Lab Diagnostics
I designed a streamlined diagnostics platform for small labs that act as collection points, forwarding test orders to larger reference labs instead of processing tests in-house. The platform simplified order management workflows while integrating a critical Revenue Cycle Management (RCM) module for automated ICD code validation and insurance compatibility checks. This solution removed the burden of manual validation, reducing errors and claim rejections while ensuring smooth billing processes for labs lacking the infrastructure to process tests internally.
Client
Tericsoft
Service Provided
Product Design, Design System, Insurance
Problem & Business Constraints:
Small labs needed a lean workflow to create and track orders without the complexity of full-scale lab management systems that handled test results, panels, and large-scale reporting. Manual ICD code validation for insurance billing was error-prone, slow, and caused frequent claim rejections. The challenge was designing a streamlined workflow that maintained essential functionality while simplifying billing processes. The system needed to automatically flag compatible, non-compatible, or unverified codes without exposing small labs to unnecessary complexity.
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Research, Process & Design:
Research & Insights I studied RCM processes through articles, YouTube case studies, and documentation to understand how insurance companies validate codes. I explored how small labs function operationally by referencing both US LIS/LMIS systems and real-world insights from diagnostics staff in India. This research identified common inefficiencies in existing systems, especially in handling order forms and ICD compatibility. Design Approach I streamlined order forms by consolidating everything into a single-page format instead of multi-step processes. While this made pages more scrollable, it reduced friction and improved task completion rates. I embedded real-time ICD code validation with clear status indicators for compatible, needs review, and rejected codes. Key actions like edit, re-order, and forward were brought directly into the order view screen, minimizing navigation. Orders with validated codes could be forwarded to reference labs without additional manual intervention.
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The Results:
This project achieved a 30% increase in retention as small labs preferred the simpler workflow, reduced claim rejections by 25% through automated ICD validation, and cut order setup time by 40%. Labs gained confidence in billing with built-in insurance compatibility checks. The modular framework proved scalable for integrating multiple insurance payors. This project deepened my understanding of healthcare operations, insurance workflows, and the balance between reducing complexity while maintaining essential functionality in specialized domains. I gained valuable knowledge about US-based LIS and LMIS systems compared to Indian practices, and learned how critical insurance workflows are to lab operations, particularly in the US market.
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Recent Designs
