Unified Payment Gateway & Genetics Laboratory Connector Platform
- 85% Reduction In Manual Payment Reconciliation
- 3 Processors Under One Payment API
- 2 Genetic Labs Fully Integrated
Introduction
A leading fertility EMR provider serving hundreds of clinics across North America consolidated two of its most demanding clinical workflows, patient billing and preimplantation genetic testing, into native, standardized capabilities inside the EMR. Nalashaa built a unified Payment Gateway spanning three processors and a Genetics Laboratory Connector platform that brings lab orders, results, and automated alerts directly into clinical workflows.
Clinic staff had been managing patient billing and preimplantation genetic testing through disconnected systems, working across multiple portals, performing manual reconciliation, and absorbing avoidable delays in results communication. Both pain points created significant inefficiencies in the patient journey and in the clinic's operational cycle.
Nalashaa delivered two integrated platform capabilities at the same time: a unified Payment Gateway that consolidates multiple payment processors behind a single, standardized interface, and a Genetics Laboratory Connector platform that brings lab orders, results, and automated alerts natively into the EMR workflow. Together, these capabilities eliminated the operational fragmentation that had been a persistent friction point for clinic staff.
Both platforms were built for extensibility. A configurable framework ensures that adding new payment processors or genetics lab partners in the future requires configuration rather than engineering rebuilds.
By bringing payments and genetics workflows natively into the EMR, clinic staff now manage the complete patient journey, from financial coordination to clinical results, without leaving the platform. That consolidation translates directly into staff efficiency, fewer errors, and a faster patient experience.
Business Challenge
Clinic staff were navigating a fragmented operational environment across both workflows.
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Payment Fragmentation
Different clinics in the network used different payment processors, including Rectangle Health, PayBridge, and Inception Payments. Without a unified payment layer, each processor required separate integration, separate error handling, and separate reconciliation processes. Billing staff could not confirm payment status from within the EMR.
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Genetics Portal Dependency
Clinical staff managing preimplantation genetic testing had to log into separate genetics lab portals to track order status and retrieve results. This added steps, introduced delays, and created transcription risk whenever results were manually transferred into the EMR.
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No Proactive Results Alerting
When genetics results were pending beyond expected turnaround times, there was no automated alert mechanism. Clinic staff had to actively check external portals to identify delays.
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Reconciliation Burden
Stuck or unsynced payment transactions in production required manual investigation, with no tooling in place to identify, report, or programmatically recover affected records.
The client did not need to replace its payment processors or genetics lab partners. It needed a native, unified layer inside the EMR that could consolidate these workflows without adding operational risk.
Strategic Solution
Nalashaa delivered both platforms as native capabilities of the EMR ecosystem, designed for extensibility from the outset.
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Unified Payment Gateway
A single payment API abstracts all processor-specific complexity behind standardized endpoints for tokenization, payment execution, refund, and void operations. Clinic staff interact with one consistent payment workflow regardless of which processor their clinic uses.
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Multi-Processor Coverage
Rectangle Health, PayBridge, and Inception Payments were all integrated, with inbound and outbound payment flows, tender type management, and external payment ID handling managed at the platform level.
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Payment Reconciliation Tooling
A dedicated toolset enables operations teams to investigate, report on, and programmatically recover stuck or unsynced payment transactions, eliminating manual reconciliation and helping ensure billing accuracy across the multi-clinic network.
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Genetics Lab Connectivity
Full integration with genetics lab requisition, biopsy, and results workflows, along with endometrial test ordering, brings lab orders and results natively into the EMR, eliminating the need for clinic staff to access external lab portals.
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Automated Results Alerting
An automated alert mechanism notifies clinic staff when genetics results are pending beyond expected turnaround times, shifting from manual monitoring to proactive notification and reducing the risk of delayed clinical follow-up.
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Extensible Lab Connector Framework
A configurable connector framework allows new genetics lab partners to be onboarded using the same driver-based model as the core integration platform, making each future lab integration faster and cheaper than the last.
Key Capabilities Delivered
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3 Processors
Under One Payment API
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2 Genetic Labs
Fully Integrated
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85% Reduction
In Manual Payment Reconciliation
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Automated Alerts
For Delayed Genetics Results
Value Delivered
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Unified Payment Experience
Billing staff manage Rectangle Health, PayBridge, and Inception Payments through a single, consistent workflow within the EMR, eliminating the need to navigate between separate payment systems.
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Billing Accuracy at Scale
Reduced payment reconciliation effort by approximately 80% through automated transaction recovery and resync tooling, improving payment traceability and recovery workflows across multi-clinic billing operations.
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Faster Genetics Workflows
Reduced genetics result coordination delays by an estimated 60% through native EMR integration and automated status visibility.
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Proactive Clinical Coordination
Automated results alerts ensure clinic staff are notified immediately when genetics results are overdue, enabling faster patient communication and reducing manual monitoring effort.
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Extensible Partner Network
The configurable connector framework means each new payment processor or genetics lab partner added in the future builds on proven infrastructure, compounding the return on the initial platform investment.
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Operational Consolidation
Combining payment and genetics workflows in the EMR reduces context switching for clinical and administrative staff, directly improving productivity and reducing the cognitive overhead of managing patient journeys.
Why Nalashaa
Delivering a payment gateway and a genetics connector platform at the same time, while maintaining a live production EMR serving hundreds of clinics, required engineering maturity and domain depth built over years as the client's platform partner.
The Generic Lab Vendor Framework reflects that approach. Rather than solving only the immediate problem of two lab vendors, the team designed a reusable architecture that makes every future genetics lab integration faster, cheaper, and lower-risk.
That is the difference between a vendor that executes tickets and a partner that builds platform value.
Conclusion
The client kept the payment processors and genetics lab partners its clinics already relied on, while removing the fragmentation that made those workflows costly to manage.
The unified Payment Gateway and Genetics Laboratory Connector now give clinic staff a single, consistent way to manage billing and genetic testing from within the EMR.
By delivering both platforms together, with an 85% reduction in manual payment reconciliation and native genetics workflow visibility, Nalashaa helped the client move toward a more consolidated, scalable operating model without adding risk to live clinical operations.
Simplify Payments and Lab Workflows Inside Your EMR
Build a unified, extensible layer that connects payment processors and genetics labs natively into your platform.
