Avalon RCM
Revenue Cycle Management Connected Directly to Avalon LIS
Bring laboratory revenue cycle management into Avalon LIS by connecting insurance verification, claims, patient billing, payer rules, and revenue reporting for cleaner submissions and more visible follow-up.
Avalon RCM keeps billing tied to laboratory orders, patients, providers, tests, results, and payments—helping teams reduce re-entry and work from one operational source of truth.
Previously known as Avalon BI / Avalon Billing Intelligence.
Validate key details before submission.
Billing works with Avalon LIS data.
Track receivables and billing activity.
Billing Should Not Be Disconnected from the Laboratory Workflow
When billing lives outside the LIS, teams spend more time moving data, correcting errors, chasing claim status, and reconciling information. Avalon brings billing closer to the source of truth: the laboratory order, patient, provider, test, and result.
Verify Before Submission
Check Medicare and other insurance numbers, confirm required claim information, and reduce avoidable issues before claims are sent.
Apply Payer Rules
Configure payer-specific requirements for different insurance companies, billing scenarios, tests, and laboratory workflows.
Track the Revenue Cycle
Follow claim activity, monitor outstanding balances, identify payment delays, and give staff a clearer view of what needs attention.
Built Around Real Lab Billing Workflows
Claims, insurance, patients, providers, and tests stay connected.
Avalon keeps billing activity tied to the laboratory workflow, helping teams reduce duplicate entry, catch missing information earlier, and maintain better visibility from order through payment.
Avalon RCM
Cleaner Claims Start with Better Data
Every rejected claim creates extra work. Staff have to investigate the issue, correct the information, resubmit the claim, and wait again. Avalon helps reduce that cycle by validating key billing details earlier in the workflow.
Because the billing module works with Avalon LIS data, your team can reduce unnecessary re-entry, keep billing activity tied to laboratory operations, and improve accountability throughout the process.
- Direct insurance billing: Submit claims from the Avalon workflow instead of relying on disconnected manual entry.
- Eligibility support: Verify important patient and insurance information before submission.
- Claim quality controls: Help catch missing or incorrect details before they become denials or delays.
Laboratory Billing Capabilities Across the Revenue Cycle
Avalon RCM gives laboratories practical tools for claims, patient billing, payment tracking, reporting, and revenue cycle visibility.
Insurance Verification
Validate insurance numbers and required claim details to help reduce preventable claim problems.
Claims Processing
Support claim submission, claim review, payer requirements, and follow-up workflows from inside the laboratory system.
Patient Billing
Manage patient responsibility, statements, balances, and online payment workflows more efficiently.
Business Intelligence
Track receivables, cash flow, outstanding balances, claim activity, and billing trends with clearer reporting.
Payer Configuration
Set up billing requirements by payer, test, client, or workflow so the system better matches how your lab operates.
Error Detection
Surface billing issues earlier so staff can respond before claims are delayed, denied, or sent back for rework.
From Order to Revenue Insight
Keep billing teams organized by connecting the information that affects claim accuracy, payment speed, follow-up work, and financial visibility.
Capture the Right Information
Keep patient, provider, insurance, test, and billing details connected from the original laboratory order.
Validate Before Submission
Check required details, insurance numbers, and payer-specific rules before claims go out.
Submit and Track Claims
Monitor claim activity, outstanding balances, and items that need attention without disconnecting billing from the LIS.
Analyze Revenue Performance
Use Business Intelligence reporting to understand receivables, payment trends, cash flow, and billing performance.
Revenue Cycle Visibility
Business Intelligence for Laboratory Billing
See what has been billed, what remains outstanding, where payments are delayed, and which items require follow-up.
- Track performance: Review claim and payment activity across your operation.
- Monitor receivables: Keep outstanding balances and follow-up needs visible.
- Support decisions: Give management a clearer picture of laboratory financial health.
Frequently Asked Questions
Common questions laboratories ask about Avalon RCM.
What is Avalon RCM?
Avalon RCM is the billing and revenue visibility workflow within Avalon LIS. It helps laboratories manage claim verification, payer requirements, claim tracking, patient billing, and billing reporting.
Can Avalon help verify insurance information?
Yes. Avalon can help check Medicare and other insurance numbers and validate important claim information before submission.
Does Avalon support payer-specific billing rules?
Yes. Avalon can be configured around requirements for different insurance companies, tests, and billing scenarios.
Can Avalon help with patient billing?
Yes. Avalon can support patient billing workflows, including statement-related processes and online payment options.
Does Avalon replace billing staff?
No. Avalon helps billing staff work more efficiently by reducing disconnected steps, improving visibility, and helping catch issues earlier in the process.
Strengthen Laboratory Revenue Cycle Management with Avalon RCM
Improve claim accuracy, reduce billing rework, simplify patient billing, and give your laboratory a clearer view of revenue cycle performance.
Contact CSS
Request More Information
Have questions about Avalon RCM or want to learn how Avalon LIS can support your laboratory billing workflow? Call (800) 336-4277 or complete the form below.
