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Healthcare Medicine

Top 10 Best Medical Lab Billing Software of 2026

Explore top 10 medical lab billing software to streamline workflows, save time—optimize practice accuracy. Start here!

Rajesh Patel

Rajesh Patel

Feb 11, 2026

10 tools comparedExpert reviewed
Independent evaluation · Unbiased commentary · Updated regularly
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Efficient medical lab billing software is essential for optimizing revenue cycles, ensuring timely reimbursements, and maintaining regulatory compliance in healthcare. With a wide array of tools tailored to lab operations, selecting the right solution—aligned with specific needs such as pathology, large-scale services, or EHR integration—can drive financial health and operational stability, as showcased by our comprehensive list.

Quick Overview

  1. 1#1: Xifin - AI-powered revenue cycle management and billing platform designed specifically for clinical laboratories and diagnostics.
  2. 2#2: SCC Soft Computer - Comprehensive laboratory information system with integrated billing, claims processing, and financial management for medical labs.
  3. 3#3: Orchard Software - Robust LIS solution featuring advanced billing, reimbursement management, and integration for clinical laboratories.
  4. 4#4: Psyche Systems - Anatomic pathology LIS with built-in billing, practice management, and compliance tools for labs.
  5. 5#5: NovoPath - Enterprise pathology platform with integrated billing, workflow automation, and revenue cycle optimization for labs.
  6. 6#6: TruBridge TruLab - Specialized LIS and billing solution for hospital and reference labs with claims management and denial prevention.
  7. 7#7: Epic Beaker - Enterprise laboratory information system with comprehensive billing and revenue cycle management capabilities.
  8. 8#8: Oracle Health Laboratory - End-to-end lab management platform including advanced billing, analytics, and integration for large-scale operations.
  9. 9#9: Kareo - Cloud-based medical billing software with lab-specific claims scrubbing, payments, and reporting features.
  10. 10#10: AdvancedMD - Practice management and EHR system offering lab billing, insurance verification, and revenue cycle tools.

We ranked tools based on lab-specific features, user experience, claim accuracy, revenue optimization capabilities, and overall value, prioritizing solutions that balance functionality, ease of use, and long-term cost-effectiveness.

Comparison Table

Efficient medical lab billing software is critical for streamlining operations, and this comparison table simplifies the decision-making process by evaluating tools like Xifin, SCC Soft Computer, Orchard Software, Psyche Systems, NovoPath, and more, to highlight features, usability, and integration capabilities for different practices.

1Xifin logo9.6/10

AI-powered revenue cycle management and billing platform designed specifically for clinical laboratories and diagnostics.

Features
9.8/10
Ease
8.7/10
Value
9.3/10

Comprehensive laboratory information system with integrated billing, claims processing, and financial management for medical labs.

Features
9.5/10
Ease
8.0/10
Value
8.5/10

Robust LIS solution featuring advanced billing, reimbursement management, and integration for clinical laboratories.

Features
9.2/10
Ease
7.6/10
Value
8.0/10

Anatomic pathology LIS with built-in billing, practice management, and compliance tools for labs.

Features
9.1/10
Ease
7.8/10
Value
8.0/10
5NovoPath logo8.3/10

Enterprise pathology platform with integrated billing, workflow automation, and revenue cycle optimization for labs.

Features
8.8/10
Ease
7.6/10
Value
8.0/10

Specialized LIS and billing solution for hospital and reference labs with claims management and denial prevention.

Features
8.4
Ease
7.9
Value
8

Enterprise laboratory information system with comprehensive billing and revenue cycle management capabilities.

Features
9.5/10
Ease
7.2/10
Value
8.0/10

End-to-end lab management platform including advanced billing, analytics, and integration for large-scale operations.

Features
8.7/10
Ease
6.9/10
Value
7.4/10
9Kareo logo7.6/10

Cloud-based medical billing software with lab-specific claims scrubbing, payments, and reporting features.

Features
7.4/10
Ease
8.1/10
Value
7.2/10
10AdvancedMD logo7.6/10

Practice management and EHR system offering lab billing, insurance verification, and revenue cycle tools.

Features
8.2/10
Ease
7.0/10
Value
7.1/10
1
Xifin logo

Xifin

specialized

AI-powered revenue cycle management and billing platform designed specifically for clinical laboratories and diagnostics.

Overall Rating9.6/10
Features
9.8/10
Ease of Use
8.7/10
Value
9.3/10
Standout Feature

Xifin RPM Rules Engine, an AI-driven system applying millions of payer-specific rules to achieve industry-leading clean claim rates over 99%.

