Issue Detection

Detect Order Issues Before They Become Denials

SignalDX analyzes incoming diagnostic orders and identifies reimbursement, eligibility, policy, and data quality issues before claims are submitted.

Catch missing information, coding problems, policy risks, and payer issues early — while there is still time to fix them.
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What SignalDX Detects

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Missing or Incomplete Data

  • Missing ICD-10 codes
  • Missing provider NPI
  • Missing patient demographics
  • Missing insurance information
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Coding & Billing Issues

  • Invalid ICD-10 codes
  • Missing modifiers
  • CPT/test mismatches
  • Place of service mismatches
♙

Eligibility & Coverage Issues

  • Inactive coverage
  • Subscriber mismatch
  • Invalid payer information
  • Coverage limitations
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Policy & Medical Necessity Risks

  • LCD/NCD issues
  • Payer-specific conflicts
  • Diagnosis-to-test mismatches
  • Frequency limitations

Why It Matters

Without SignalDX
Issues found after claim submission
More billing rework
Delayed reimbursement
Higher denial risk
signal
With SignalDX
Issues detected upstream
Orders prioritized by risk
Corrections routed earlier
Cleaner claims move downstream

How It Works

1
▤

Order Enters
SignalDX

Orders flow in from multiple sources

2
🧠

AI Structures
the Order

Extracts and normalizes data automatically

3
◇

SignalDX Detects
Issues

AI and rules engine identify risks instantly

4
△

Issues Are
Prioritized

Risk-scored and routed by severity and impact

5
♙

Teams Resolve
Issues Faster

Corrections made and orders cleared

Example Issues

△

Missing ICD-10

Required diagnosis code is missing or invalid.

♙

Eligibility Mismatch

Patient eligibility does not match plan records.

◇

Policy Violation

Order conflicts with payer policy or medical necessity rules.

♙

Missing Provider Information

Provider NPI or required details are missing.

⊘

Modifier Required

Required modifier is missing or incorrect.

</>

CPT Mismatch

CPT code does not match test or order details.

Designed for Review Teams

Give Your Team a Clear Worklist

SignalDX gives your team the context they need to take action with confidence.

What issue was detected
Why it matters
Suggested next action
Current status
Activity history

Issue Review Queue 24 Items

Filters
Risk: High to Low⌄
Order ID Patient Issue Risk Status Next Action
ORD-78291 Jane Smith △ Missing ICD-10 High New Add diagnosis code ›
ORD-78134 Robert Johnson ⊘ Eligibility Mismatch High In Review Verify coverage ›
ORD-77922 Maria Garcia ⊘ Policy Violation Medium New Review policy rules ›
ORD-77455 David Lee △ Missing Provider Info Medium In Review Add provider NPI ›
ORD-77331 Lisa Brown ⊘ Modifier Required Low Resolved Add modifier -59 ›
Showing 1 to 5 of 24 itemsView full worklist →
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Find Issues Before They Impact Reimbursement

See how SignalDX helps diagnostic labs detect and resolve
order issues before claims are submitted.

Schedule a Demo