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Product

Software for how labs actually run claims

Production RCM for multi-client lab billers. LIS designed to share identity and data with that same stack.

Revenue cycle

Live for lab billing teams.

ING

Ingest and preprocessing

Bring accessions in. Work billable, do-not-bill, and workman’s-comp queues. Match patients. CSV upload.

SCR

Claim scrubbing

Correct claims before clearinghouse or payer submission.

SUB

Submitted follow-up

Billed, paid, denied, missing information, documentation request, write-off.

DOC

Documentation requests

Push missing-document work to the client lab and track return.

PAY

Payments and remits

Post ERA and payments, resolve unmatched remits.

ELG

Eligibility and enrollment

Coverage checks and payer enrollment before claims go out.

Operations and reporting

WRK

Work items

My items, all items, and rules for structured operational work.

BIL

Cases, bills, payments

Billing-centric views of work in flight for a client.

RPT

Reporting

Dashboards, AR aging, denials, biller production, payer and ICD analysis.

ADM

Admin

Users, roles, clients, fee schedules, mappings, feature flags.

Roadmap

Laboratory information system

Under development. Clinical lab orders, accessions, specimens, tests, and results with shared patients, providers, and payers used by RCM.

Nexum