Xifin is a cloud-based revenue cycle management (RCM) platform designed specifically for medical laboratories, pathology groups, and diagnostics providers. It automates complex lab billing processes, including claims scrubbing, coding optimization, denial management, and payment posting using advanced AI-driven rules engines. The software also offers robust analytics, patient collections tools, and compliance features to maximize reimbursements and streamline financial operations.

Pros

  • AI-powered rules engine prevents denials and optimizes coding for lab-specific complexities
  • Comprehensive end-to-end RCM with strong analytics for revenue cycle insights
  • Proven scalability for high-volume labs with seamless payer integrations

Cons

  • High implementation costs and timeline for enterprise deployment
  • Steep learning curve for non-technical users
  • Pricing may be prohibitive for small or independent labs

Best For

Large-scale medical labs, pathology groups, and diagnostics providers managing high-volume, multi-modality billing with complex payer requirements.

Pricing

Custom enterprise pricing via quote; typically starts at $100K+ annually for full platform, scaling with volume.

Visit Xifinxifin.com
2
SCC Soft Computer logo

SCC Soft Computer

specialized

Comprehensive laboratory information system with integrated billing, claims processing, and financial management for medical labs.

Overall Rating9.1/10
Features
9.5/10
Ease of Use
8.0/10
Value
8.5/10
Standout Feature

Integrated rules-based billing engine that automates complex payer-specific logic within the LIS workflow

SCC Soft Computer's SoftLab is a comprehensive laboratory information system (LIS) with advanced medical lab billing capabilities, designed for high-volume clinical labs. It automates revenue cycle management, including claims submission, eligibility checks, denial management, and payment posting via EDI and ERA integration. The platform ensures HIPAA compliance and seamless connectivity with EHRs, practice management systems, and payer portals, streamlining end-to-end lab billing workflows.

Pros

  • Robust automation for claims processing and denial management
  • Scalable architecture for high-volume labs with multi-site support
  • Strong regulatory compliance and customizable reporting

Cons

  • Complex implementation requiring significant setup time
  • Enterprise-level pricing not ideal for small labs
  • Steep learning curve for non-technical users

Best For

Mid-to-large medical laboratories handling high test volumes and needing integrated LIS with full revenue cycle management.

Pricing

Custom enterprise pricing; typically starts at $50,000+ annually based on modules, lab size, and implementation needs—contact for quote.

Visit SCC Soft Computersoftcomputer.com
3
Orchard Software logo

Orchard Software

specialized

Robust LIS solution featuring advanced billing, reimbursement management, and integration for clinical laboratories.

Overall Rating8.4/10
Features
9.2/10
Ease of Use
7.6/10
Value
8.0/10
Standout Feature

Rules-based billing engine that automates complex charge capture, adjudication, and denial workflows directly within the LIS

Orchard Software offers comprehensive laboratory information systems (LIS) like Orchard Harvest and Orchard Enterprise, with integrated billing modules designed specifically for medical laboratories. It streamlines the entire revenue cycle, from automated charge capture and claim generation to electronic remittance processing and denial management. The platform ensures HIPAA compliance and supports seamless integration with EHRs, practice management systems, and clearinghouses via HL7 and other standards.

Pros

  • Robust billing automation with rules-based charge posting and scrubbers to minimize denials
  • Seamless integration with lab workflows, EHRs, and payers for end-to-end revenue management
  • Strong compliance tools and customizable reporting for audits and analytics

Cons

  • Steep learning curve due to extensive customization options
  • High implementation costs and time for larger deployments
  • Interface can feel dated compared to modern cloud-native solutions

Best For

Mid-to-large medical laboratories requiring a fully integrated LIS with advanced billing and workflow automation.

Pricing

Custom quote-based pricing; typically $50,000+ annually for mid-sized labs, plus implementation fees scaling with modules and user count.

Visit Orchard Softwareorchardsoft.com
4
Psyche Systems logo

Psyche Systems

specialized

Anatomic pathology LIS with built-in billing, practice management, and compliance tools for labs.

Overall Rating8.2/10
Features
9.1/10
Ease of Use
7.8/10
Value
8.0/10
Standout Feature

Automated charge capture directly from anatomic pathology workflows, minimizing manual entry errors and accelerating reimbursements

Psyche Systems provides a comprehensive Laboratory Information System (LIS) with integrated billing software designed specifically for clinical, anatomic pathology, and molecular diagnostics labs. It automates complex billing processes including charge capture, claims submission to payers, denial management, and accounts receivable tracking. The platform ensures HIPAA compliance and supports high-volume lab workflows, reducing errors in reimbursement for specialized lab services.

Pros

  • Seamless integration of LIS and billing for pathology-specific workflows
  • Strong compliance tools for HIPAA and lab regulations
  • Advanced denial management and AR reporting capabilities

Cons

  • Steep learning curve due to comprehensive feature set
  • Pricing requires custom quotes, lacking transparency
  • Primarily suited for pathology labs rather than general clinical labs

Best For

Medium to large anatomic pathology and molecular diagnostics labs needing an integrated LIS-billing solution.

