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So what is the reason for the majority of lab claim denials? It is more common than people realize that the diagnosis listed in the record is not a clear fit with the test performed, particularly when dealing with panels or ”reflex” testing that payers scrutinize. Lab billing services must identify that discrepancy before it is sent out, not when the claim is denied back by the provider. At this rate, waiting to find these problems is too late in the labs.