{"version":"0.39.0","built_at":"2026-10-24T22:38:52.737Z","license":"CC BY 4.0 © Mike Reams","canonical":"https://catalog.mikereams.com","value_stream":{"id":"VS-550","name":"Requisition-to-Payment","industries":["healthcare"],"description":"Turn a test order and specimen from an outside clinic or facility into a reported result and payment: take in the requisition, resolve missing patient or coverage information, run and report the test, bill the payer, the patient or the client, and work denials until the account is paid. Tests ordered during a hospital visit are Order-to-Result and Encounter-to-Cash.","outcome":"Every outreach specimen is tested and reported, billed once to the right party with complete information, and paid.","trigger":"A laboratory or pathology group receives a requisition and specimen from an outside clinic or facility.","aliases":["Lab Outreach Revenue Cycle","Specimen-to-Cash","Requisition-to-Cash","Laboratory Billing Flow"],"stages":[{"id":"VS-550.10","order":1,"name":"Receive Requisition","description":"Check the order against coverage rules and obtain any advance beneficiary notice where the specimen is collected, then accession the specimen and register the patient, the ordering clinician and coverage from the requisition.","capability_ids":["BC-1830.10","BC-1810.30"],"events":[]},{"id":"VS-550.20","order":2,"name":"Verify & Complete","description":"Verify coverage and resolve missing or invalid diagnosis, ordering clinician and coverage information with the client before the claim is released.","capability_ids":["BC-1810.30","BC-1830.10"],"events":[]},{"id":"VS-550.30","order":3,"name":"Test & Report","description":"Run the test, interpret it where pathology review is needed, and send the result to the ordering client.","capability_ids":["BC-1830.10","BC-1880.30"],"events":[]},{"id":"VS-550.40","order":4,"name":"Code & Route Charges","description":"Code the tests and route each charge to the payer, the patient or the client account.","capability_ids":["BC-1840.20","BC-1840.10"],"events":[]},{"id":"VS-550.50","order":5,"name":"Bill","description":"Submit claims to payers, invoice clients and send patients their statements.","capability_ids":["BC-1840.30","BC-1840.10","BC-1840.50"],"events":[]},{"id":"VS-550.60","order":6,"name":"Collect & Resolve","description":"Post payments, work denials and appeals, and collect patient and client balances.","capability_ids":["BC-1840.30","BC-1840.40","BC-1840.50","BC-250.30"],"events":[]}]}}