Pricing

Custom enterprise pricing based on lab size, modules, and implementation; typically starts in the mid-five figures annually with quotes required.

Visit Psyche Systemspsychsystems.com
5
NovoPath logo

NovoPath

specialized

Enterprise pathology platform with integrated billing, workflow automation, and revenue cycle optimization for labs.

Overall Rating8.3/10
Features
8.8/10
Ease of Use
7.6/10
Value
8.0/10
Standout Feature

Automated charge capture and coding directly from pathology case workflows to minimize errors and speed up billing

NovoPath is a comprehensive anatomic pathology laboratory information system (LIS) with an integrated billing module tailored for medical labs focused on pathology workflows. It automates claims generation, submission to payers like Medicare and private insurers, denial management, and revenue cycle tracking directly from case accessioning to payment posting. The software supports HL7 integrations, electronic remittance advice (ERA), and compliance with HIPAA and billing standards such as CPT, ICD-10, and SNOMED coding.

Pros

  • Robust pathology-specific billing automation with charge capture from workflows
  • Strong integrations for claims scrubbing and ERA posting
  • Comprehensive compliance tools for regulatory billing requirements

Cons

  • Steep learning curve due to complex pathology-focused interface
  • Custom pricing lacks transparency and can be expensive for smaller labs
  • Less optimized for non-pathology lab billing needs

Best For

Mid-sized anatomic pathology labs requiring seamless LIS-billing integration.

Pricing

Custom enterprise pricing; typically starts at $20,000-$50,000 annually based on lab size, modules, and deployment (on-premise or cloud).

Visit NovoPathnovopath.com
6
TruBridge TruLab logo

TruBridge TruLab

specialized

Specialized LIS and billing solution for hospital and reference labs with claims management and denial prevention.

Overall Rating8.1
Features
8.4
Ease of Use
7.9
Value
8
Standout Feature

AI-powered denial prediction engine that proactively identifies and prevents reimbursement issues

TruBridge TruLab is a comprehensive revenue cycle management solution tailored for medical laboratories, handling everything from patient eligibility verification and claims scrubbing to denial management and payment posting. It supports lab-specific billing for anatomic pathology, molecular diagnostics, and high-volume testing with seamless integration to LIS and EHR systems. The software emphasizes compliance, accuracy, and cash flow optimization through automated workflows and real-time reporting.

Pros

  • Robust lab-specific billing rules and code sets reduce claim denials
  • Seamless integration with major LIS platforms for efficient data flow
  • Advanced analytics and reporting for revenue cycle insights

Cons

  • Steep learning curve for new users due to extensive customization options
  • Pricing can be high for small labs with low claim volumes
  • Limited standalone mobile app functionality

Best For

Mid-sized to large medical labs needing end-to-end RCM with strong payer contract management.

Pricing

Custom quote-based pricing, typically subscription model starting at $5,000/month for mid-sized labs based on claim volume.

7
Epic Beaker logo

Epic Beaker

enterprise

Enterprise laboratory information system with comprehensive billing and revenue cycle management capabilities.

Overall Rating8.7/10
Features
9.5/10
Ease of Use
7.2/10
Value
8.0/10
Standout Feature

Unrivaled native integration with Epic's EHR for automated, real-time billing data synchronization and revenue optimization

Epic Beaker is a comprehensive laboratory information system (LIS) from Epic Systems that manages end-to-end lab workflows, including test ordering, result reporting, and integrated billing for medical laboratories. It excels in charge capture, claims submission, and revenue cycle management through seamless integration with Epic's EHR platform. Designed for high-volume environments, it automates complex billing rules and ensures regulatory compliance like HIPAA and CMS standards.

Pros

  • Seamless integration with Epic EHR for real-time charge capture and reconciliation
  • Robust automation for billing rules, denial management, and payer interfaces
  • Scalable for enterprise-level lab volumes with strong compliance features

Cons

  • Extremely high implementation and customization costs
  • Steep learning curve and lengthy onboarding process
  • Overkill and less cost-effective for small or standalone labs

Best For

Large hospitals and integrated health systems using Epic EHR that need deeply integrated lab billing capabilities.

Pricing

Custom enterprise pricing with implementation often exceeding $1M upfront, plus annual subscriptions scaling to millions based on organization size and usage.

8
Oracle Health Laboratory logo

Oracle Health Laboratory

enterprise

End-to-end lab management platform including advanced billing, analytics, and integration for large-scale operations.

