Order management in depth
The order is where accuracy and revenue are won or lost. LABGEN's strongest published ideas — fast requisition entry and eligibility at the point of order — are matched here, and revenue integrity (necessity, ABN, prior auth) is built into ordering rather than bolted onto billing, the pattern XIFIN proved.
What the benchmark ships
OOE + eligibility
Requisition entry with user-defined fast-entry fields; paperless Online Order Entry in the physician portal with real-time insurance eligibility at the point of order; reflexive test ordering; client-specific profiles; DTC ordering with card payment.
Dendi & LigoLab
Dendi: user-managed ask-at-order-entry (AOE) questions, automatic barcode labels, threshold-triggered reflex profiles, batch ordering. LigoLab: automatic case registration and an order-state dashboard (incomplete → unreleased → in transit → released).
XIFIN's lesson
Accessioning completeness, medical-necessity/diagnosis capture, and claim readiness linked at order time — with prior-authorization initiation from the order screen.
EKLIS specification
| Group | Features | Phase |
|---|---|---|
| Capture channels | In-lab requisition entry · provider portal OOE · HL7/FHIR EHR orders · DTC self-order · batch import for facility rounds | P1–P3 |
| Fast entry | User-configurable fast-entry screens (default client/tests, favorite panels) · keyboard-first with barcode advance · demographic search with duplicate-patient guard · duplicate-order alerts | P1 |
| Clinical completeness | Ask-at-order-entry questions per test (typed answers, required flags, passed through to HL7 OBX) · specimen requirements display (container, volume, temperature, stability) and collection instructions at ordering | P2 |
| Revenue integrity | ICD-10 diagnosis capture with medical-necessity checks (LCD/NCD rules) · ABN generation and signature capture when necessity fails · real-time eligibility (270/271) · prior-authorization initiation and tracking | P3 |
| Labels & tracking | Barcode accession + aliquot labels with per-site printer profiles (ZPL/PDF) · order status lifecycle visible to the ordering client end-to-end | P1 |
| Order lifecycle | Add-on orders against stored specimens with stability checking · standing orders on schedules · reflex rules (threshold/result/profile-driven) with the triggering result audited · cancellation rules with reason codes and post-collection/post-result cutoffs | P2–P3 |
| Client configuration | Client-specific compendium, profiles, and pricing | P3 |