Catch the denial before it's a claim.
Labs never see the patient. Insurance, diagnosis codes and signatures arrive on someone else's requisition, and mistakes surface weeks later as denials. VektorDx keeps every payer's rules current, checks each order the day it's entered, and gets what's missing from the ordering clinic with a single-click link, so the claim goes out right the first time.
Order QA is the first VektorDx module for clinical labs. Public health reporting, a test dictionary builder and integrations monitoring follow.
One read-only connection to your lab system. Designed around HIPAA, with a signed BAA and encryption in transit and at rest.
| Order | Finding | Grade |
|---|---|---|
| TEST-1044 | Entered as Medicare; card on the scan shows a Medicare Advantage planEligibility response confirms the plan · Fix: accessioning | Fix |
| TEST-1042 | Vitamin D (82306) with a screening diagnosis onlyNot covered under LCD L34914 · Fix: client services | ABN |
| TEST-1045 | Part B not active on the date of serviceEligibility response · Fix: accessioning | Denial |
| TEST-1041 | All checks passedOrder, scan and eligibility agree | Ready |
From order to clean claim
Three steps, all before the claim is submitted.
Every payer rule, current
Each payer's coverage policies become checks, each with the exact policy quote and source. A billing expert agrees every rule, and it is updated when the policy changes.
The Medicare rulesChecked the day it's entered
Each new order in your LIS is checked against its scanned requisition, the payer's eligibility answer and those rules. Every problem shows the evidence and who should fix it.
How orders are checkedThe fix comes from the clinic
When only the ordering practice can fix it, the clinic gets a single-click secure link to upload the visit note, signature or insurance card. It's filed with the order before the claim goes out.
How the clinic answersOne connection to your lab system, a growing set of AI modules
Each module reads the same lab data and reports what needs a person's attention. None of them change anything in your lab system. Each is shown at its real stage.
Order QA for clean claims
Checks every order against payer rules before the claim goes out, and gets missing documentation from the clinic with a single-click link.
Medicare is the pilot, with its rules built. Checks for all major insurance payers follow.
Order QAPublic health reporting
Reports reportable results to the state with per-state rules and LOINC mapping, keeps a record of every report sent, and alerts the same day when a re-coded test stops reporting.
Test dictionary builder
Builds and maintains each interface's test code map, logs every change, and notices the same day when an EMR starts sending codes it never sent before.
Integrations monitoring
Watches orders and results moving between your lab system and clinics' EMRs: results marked sent that never arrived, and clinic accounts set up only halfway.
Works with the LIS you already run
VektorDx reads your lab system through a read-only connector built for each LIS. Your staff keep working in it exactly as they do today.
Running a different LIS? Tell us which one. New connectors are added in the order labs ask for them.
| Lab system | Also known as | Status |
|---|---|---|
| Clinisys Orchard | Orchard Enterprise, Orchard Enterprise Lab, Orchard Copia (Orchard Software, now part of Clinisys) | Supported |
From a denial months later to a fix the same day
Order QA comes first because it helps a lab get paid. It checks each order on the day it's entered, while the clinic's chart is still open.
- Order entered
- Claim sent
- Denied 60–90 days later
- Staff chase the clinic and rebill
- Order entered
- Reviewed the same day: scan, eligibility, payer rules
- Clinic fixes it from a single-click link
- Claim sent right the first time
Lab claim denials are rising
Many denials trace back to something visible on the order the day it was entered: the wrong plan, a diagnosis that doesn't support the test, a missing signature. Catching those before billing is the fastest way to raise a lab's clean claim rate.
Denial rate on clinical lab, molecular and genomics claims, 2024 to 2025.
Ground rules for every module
Read-only
VektorDx reads your lab system through bounded, logged queries. It never writes to it. People make every change.
AI reads, rules decide
AI reads scans and drafts rules from published policy. Every finding is decided by a rule with a source, so each one can be explained and audited.
HIPAA, BAA, encryption
Designed around HIPAA. We sign a Business Associate Agreement before any patient data is read, use only services that sign one with us, and encrypt data in transit and at rest. Security.
Measured before it's trusted
Each finding type goes live only after its false-flag rate has been measured on the lab's own data.
Common questions
What is VektorDx?
VektorDx is AI for independent clinical labs. It connects read-only to a lab's information system (LIS) and works on checks lab staff do by hand. The first module, Order QA, checks every order against payer rules before the claim is sent, so more claims are paid the first time.
What does Order QA check?
For each new order, Order QA reads the order from the LIS and its scanned requisition, runs a real-time eligibility check with the payer through a clearinghouse, and applies that payer's rules. Medicare comes first: plan type, ordering provider enrollment, lab NCDs, unit limits, coverage LCDs, signatures, ABNs and timely filing. Each order gets one of four grades: Ready, Fix before billing, ABN needed or Likely denial.
Which insurance payers does Order QA cover?
Medicare is the pilot and the first rule pack. VektorDx is expanding the AI checks to all major insurance payers, with a rule pack for each payer built from its published coverage and billing policies.
Which LIS systems does VektorDx support?
VektorDx supports Clinisys Orchard, formerly Orchard Enterprise, Orchard Enterprise Lab and Orchard Copia from Orchard Software, now part of Clinisys. Connectors for other LIS systems are added in the order labs ask for them.
Does VektorDx change anything in our LIS?
No. VektorDx uses one read-only login, runs bounded and logged queries, and never writes, cancels or edits an order. Lab staff and the ordering clinic make every change.
Is VektorDx HIPAA compliant?
VektorDx is designed around the HIPAA Privacy and Security Rules. We sign a Business Associate Agreement with the lab before any patient data is read, use only services that sign a BAA with us, and encrypt data in transit and at rest. Demos use synthetic data.
What comes after Order QA?
Public health reporting is in build, starting with New York. A test dictionary builder and integrations monitoring for lab-to-EMR interfaces are designed and follow.
Who makes VektorDx?
VektorDx is a product of PAL Tech. Contact the team at info@paltechgroup.com.
See what AI can do with your lab's own data
We'll walk through Order QA on synthetic orders, and talk about what connecting your lab system involves: a read-only user account, and nothing built on your side.