Overall Rating8.1/10
Features
8.7/10
Ease of Use
6.9/10
Value
7.4/10
Standout Feature

Deep integration with Oracle Health EHR for real-time lab billing synchronization and automated charge capture

Oracle Health Laboratory is an enterprise-grade laboratory information management system (LIMS) from Oracle Health (formerly Cerner) that supports end-to-end lab operations, including robust medical lab billing functionalities like claims processing, eligibility verification, and revenue cycle management. It excels in handling high-volume lab billing with support for complex CPT/ICD coding, electronic remittance advice (ERA), and integration with major payers. Tailored for large-scale healthcare organizations, it ensures compliance with HIPAA and other regulations while optimizing reimbursement rates.

Pros

  • Seamless integration with Oracle Health EHR and other enterprise systems for unified billing workflows
  • Advanced revenue cycle management with automated claims scrubbing and denial management
  • Scalable for high-volume labs with strong compliance and analytics tools

Cons

  • Steep learning curve and complex implementation requiring significant IT resources
  • High cost prohibitive for small to mid-sized labs
  • Customization often demands ongoing vendor support

Best For

Large hospital labs or integrated health systems needing enterprise-scale billing integrated with EHR.

Pricing

Custom enterprise pricing, typically starting at $500K+ annually based on modules, users, and scale; quotes required.

9
Kareo logo

Kareo

specialized

Cloud-based medical billing software with lab-specific claims scrubbing, payments, and reporting features.

Overall Rating7.6/10
Features
7.4/10
Ease of Use
8.1/10
Value
7.2/10
Standout Feature

AI-powered claims intelligence that predicts and prevents denials before submission

Kareo is a cloud-based revenue cycle management (RCM) platform designed primarily for independent medical practices, offering integrated billing, practice management, and EHR functionalities. For medical lab billing, it excels in electronic claims submission (EDI 837), automated ERA posting, denial management, and eligibility verification, supporting lab-specific CPT/HCPCS codes and payer contracts. While versatile for general healthcare billing, it provides solid tools for labs handling high-volume claims but lacks deep native integration with lab information systems (LIS).

Pros

  • Robust claims scrubbing and denial management reduce errors and accelerate reimbursements
  • Cloud-based access with mobile app for on-the-go billing oversight
  • Comprehensive analytics dashboard for revenue cycle insights

Cons

  • Limited specialized features for complex lab workflows or LIS integrations
  • Pricing scales with claims volume, which can become costly for high-volume labs
  • Customer support response times can vary, per user reviews

Best For

Small to mid-sized medical labs seeking an all-in-one cloud billing solution integrated with practice management, without needing advanced lab-specific automation.

Pricing

Subscription-based starting at ~$110/provider/month for billing only, up to $500+/provider for full suite; often claims-volume tiered (e.g., $0.19/claim).

Visit Kareokareo.com
10
AdvancedMD logo

AdvancedMD

enterprise

Practice management and EHR system offering lab billing, insurance verification, and revenue cycle tools.

Overall Rating7.6/10
Features
8.2/10
Ease of Use
7.0/10
Value
7.1/10
Standout Feature

Integrated revenue cycle management with real-time eligibility verification and automated ERA posting for faster lab reimbursements

AdvancedMD is a comprehensive cloud-based EHR and practice management platform that includes robust medical billing capabilities suitable for medical labs handling claims for diagnostic tests and services. It streamlines revenue cycle management with features like automated claims scrubbing, electronic remittance advice (ERA) posting, and denial management tailored to high-volume lab billing. While not exclusively a lab-focused solution, it integrates lab results with billing workflows to ensure accurate coding and reimbursement from payers like Medicare and private insurers.

Pros

  • Integrated EHR and billing reduces errors in lab test coding and claims submission
  • Advanced claims scrubbing and denial management tools improve reimbursement rates
  • Scalable for multi-location labs with strong payer connectivity and reporting

Cons

  • Steep learning curve and complex interface for billing staff new to the system
  • High subscription costs may not suit small or independent labs
  • Limited customization for specialized lab billing rules compared to dedicated LIS billing software

Best For

Mid-sized medical labs or integrated lab-physician practices seeking an all-in-one platform for billing and operations management.

Pricing

Custom pricing starting at around $400-$600 per provider/month for core billing features, with full suites up to $1,000+; includes implementation fees.

Visit AdvancedMDadvancedmd.com

Conclusion

After evaluating the top lab billing tools, Xifin emerges as the leading choice, leveraging AI to streamline revenue cycle management for labs. SCC Soft Computer and Orchard Software follow as strong alternatives, each offering unique strengths in integration, reimbursement, and operational support to meet varied needs.

Xifin logo
Our Top Pick
Xifin

Don’t miss out on optimizing your lab’s billing efficiency—explore Xifin today to experience its AI-driven solutions firsthand and elevate your revenue cycle performance.