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Orchard Software lab billing services

Billing Built for Labs Running Orchard Harvest, Copia, or Trellis

You already picked a serious LIS. Your billing partner should match that. TransLabs works exclusively inside the Orchard Software ecosystem; Orchard Harvest LIS, Orchard Copia, and Orchard Trellis; so nobody on our team is learning your system while your claims sit unpaid.

Live in 24 Hours

Serving Nationwide

1,100+ Certified Billers

Pay Only When We Collect

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Avg. Denial Reduction

Your Orchard LIS Isn't Losing You Money. Your Billing Handoff Is.

Nobody buys Orchard Harvest, Copia, or Trellis expecting it to fight with payers on the lab’s behalf. That isn’t what it’s for; it accessions the specimen, captures the result, and gets the report to the ordering provider. The money leaks somewhere else, in the handoff between what your LIS captured and what actually gets billed. Most lab managers don’t find the leak until a denial report lands 30 or 45 days later, and by then it isn’t a fix, it’s a write-off.

Here's where it actually happens, by platform:

TransDontics Table Preview
Where It Happens
What Happens
Real Cost
Orchard Harvest LIS — Order-to-Charge Mapping
A diagnosis code entered at accession doesn't line up with the medical necessity requirement for the CPT that gets billed, or an ABN never gets triggered on a Medicare non-covered test. The result still goes out the door correctly; the claim behind it doesn't.
Missing ABNs and mismatched medical necessity edits are the single largest preventable-denial category we find in a first audit on physician office labs running Harvest.
Orchard Copia — Referring Provider Order Entry
Copia hands order entry to staff at the referring practice, not your lab. When the diagnosis code, ordering NPI, or insurance detail they key in is wrong, your claim inherits that error before your billing team ever touches the accession.
This is the category most likely to produce a denial nobody at the lab can explain. The accession looked clean; the mistake happened somewhere you don't control.
Orchard Trellis — Multi-Site & Molecular Complexity
Larger labs running Trellis across multiple locations or a molecular/send-out menu deal with prior-authorization rules and LCD/NCD policy that shift by payer, sometimes more than once a year.
A claim that was clean in January can be an automatic denial by June if nobody's tracking the policy change behind it.
Every Platform — Panel Unbundling & Timely Filing
Reflex tests and add-on components quietly drop off a panel claim, or order-entry-to-billing lag eats into a payer's filing window before the claim is even billing-ready.
Timely filing denials are avoidable almost 100% of the time. They're a process gap, not a payer decision.
None of this means Orchard LIS is doing anything wrong. It means billing is a separate discipline that has to be built to match how the platform actually works, and that’s the part most practices are missing.

Not sure which of these is actually happening in your claims?

That’s exactly what the free audit below is built to find out.

Expert Across All Major Laboratory Insurance Payers

Our billing team handles claims across the payers your patients carry like national commercial plans, Medicare, Medicaid, and regional Blues plans. Payers we bill include but aren’t limited to:

Billing That's Fluent in Orchard; Not Learning It On Your Claims

TransLabs specializes in end-to-end revenue cycle management for laboratories and physician office labs running the Orchard Software product family:

Orchard Harvest LIS Billing

Physician office lab and hospital outreach billing, ABN management, and medical necessity/NCD-LCD edit checks matched to how Harvest structures orders and results, so nothing gets lost between accession and claim.

Orchard Copia Order Accuracy & Reconciliation

Catching referring-provider order-entry errors, diagnosis code, ordering NPI, insurance detail, before they become a denial, plus charge reconciliation against Copia order data.

Orchard Trellis Enterprise & Molecular Billing

Multi-site coding consistency, molecular and esoteric test billing, active prior-authorization tracking, and documentation built to survive payer medical necessity review.

Full-Cycle RCM

Eligibility checks, charge entry, claims scrubbing, denial follow-up, patient billing, and monthly reporting; all mapped to the Orchard instance you already have.

Full-Spectrum Lab Billing & RCM Services, From Specimen Receipt to Final Payment

TransLabs’ specialized RCM services are built exclusively for labs, addressing the unique challenges that generalist billers miss. We provide end-to-end revenue cycle solutions designed specifically to turn laboratory complexity into profitability.

Serving Laboratories Nationwide Across the United States

TransLabs provides expert RCM services to clinical laboratories in all 50 states, delivering the same exceptional results whether you’re a community hospital lab or a large reference facility. We bring specialized lab billing expertise to facilities nationwide, combining remote efficiency with hands-on partnership.

Three Steps, Starting With a Free Look at Your Actual Claims

Start with a free audit of your actual claims; no pitch, just real findings. We build your billing workflow around your existing LIS , so your team’s process doesn’t change. At go-live, you get a dedicated account team who already knows your setup, not a call center.

