Solutions for Payers
Automate medical necessity review of lab claims
Lab AI checks submitted CPT and ICD-10 codes against Medicare and private payer policy, and CPOE helps keep unnecessary tests from being ordered.
Your stack · 2 products
The Products
What each product does for payers
Lab AI
Automates claim verification and prior authorization with a customizable, knowledge-based scoring system.
- CPT and ICD-10 verified against the test
- Cross-checks Medicare and private payer policies
- Customized reports on claims and denials
CPOE
Stops unnecessary or poorly coded tests at the point of order, before they become claims.
- Instant medical necessity checks
- Fewer unnecessary tests
- Medicare LCD/NCD checks before submission
Solutions for other teams
Ready to Automate Medical Necessity Verification?
See how Lab AI and CPOE help payers automate claims verification and reduce unnecessary testing costs.
Request a demo