Laboratory billing built for high volume and tight margins.
Labs process thousands of low-dollar claims, and each one depends on information the lab didn't collect: the ordering provider, the diagnosis and the patient's insurance.
MediFier cleans up requisition data, checks medical necessity and follows up on every claim so small balances don't add up to big losses.
- Independent Clinical Labs
- Reference Laboratories
- Physician Office Labs
- Toxicology
- Pathology
- Molecular & Genetic Testing
Laboratories
Incomplete requisitions are the biggest revenue leak.
Missing diagnosis codes, outdated insurance details and unsigned orders cause a large share of lab denials. And because individual claims are small, they're often written off instead of corrected.
We fix requisition data before claims go out, check tests against coverage policies, and work denials at scale.
- Missing or invalid diagnosis codes
- Medical-necessity policies
- Outdated patient insurance
- High volume of small balances
How MediFier supports laboratories
Requisition review
Missing diagnoses, NPIs and insurance details caught and corrected before billing.
Medical-necessity checks
Tests checked against coverage policies, with ABNs flagged when needed.
Panel coding
Panels and individual tests coded correctly to avoid unbundling denials.
Denials at scale
Systematic follow-up on every denial, no matter how small the balance.
Client billing
Accurate invoicing for client accounts such as clinics and facilities.
Lab enrollment
Payer enrollment and CLIA details kept current for every location.
Codes, rules and payers we work with every day
Our billers and coders are trained in laboratories documentation and payer requirements, so claims go out right the first time.
See How We WorkLaboratories questions, answered
How do you handle requisitions with missing information?
We review requisitions before billing and work with ordering offices to obtain missing diagnoses, NPIs or insurance details, so claims go out complete.
Do you check medical necessity before billing?
Yes. We check tests against Medicare and payer coverage policies and flag when an ABN or additional diagnosis is needed.
Small lab claims often go unworked. Do you follow up on them?
Yes. We work every denial systematically, because many small balances add up to significant revenue.
Can you handle client billing as well as insurance?
Yes. We manage both insurance claims and client account invoicing.
The services laboratories practices rely on most
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