Your lab systems do the heavy lifting. We automate the work between them.
Prior authorizations, missing medical records, reconsiderations and denied claims. We automate the manual work connecting your LIS, XiFin, and payer portals.
What they do
- Medical record uploads
- Missing-document requests
- Reconsiderations
- Appeals
- Payer status checks
- Updates back to XiFin
We know XiFin. We’ve built 61 automations around it.
61 automations involving XiFin are running in production, including 16 workflows with UnitedHealthcare.
We don’t change XiFin or replace it. The automations do the work around it, in payer portals, Availity, email and scanned mail, and write every result back to XiFin.
Some payers have an API and some only have a portal. We use whichever works for each payer.
See what we’ve automatedWhat the automation does, every day
- Pulls the denied accessions from XiFin.
- Downloads the related medical records.
- Matches each record to the right UnitedHealthcare claim.
- Uploads the documents and submits the reconsideration.
- Updates the claim status in XiFin and sends the team a summary.
Laboratory revenue cycle management workflows
Pre-accession workflows
Orders and authorization requests often arrive before an accession exists in XiFin. We can capture the information when it arrives, start the work early, and connect it to the accession once it’s created.
Document intake & matching
We digitize incoming mail and faxes, read them, match each document to the right accession and post it in XiFin. Documents that don’t clearly match go to your team.
Missing records & UHC appeals
Our automations retrieve supporting medical records, upload missing documentation to UnitedHealthcare, submit reconsiderations and update XiFin.
Prior authorization & denials
We gather clinical documentation, prepare authorization packets, submit requests, follow up with payers, and process routine denial corrections.
Account cleanup in XiFin
We automate routine XiFin housekeeping: overrides, incorrect balances, adjustments, write-offs and refunds.
See how claims processing automation handles claim preparation, submission and payer follow-up.
Proven in production
XiFin and UnitedHealthcare reconsideration automation
Read the case study
Denials ManagementPathGroup denial processing automation
Read the case studyPrior authorization for a genetic testing lab
Read the case studyShow us where your lab gets stuck.
Accessions waiting on authorization, payers waiting for records, denials piling up in a queue. Show us the work, and we’ll tell you what can be automated and whether it pays off.
Walk me through the process your team does by hand. I’ll tell you whether it’s worth automating and how I’d approach it.
Karl