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Unlock Efficiency Adjudicating Genetic Test Claims

Unlock Efficiency Adjudicating Genetic Test Claims

Unlock Efficiency Adjudicating Genetic Test Claims

Unlock Efficiency Adjudicating Genetic Test Claims

Gistia PayerIQ™ revolutionizes how Healthcare Payers manage prior-authorization, processing, and payment for genetic test claims.

Gistia PayerIQ™ revolutionizes how Healthcare Payers manage prior-authorization, processing, and payment for genetic test claims.

Gistia PayerIQ™ revolutionizes how Healthcare Payers manage prior-authorization, processing, and payment for genetic test claims.

Gistia PayerIQ™ revolutionizes how Healthcare Payers manage prior-authorization, processing, and payment for genetic test claims.

Why is Genetic Test Claim Adjudication a Nightmare?

You're overwhelmed with 75,000 genetic tests across 400 labs.

Every month, 300 new tests enter the system, further complicating validation.

Z-codes and CPT Codes have made manual review a frustrating, error-prone process.

You need Gistia PayerIQ™

The Automated Solution for Genetic Test Claims

The Automated Solution for Genetic Test Claims

Gistia PayerIQ™ brings AI-driven clarity to your genetic test claim processes.

Automated Diagnostic Matching
Automated Diagnostic Matching
Automated Diagnostic Matching

Validate ICD-10 Codes and Supporting Documentation

Validate ICD-10 Codes and Supporting Documentation

Validate ICD-10 Codes and Supporting Documentation

Gistia PayerIQ™ validates the physician's diagnosis code and related documentation, ensuring the genetic tests in the claim align with the patient's symptoms.

Gistia PayerIQ™ validates the physician's diagnosis code and related documentation, ensuring the genetic tests in the claim align with the patient's symptoms.

Gistia PayerIQ™ validates the physician's diagnosis code and related documentation, ensuring the genetic tests in the claim align with the patient's symptoms.

Automatic CPT and Z-code matching

Automatic CPT and Z-code matching

Automatic CPT and Z-code matching

Automatic CPT and Z-code matching

Streamline the diagnostic verification process

Streamline the diagnostic verification process

Streamline the diagnostic verification process

Streamline the diagnostic verification process

Rule out incorrect biomarker submissions

Rule out incorrect biomarker submissions

Rule out incorrect biomarker submissions

Rule out incorrect biomarker submissions

Medical Necessity
Medical Necessity
Medical Necessity

Determine if a Genetic Test is Medically Appropriate

Determine if a Genetic Test is Medically Appropriate

Determine if a Genetic Test is Medically Appropriate

Gistia PayerIQ™ categorizes claims into 'Accepted', 'Manual Review', and 'Rejected', based on medical appropriateness and coverage guidelines.

Gistia PayerIQ™ categorizes claims into 'Accepted', 'Manual Review', and 'Rejected', based on medical appropriateness and coverage guidelines.

Gistia PayerIQ™ categorizes claims into 'Accepted', 'Manual Review', and 'Rejected', based on medical appropriateness and coverage guidelines.

Efficiently categorize claims, reducing manual review

Efficiently categorize claims, reducing manual review

Efficiently categorize claims, reducing manual review

Efficiently categorize claims, reducing manual review

Adapt machine learning algorithms for future automation

Adapt machine learning algorithms for future automation

Adapt machine learning algorithms for future automation

Adapt machine learning algorithms for future automation

Stay aligned with coverage and reimbursement guidelines

Stay aligned with coverage and reimbursement guidelines

Stay aligned with coverage and reimbursement guidelines

Stay aligned with coverage and reimbursement guidelines

Seamless Integration
Seamless Integration
Seamless Integration

Ready to Deploy by Year's End

Ready to Deploy by Year's End

Ready to Deploy by Year's End

Gistia PayerIQ™ integrates smoothly with your existing systems, becoming operational in no time.

Gistia PayerIQ™ integrates smoothly with your existing systems, becoming operational in no time.

