Customer Results & Case Studies
Proof, not promises.
Real labs and clinics, real numbers. Each of these customers replaced manual, integration-heavy workflows with Shadowbox — the login-only automation platform — and measured the difference in denials, revenue, and staff time.
In short: across five customers, Shadowbox cut claim denials, lifted collections, automated results, and let labs launch branded ordering for their clinics — all with no API, no HL7, and no IT projects.
A multi-state lab turned broken orders into bankable revenue.
TL;DR: By replacing fax, portal, and paper orders with clean digital ordering through Shadowbox — no HL7, no IT — PGL/PCL cut denials and lifted collections across more than 25,000 transactions.
The challenge
Poorly completed orders were draining lab resources and revenue: incomplete or inaccurate patient and insurance data, illegible faxes, non-compliant test orders, and manual entry errors from faxed, portal, or verbal orders. The disorganized front end limited the lab’s ability to recover revenue and forced rework on referring offices — delaying patient care.
The solution
Shadowbox deployed a secure, custom ordering application to high-volume referring clinics that captured every required field at the time of order, applied the lab’s payer logic by test modality, and delivered clean, complete, compliant orders — with no HL7 integration and no IT support. More than 50 clinics were onboarded across 13 different EHRs, averaging just four days from request to go-live.
The impact
- Orders placed in under 30 seconds, down from 3 minutes
- 7% higher reimbursement on average vs. non-Shadowbox orders
- High-volume clinics (500+ orders/month) saved 20+ staff hours per month
- Deployed in an average of four days per clinic, with no IT involvement
“With over 25,000 transactions analyzed, we saw a 21% drop in denials, over 13% increase in net revenue, and a 412% ROI — all without any IT lift.”
Adrian BrownDirector of Revenue Strategy, PGL/PCL
Gregory Stein, Founder & CEO, Shadowbox: “The case study didn’t even capture soft cost reductions like rework — benefits we believe multiply the ROI many times over.”
A COLA-accredited lab scaled beyond its community with a branded ordering app.
TL;DR: Birdrock offers clinics its own branded, Shadowbox-powered easy-order app that connects to any EHR in minutes — onboarding in days, not months, and shrinking billing rework.
The challenge
As a high-complexity, COLA-accredited lab, Birdrock wanted to expand services beyond its local community — but the industry standard for EHR integration is costly to implement and slow to complete.
The solution
Clinics get their own branded “Birdrock” easy-order application that instantly connects to the clinic’s EHR. Because each clinic uses its own EHR, staff training takes only a few minutes, and Birdrock can begin receiving accurate electronic orders in a couple of days — not weeks or months.
The impact
- Higher revenue through more successful insurance claim collections
- Lower staff cost previously spent chasing missing billing information and appealing denials
- Dramatically faster onboarding of new customers
“Every time we convert a practice from paper to Shadowbox, we reduce claims with missing billing information by more than 90%. As a result, Birdrock is realizing a 10x return on our investment every month.”
Seth MaheauCo-founder & CEO, Birdrock Laboratories
Jonathan A., executive at a multi-location intensive outpatient treatment facility: “At one point, we considered switching lab providers, but then we found out the new lab didn’t offer Shadowbox. That was the end of that discussion.”
No-touch results processing gave a pain clinic its time back.
TL;DR: MedScan delivers results straight into Pacific Spine and Pain’s EHR via Shadowbox — automating roughly 100 results a week and saving 50 minutes of manual entry every week.
The challenge
Jacob Green, MS, CLS, of Pacific Spine and Pain had used many electronic tools to process results into patient charts — all of which he described as clunky and outdated.
The solution
MedScan Laboratory partnered with Shadowbox to implement no-touch results processing, automatically delivering incoming results into the patient chart in the practice EHR — so vital information is promptly available for clinical review without manual data entry.
The impact
- 50 minutes per week returned to Green for other critical tasks
- Roughly 100 MedScan results per week now processed with no touch
- Reduced risk of human error from manual processing
“MedScan Laboratory is committed to providing cutting-edge technology to enhance the laboratory experience of our clients and their patients. … We have enabled healthcare providers to access critical diagnostic information more efficiently and securely with Shadowbox’s No Touch Results Processing.”
