Eligibility Check
Know the patient is covered before the sample is run
Check active coverage, copay, deductible and network status across 1,500+ payers, then confirm medical necessity with LDS®, all before the test.
Built for diagnostic and independent labs
- 1,500+ payers
- Instant and batch checks
- Web portal
- API
Eligibility Platform
Verify Coverage & Benefits Before the Test
Patient
Sample Patient
Payer
Commercial Payer
Plan
PPO
Copay
$25.00
Coinsurance
0%
Deductible
$400.00
Remaining Deductible
$400.00
Authorization: No · In-network status shown · Service-specific payer notes available
LDS® Platform
Identify Medical Necessity & the Right Test
Example Medicare policies for California. Coverage varies by state.
1,500+ Payer Connections
2,300+ Tests
Lab-Focused Benefit Parsing
Medical Necessity Guidance
ICD-10 / LCD / NCD Support
Web Portal + API Access
Confirm Active Coverage Before Testing
Reduce denied claims and patient responsibility by verifying coverage and benefits upfront.
Surface Reimbursement Risks Before Billing
Align tests with medical necessity and payer policies to reduce audit and recoupment risk.
Guide Appropriate, Billable Test Ordering
Order the right test with ICD-10, LCD/NCD alignment and clinical relevance scores.
Better Together
Why Eligibility Check + LDS® Work Better Together
From active coverage verification to medical-necessity alignment, Eligibility Check and LDS® help laboratories close critical reimbursement gaps before testing and billing.
Eligibility Before the Test
- 1,500+ payer connections
- Confirm active coverage
- Surface copay, deductible, remaining deductible and network status
- Independent / diagnostic lab context
- Instant + batch verification
LDS® at the Order Stage
- 2,300+ tests
- Proprietary scoring algorithm
- Medical necessity guidance
- ICD-10 / LCD / NCD support
- Selection assistance and billable test ordering
Better Together
- Reduce reliance on stale eligibility data
- Align testing with coverage and payer policy
- Identify reimbursement issues earlier
- Improve reimbursement confidence before claim submission
- Support web portal + API workflows
One Lab-First, Integrated Workflow
From Payer Response to Smarter Test Ordering
Receive order
Run eligibility check
Normalize benefits
Run LDS review
Guide test + diagnosis alignment
Submit cleaner, more confident claim
Built for Diagnostic and Independent Laboratories
One lab-first workflow — from payer response to smarter test ordering.
Integrations
Seamlessly Integrates With Your Systems
Eligibility and benefit information is not a guarantee of payment. Benefits and accumulated amounts may change as claims are processed; availability and detail vary by payer and plan.
Request a demo
See Eligibility Check before your next sample
We’ll show you how to confirm coverage, copay and deductible before testing, and how it works with LDS®.
- We reply to schedule a time that suits you
- See how it fits your current workflow
- Ask our team about setup and pricing