Lab Order & Results Automation
Clean orders in. Better data out. More revenue for your lab.
Shadowbox powers the workflow between your lab and the clinics you serve — capturing clean, complete orders, the clinical notes that support medical necessity, and posting results no-touch into the clinic’s EHR. No HL7 integration. No IT project. Clinics live in days.
One platform, the whole workflow
Press play. Follow one order out of the clinic, into your lab, and back again.
Compressed for legibility — not production timing. All patient data shown is synthetic.
Poor order quality drains lab revenue.
Like many labs, you likely test nearly every specimen that comes through the door regardless of order quality — because turnaround can’t wait. The bad orders still cost you downstream.
What bad orders cost you
- Incomplete or inaccurate patient and insurance data
- Illegible handwritten forms and missing paperwork
- Non-compliant or medically unnecessary orders
- Manual entry errors from faxed, portal, or verbal orders
- Lost revenue, rework, and delays to patient care
What Shadowbox does about it
- Deploys a secure, custom ordering app to your referring clinics
- Captures all required data — with your payer logic by test modality
- Delivers clean, complete, compliant orders every time
- Eliminates faxing, scanning, and manual retyping
- No HL7 integration, no IT support — clinics live in about four days
Nothing about the science changes. What changes is the quality of what arrives with the specimen — and that is decided in the clinic, in the seconds when the order is placed.
Real labs, measured results.
Three first-party case studies, one at each stage of the loop. Where a study publishes figures, they are reproduced as published.
PGL/PCL
A multi-state diagnostic lab fixed its front end with Shadowbox — clean digital orders from 50+ clinics across 13 EHRs, with no HL7 and no IT lift.
$336K+ first-year impact · 25,000+ transactions · ~4-day go-live
MedScan · Pacific Spine & Pain
MedScan Laboratory delivers results no-touch into Pacific Spine and Pain’s EHR via Shadowbox — automating results the clinic used to key in by hand.
Reduced manual-entry error, results posted automatically
Lab Genomics
Shadowbox aligned Lab Genomics’ HL7 data with its PDF reports and auto-merged standardized results — resolving discrepancies that were driving cost and fragmented reporting.
Complete, consolidated PDF results for physician clients
Sources: the published PGL/PCL, MedScan / Pacific Spine and Pain, and Lab Genomics case studies. Results vary by customer.
“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
Capture the clinical note. Strengthen every claim.
The same login-only automation that brings you clean orders and posts results can also capture the clinical documentation behind the order — the note in the clinic’s EHR that records why the test was ordered. That closes the loop from order to paid claim.
Better claims submission
- Orders arrive with the supporting documentation already attached
- Billing isn’t chasing records from the clinic after the fact
- Claims go out complete the first time — fewer resubmissions
The foundation for medical necessity
- The provider’s own note, captured at the source, is the evidence payers require
- Supports first-pass payment and stands behind the claim if it’s ever reviewed
- Especially valuable for tests under heightened medical-necessity scrutiny
Shadowbox surfaces and moves the documentation the provider already created; the ordering clinician and your team remain responsible for what is submitted. It doesn’t create medical necessity — it captures the evidence of it.
The order goes out
Placed from inside the clinic’s own EHR session — no second portal, no new login for their staff.
The specimen runs
It reaches you already structured. Nobody at the lab keys a requisition in by hand.
The result posts back
Filed into the chart rather than a fax queue, so the clinic isn’t re-keying your results.
The note comes back
The provider’s signed note is captured at the source and travels with the claim — without asking the clinic for anything.
The note that records why a test was ordered does not exist when the specimen is drawn — the clinician writes it after the visit. Steps 1–3 are established with labs today. Step 4 is new and live, with EHR coverage expanding — it is the step that turns a delivery loop into a documentation loop.
Deliver it to your clinics under your brand.
Offer your referring clinics a branded, easy-order application that connects to their EHR in minutes. Your brand on the surface, the Shadowbox platform underneath — so you can expand beyond your local community without a costly integration for every new site.
- Your brand on the ordering and results experience
- Onboard a new clinic in days, not months
- Cleaner claims and fewer billing gaps downstream
- Extends to the full order → result → notes workflow
Measured impact across labs.
Each figure is from a published, attributed case study. See all five in full.
Sources: published, attributed Shadowbox case studies — PGL/PCL (25,000+ transactions, 50+ clinics, 13 EHRs, first year 2024) and MedScan / Pacific Spine and Pain. Results vary by customer.
For labs, answered
Does my lab need HL7 or API integration to use Shadowbox?
No. Clinics submit clean, complete digital orders to your lab through Shadowbox with no HL7 integration and no IT support. It works through the browser using the login credentials staff already have.
How fast can clinics onboard?
Onboarding is measured in days, not months. In the PGL/PCL case study, more than 50 clinics were onboarded across 13 different EHRs, averaging just four days from request to go-live with no IT involvement.
What does Shadowbox automate for a lab?
The full workflow between your lab and its clinics: capturing clean, complete, compliant orders at the point of order; delivering results no-touch into the clinic’s EHR; and aligning discrete HL7 data with standardized PDF reports for accurate, consolidated results.
Can we offer Shadowbox to our clinics under our own brand?
Yes. Labs distribute Shadowbox to their clinics as a branded ordering and results application — your brand on the surface, the Shadowbox platform underneath.
Can Shadowbox capture the clinical notes that support a claim?
Yes. The same login-only automation can pull the provider’s clinical documentation from the clinic’s EHR and carry it with the order, so the supporting evidence for medical necessity travels with the claim. Shadowbox surfaces documentation the clinician already created; it does not create medical necessity, and your team remains responsible for what is submitted.
Turn broken orders into bankable revenue.
Bring your ordering, results, and reporting workflow. We’ll show you Shadowbox running in it — logins only, nothing to integrate, clinics live in days.