Claim Generation
Generate claims from approved requisitions and submit 837 EDI transactions through a configured clearinghouse.
LIMS IQ
LIMS IQ billing add-on
DOC REVENUE-CYCLE-MANAGEMENT
REV 2026-08
REV 2026-08
BILLING & REVENUE CYCLE
Generate claims, manage eligibility and remittance, post payments, and review revenue inside LIMS IQ—or connect the billing platform you already use.
- 837 & CMS-1500 Claims
- 270 / 271 Eligibility
- 835 Remittance
- Payment & Denial Queues
Claims from approved work
Build individual or batch claims from approved requisitions, test-catalog codes, insurance, and diagnosis data.
Eligibility and remittance
Exchange configured 270/271 eligibility and 835 remittance transactions through clearinghouse workflows.
Payments and outcomes
Post line-item payments, reconcile remittances, and review reimbursement and denial activity.
Product view
Self-managed billing workflows inside your LIS.
CONNECTED, ACCURATE BILLING WORKFLOWS
Carry demographics, insurance, diagnosis codes, ordered tests, and approved results into a traceable claim and payment workflow.
- Claim Generation
- Eligibility Verification
- Remittance & Payments
- Denials & Corrections
- Revenue Analytics
- External Billing Connections
Key Capabilities
6 capabilitiesExplore the core capabilities available for this laboratory workflow.
Eligibility Verification
Run configured 270/271 checks and retain coverage and benefit details on the patient and claim.
Remittance & Payments
Ingest 835 remittance files, post insurance and patient payments by line item, and reconcile each check.
Denials & Corrections
Work denied and reversed claims in dedicated queues, then correct, resubmit, rebill, transfer, or write off.
Revenue Analytics
Compare estimated and actual reimbursement, identify underpayments, and analyze denials by payer group.
External Billing Connections
Keep an existing billing platform when preferred and scope the interface around its required clinical and charge data.
Frequently asked questions
5 answers on file
Q01
Does LIMS IQ run eligibility checks at accessioning?
Yes. When the optional eligibility service is configured, LIMS IQ can run 270/271 coverage and benefits checks from the patient record or billing workflow and store the response on the patient and claim. Staff can review inactive coverage, benefit details, and other returned information before submission.
Q02
How are CPT and ICD-10 codes captured?
CPT codes, modifiers, units, and prices are linked to tests in the catalog, while ICD-10 diagnosis codes arrive on the order or are entered during intake. The billing workflow checks required fields and medical-necessity alignment before a claim is marked ready to submit.
Q03
Can LIMS IQ submit claims directly?
Yes. The optional Billing module for LIMS IQ generates claims from approved requisitions and can submit 837 EDI transactions through a configured clearinghouse. It can also produce CMS-1500 paper claims for payers configured for paper submission.
Q04
Is there a denial management workflow inside the LIS?
Yes. Purpose-built queues separate denied and reversed claims from work that is ready to bill or pending payment. Billing staff can document the resolution, correct and resubmit a claim, bill a secondary payer, transfer a balance to the patient, or record a write-off.
Q05
Do we need to replace our current billing system?
No. Labs can use the optional LIMS IQ Billing module as self-managed billing software or retain an external billing platform and configure the required data connection. The appropriate path is scoped around the lab's clearinghouse, payer, and operating workflows.
Related guides
Buyer's guides on the workflows this lab type runs- Best Cloud LIS for Small Labs & POLs 2026 How to pick a cloud LIS for a small or physician office lab: the criteria that matter, a public-facts comparison table across six vendors, which system fits which lab, and how to run a two-week evaluation.
- CGM LabDAQ Alternatives for Physician Office Labs What CGM LabDAQ is publicly positioned for, the qualitative reasons physician office labs evaluate alternatives, the criteria to score, and a fair look at LIMS IQ Lite ($999/month published), Clinisys Harvest, Dendi and LigoLab.
- Dendi LIS vs LIMS IQ: Pricing & Fit Compared A side-by-side of Dendi LIS and LIMS IQ using only what each vendor publishes as of September 2026: pricing model and figures, fees, implementation claims, interfaces, portals, billing, compliance areas, and which lab each fits.
Related resources
Expert guidance on workflows, compliance, and lab operations- LIMS IQ Featured by Visionaries Network Visionaries Network featured LIMS IQ and CEO Skye Shearer in its Trustworthy Companies of the Year 2026 issue.
- LIMS IQ Named to CIO Bulletin's Best Companies to Watch 2026 CIO Bulletin included LIMS IQ in its Best Companies to Watch 2026 list, profiling the cloud-based LIS platform for modern clinical and specialty labs.
- Westgard Rules & Failed-QC Review Westgard rules and Levey-Jennings charts flag failed QC, alert result reviewers, and support documented sample holds under the lab's SOP.
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LIS billing integration on the full LIMS IQ platform — 837 claims, 835 remittance, eligibility checks, payment posting, revenue analytics, and billing links.