Free LIS Billing Audit

We review a sample of your Orchard Harvest, Copia, or Trellis claims and order logs for the past 12 months and come back with a specific breakdown of where denials and coding gaps are happening.

Custom Integration & Coding Protocol

We build the billing workflow around your existing Orchard configuration and order-entry rules. Your team doesn’t change how they work; we adapt to your system.

Go-Live with Dedicated Account Oversight

You get a dedicated account team that knows your setup, not a rotating call center. Denials, reporting, and questions go to people who already understand your configuration.

Proficient Across Multiple LIS & EHRs to Simplify Your
Laboratory Management

ChartLogic
Collaborate md
Greenway health
Haemonetics
jane
cgm Labdaq
Modmed
open emr
Harris Data Integrity Solutions
siemens healthineers
Tebra
Oracle Health
Confience
Power path
Benchmark solutions
Xifin
Psyche Systems
veradigm
Turemed Lis
Telcor
Practice pro
novo path
Nextgen Healthcare
Next tech
meditech
Advanced data systems corporation
Logilab
Labware
Lab vantage
labs os
Epic
Dr Chrono
dendi
Corepoint
clinisys
Care Cloud
apex healthware
clinisys copathplus
Advanced md
softlab
athenaone

Why Lab Directors and Pathology Groups Choose TransLabs ?

LIS-Specific Expertise

We don’t treat Orchard Harvest, Copia, and Trellis as “just another LIS.” Each handles order entry, referring-provider connectivity, and result-to-charge logic differently.

98% First-Pass Clean Claims Rate

98% clean claims rate across all lab clients with fewer denials, faster payments, stronger cash flow.

Transparent Reporting

Monthly dashboards showing clean claim rate, days in A/R, denial reasons by payer, and net collection rate.

High-Volume Architecture

Built for labs processing thousands of daily claims; scalability without sacrificing accuracy.

No Long-Term Contracts

Month-to-month, results-based partnership with measurable improvement in 90 days, no exit fees, just 30 days’ notice.

Compliance-First

HIPAA-compliant processes, certified coders, and ongoing LCD/NCD monitoring so your billing holds up under audit.

Stop Losing Revenue to Interface Gaps and Coding Errors

Every month without an Orchard-aligned billing process is another month of denials, write-offs, and delayed cash flow. Let’s find out exactly where your Orchard Harvest, Copia, or Trellis billing is leaking revenue, at no cost.

Dedicated Orchard billing specialist assigned to your lab

Complimentary 12-month claims audit across all payers

Discover your laboratory's top 3 revenue leaks

Custom strategy tailored to your specialty and Orchard configuration

Live in 24 hours with no contracts and no upfront fees

Pay only a percentage of what we collect for you

Book Consultation Today!

Frequently Ask Questions

What is Orchard Software, and what's the difference between Harvest, Copia, and Trellis?

Orchard Software is a laboratory information systems company. Orchard Harvest LIS is its core system used widely by physician office labs and hospital outreach programs, Orchard Copia is the client connectivity portal referring providers use to place orders and view results, and Orchard Trellis is built for larger, multi-site, or molecular-focused laboratories. Labs running any of these need billing processes mapped to how that specific platform structures orders and results.

Do I need a specialized billing company if I already use Orchard Harvest LIS?

Your LIS manages specimens, results, and reporting; it doesn't guarantee clean claims. Billing errors most often occur in the handoff between LIS data and the billing/clearinghouse system, which is why labs on Orchard benefit from a billing partner familiar with that platform's interface and workflow patterns.

Can TransLabs work with our existing Orchard Copia setup without changing our workflow?

Yes. Our onboarding process maps to your existing LIS configuration, referring-provider order rules, and reporting templates rather than requiring changes to how your lab or your referring providers already operate.

What does the free LIS billing audit include?

A review of a sample set of claims and order/coding data from your Orchard Harvest, Copia, or Trellis environment to identify denial trends, missed charge capture, and coding gaps, delivered with no cost or obligation.

Do you handle molecular and esoteric test billing on Trellis?

Yes. Molecular and esoteric testing carries distinct prior-authorization and medical necessity documentation requirements; our team tracks payer-specific LCD/NCD policy changes relevant to these test categories.

How much does it cost to outsource lab billing to a company like TransLabs?

Outsourced lab billing is typically priced as a percentage of collections rather than a flat fee, which keeps the incentive aligned; we only get paid when you get paid. The exact percentage depends on claim volume, test mix, and how much cleanup your existing A/R needs at the start. We give a specific number after the free audit, not before, since quoting a rate without seeing real claims data isn't something either side should trust.

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