Solutions

Pre-Claim Intelligence for Molecular Diagnostics

Reduce billing risk across complex molecular orders before they move downstream.

SignalDX helps molecular diagnostic labs detect order, coding, payer policy, and documentation issues earlier — so teams can review risk, request corrections, and prepare cleaner orders before billing.

The problem

Molecular diagnostics creates a different level of complexity. Small errors at intake can create major issues later in billing.

Complex test-to-CPT mapping
Missing documentation
Panel and component-level billing logic
Prior authorization uncertainty
Payer-specific coverage rules
Incomplete provider or patient information
Diagnosis-to-test medical necessity issues
Manual review across too many order types

A smarter workflow for molecular orders

1

Order comes in

Orders arrive from fax, HL7, portal, API, EHR, or manual intake.

2

Data is extracted and structured

Patient, provider, payer, diagnosis, specimen, test, and order details are normalized.

3

Test logic is reviewed

SignalDX compares the order against test catalog, compendium, CPT, panel, and reflex rules.

4

Policy risk is checked

Payer and policy rules are evaluated for coverage, medical necessity, prior auth and documentation concerns.

5

Staff review prioritized issues

Teams work from smart queues based on risk, missing data, corrections, and billing readiness.

6

Clean orders move forward

Resolved orders are prepared for downstream LIS, billing, or RCM handoff.

Why molecular labs use SignalDX

Reduce expensive downstream surprises

Identify risk before billing on high-value, high-scrutiny tests.

Improve test-code alignment

Review test-to-CPT logic earlier for cleaner billing data.

Prioritize high-risk orders

Focus staff on orders most likely to need review, docs, or correction.

Support provider clarification

Create clear correction workflows when diagnosis, docs, or test details are incomplete.

Strengthen auditability

Maintain a clear history of issues, corrections, actions, and exports.

Prepare cleaner billing handoffs

Give downstream systems more complete, structured, reviewed data.

Designed to sit before LIS and RCM

SignalDX does not replace your LIS, billing system, or RCM platform. It works before those systems to help molecular labs detect issues, review risk, and prepare cleaner order data. Think of SignalDX as the intelligence layer between intake and billing.

Give molecular orders the review layer they need

Molecular diagnostics is too complex for purely manual intake review.
SignalDX helps your team detect risk earlier, manage corrections faster,
and move cleaner orders downstream.

Schedule a Demo