Provider and patient dissatisfaction from inability to give accurate status on send‑out tests

$100,000–$300,000 per year in lost and at-risk outreach revenue from physician practices moving send-outs to competitors with better visibility, plus soft costs of 0.25–0.5 FTE LIS/admin time consumed by manual tracking support and rework. • $100,000–$500,000 per year in lost or delayed reimbursement on high-cost send-out tests, plus administrative overhead for appeals and risk of future utilization management restrictions. • $100k+ annual loss from CROs moving volume to better-tracked competitors

Billing manager manually reconciles LIS data, courier manifests, and reference lab reports in Excel to build case lists and timelines; relies on email chains and staff recollection to answer status or invoicing disputes from public health agencies. • Coordinator manually checks courier logs and calls drivers for location • LIS admin and client services maintain employer-specific spreadsheets and manually update specimen statuses based on daily downloads from reference labs and courier manifests; they field frequent phone/email inquiries from HR and safety officers and manually look up cases in multiple portals.