Gistia PayerIQ™ integrates smoothly with your existing systems, becoming operational in no time.

Quick system assessment and implementation

Quick system assessment and implementation

Quick system assessment and implementation

Quick system assessment and implementation

High performance assured with blinded data pools

High performance assured with blinded data pools

High performance assured with blinded data pools

High performance assured with blinded data pools

Meet regulatory requirements for timely, appropriate care

Meet regulatory requirements for timely, appropriate care

Meet regulatory requirements for timely, appropriate care

Meet regulatory requirements for timely, appropriate care

Stop Manual Adjudication — Automate Genetic Test Claim Validation with Gistia PayerIQ™.

  • "Partnering with the Gistia team and utilizing DxFlow has helped us deliver on our laboratory operational strategy. I highly recommend these solutions to any lab aiming to optimize their workflow"

    Jeff Crays, CTO at LynxDx

  • "After our merger, Gistia integrated our lab systems, enhancing data handling and streamlining reporting. We're thrilled with the outcome and highly recommend their solutions. We look forward to a long-term partnership with Gistia."

    Patrick Chase,Senior IT Director at Avero

  • "Gistia RevenueIQ has revolutionized the way I work by providing me with the ability to tell any data story related to customer, payor, and reimbursement behavior in just minutes, rather than spending days or hours on it.”

    Ted Knauf, Director at Gravity Diagnostics

  • "Partnering with the Gistia team and utilizing DxFlow has helped us deliver on our laboratory operational strategy. I highly recommend these solutions to any lab aiming to optimize their workflow"

    Jeff Crays, CTO at LynxDx

  • "After our merger, Gistia integrated our lab systems, enhancing data handling and streamlining reporting. We're thrilled with the outcome and highly recommend their solutions. We look forward to a long-term partnership with Gistia."

    Patrick Chase, IT Director at Avero

  • "Gistia RevenueIQ has revolutionized the way I work by providing me with the ability to tell any data story related to customer, payor, and reimbursement behavior in just minutes, rather than spending days or hours on it.”

    Ted Knauf, Director at Gravity Diagnostics

  • "Partnering with the Gistia team and utilizing DxFlowTM has helped us deliver on our laboratory operational strategy. I highly recommend these solutions to any lab aiming to optimize their workflow"

    Jeff Crays, CTO at LynxDx

  • "After our merger, Gistia integrated our lab systems, enhancing data handling and streamlining reporting. We're thrilled with the outcome and highly recommend their solutions. We look forward to a long-term partnership with Gistia."

    Patrick Chase, IT Director at Avero

  • "Gistia RevenueIQ has revolutionized the way I work by providing me with the ability to tell any data story related to customer, payor, and reimbursement behavior in just minutes, rather than spending days or hours on it.”

    Ted Knauf, Director at Gravity Diagnostics

  • "Partnering with the Gistia team and utilizing DxFlow has helped us deliver on our laboratory operational strategy. I highly recommend these solutions to any lab aiming to optimize their workflow"

    Jeff Crays, CTO at LynxDx

  • "After our merger, Gistia integrated our lab systems, enhancing data handling and streamlining reporting. We're thrilled with the outcome and highly recommend their solutions. We look forward to a long-term partnership with Gistia."

    Patrick Chase, IT Director at Avero

  • "Gistia RevenueIQ has revolutionized the way I work by providing me with the ability to tell any data story related to customer, payor, and reimbursement behavior in just minutes, rather than spending days or hours on it.”

    Ted Knauf, Director at Gravity Diagnostics

transforming the
business of diagnostics

Copyright © 2006 - 2024 Gistia Healthcare LLC

transforming the
business of diagnostics

Copyright © 2006 - 2024 Gistia Healthcare LLC

transforming the
business of diagnostics

Copyright © 2006 - 2024 Gistia Healthcare LLC

transforming the
business of diagnostics

Copyright © 2006 - 2024 Gistia Healthcare LLC