Pre-Claim Intelligence for Diagnostic Labs

Fix Your Claims Before They Exist

SignalDX analyzes every lab order in real-time to catch medical necessity issues, missing data, and payer risks—before they turn into denials.

Identify high-risk orders instantly
Fix issues before they hit billing
Increase clean claim rate from day one
The Problem
Denials start upstream—but you’re fixing them too late.
Missing or invalid ICD-10 codes
Medical necessity mismatches
Incomplete patient or insurance data
Payer-specific rule conflicts
signal
The Solution
SignalDX catches and fixes these before billing ever happens.
Real-time validation engine
AI-powered policy reasoning
Structured order normalization
Actionable fix recommendations

How SignalDX Works

1 Ingest Orders

Fax • HL7 • FHIR • APIs

Messy input becomes structured data

2 Normalize & Enrich

• Patient, provider, payer matching

• Test-level structuring

• Data completeness checks

3 Detect Issues

• Medical necessity violations

• Frequency limits

• Missing documentation

• Payer-specific rule conflicts

4 Fix Before Billing

• AI-generated recommendations

• Workflow for resolution

• Clean order sent to RCM

Built for Pre-Claim Success

Intake Intelligence

OCR + AI extraction from faxed orders Structured order creation Data validation at ingestion

Policy Engine

LCD/NCD + payer overlays MolDX-aware rules Real-time policy reasoning

Issue Detection

Order-level + test-level detection Risk classification clean / needs review / high risk

🛠
Fix Engine

Suggested corrections Workflow for team resolution Audit trail for compliance

Seamless Integration

Works alongside your LIS Outputs to RCM No disruption to existing systems

Analytics & Insights

Real-time dashboards Denial prevention trends Payer performance insights

Real Impact. Measurable Results.

20-40%

Increase in clean claim rate

30%+

Faster cash flow realization

50%

Reduction in manual review time

Lower Denials

Reduced denials & write-offs
VISIBILITY THAT DRIVES ACTION

See Every Order.
Know What Needs Fixing.

SignalDX surfaces issues, recommends fixes, and gives your team the clarity to act—before claims are submitted.

Why SignalDX Is Different

Features Traditional RCM SignalDX
When issues are caught After claims are submitted Before billing ever happens
Approach Reactive workflows Proactive intelligence
Rule Intelligence Limited rule engines AI + policy reasoning
Outcome Denials, rework, delayed revenue Cleaner claims, faster payments, higher revenue

Seamless Integrations

LIS
Sunquest, Orchard, etc.
RCM
Xifin, Quadax, etc.
HL7 FHIR
Standards
EHR
Epic, Cerner, etc.
AI Fax
OCR Ingestion
API
& Webhooks

Stop Discovering Reimbursement Problems
After Billing

Identify and resolve reimbursement risk upstream — before claims are submitted.

Schedule a Demo