix and we'll show you how we'd handle them.
Free billing checkup
Find out where your money is stuck.
Share your recent denials and unpaid claims. We'll show you, in dollars, what's recoverable and how we'd get it. Free, with no obligation.