Natalie BovaDirector of Client Relations, MedScan Laboratory
Jacob Green, MS, CLS, Pacific Spine and Pain: Shadowbox is “very effective, user-friendly, intuitive, and easy to use,” and saves him “a ton of time.”
One of the nation’s largest genetic testing companies digitized ordering with zero internal IT.
TL;DR: Myriad’s Urology division rolled out a white-labeled ordering app for its Prolaris and MyRisk tests — installable in a clinician’s office in minutes, with no Myriad IT resources required.
The challenge
Myriad’s rapidly growing Urology division struggled to automate test ordering for customers: the internal IT team already managed a heavy pipeline and had limited bandwidth for traditional or API integrations.
The solution
Shadowbox digitized Myriad’s order forms and embedded them in a white-labeled “Myriad Test Ordering Application” installed on the clinician’s desktop. With a single click, a patient’s diagnostic, demographic, and insurance information transfers to the digital order for the Prolaris and MyRisk Hereditary Cancer tests, then submits electronically to Myriad.
The impact
- Installable in a new clinician’s office in minutes, with zero Myriad IT resources
- Added automatic notification to the referring physician (often the pathologist), with an electronic copy of results
- Myriad continues to identify further opportunities to deploy Shadowbox across the enterprise
“Shadowbox tech is an elegant solution that enables us to begin transitioning clinicians from paper to electronic ordering. They did so without taxing our internal resources.”
Sam SgambatiNational Director, Sales & Strategic Accounts, Urology — Myriad Genetics
Fixing a data-integrity gap between HL7 and the PDF report.
TL;DR: Shadowbox aligned Lab Genomics’ HL7 data with its PDF reports and auto-merged standardized results — resolving data discrepancies while reducing per-transaction cost.
The challenge
Results transferred via HL7 didn’t precisely match the PDF version of Lab Genomics’ report. The discrepancies drove fragmented reporting, poor data accuracy, and increased per-transaction costs from EHR vendors.
The solution
Shadowbox’s VP of Implementation & Product, Brian Hood, identified that the existing PDFs didn’t incorporate all necessary HL7 results. Shadowbox aligned the discrete HL7 data with comprehensive PDF reports in a standardized format, then automatically merged the newly generated PDFs with the existing lab report PDFs.
The impact
- All critical patient data points captured and displayed accurately
- Standardized, consolidated reporting for physician clients
- Improved data accuracy while reducing cost
“Our physician clients don’t want fragmented data. They need everything in one clear PDF, not just discrete data points.”
Leena DalalPresident, Lab Genomics
Case study FAQ
What results do labs and clinics see with Shadowbox?
Results vary by customer. In its published case study, PGL/PCL saw a 21% drop in claim denials, a 13% increase in net collections, and a 412% ROI across more than 25,000 transactions, with over $336,000 in first-year financial impact. Birdrock Laboratories reported reducing claims with missing billing information by more than 90% and realizing a 10x return on investment every month.
Does Shadowbox require an API or HL7 integration?
No. Clinics submit clean, complete digital orders to the lab through Shadowbox with no HL7 integration and no IT support. Shadowbox works through browser-level automation using the login credentials staff already have.
How fast can Shadowbox be deployed?
Deployment is measured in days, not months. PGL/PCL onboarded more than 50 clinics across 13 different EHRs with an average of four days from request to go-live and no IT involvement. Myriad’s white-labeled ordering application can be installed in a new clinician’s office in a matter of minutes with zero internal IT resources.
Can a lab offer Shadowbox under its own brand?
Yes. Labs distribute Shadowbox to their clinics as a white-labeled, branded ordering application. Birdrock Laboratories provides clinics a branded easy-order app, and Myriad Genetics deployed a white-labeled Myriad Test Ordering Application for its Prolaris and MyRisk tests.
What types of labs and specialties use Shadowbox?
Shadowbox is used by diagnostic, molecular, genetic, and toxicology laboratories and their clinics — including multi-state diagnostic labs (PGL/PCL), blood, toxicology and molecular labs (Birdrock), genetic and precision-medicine labs (Lab Genomics, Myriad Genetics), and specialty clinics such as pain management (Pacific Spine and Pain).
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