Experiencing paper trailer overload?

In many practices, office staff members receive "missing-information requests"—or trailers—from Quest Diagnostics on a weekly, or even daily, basis. Responding to each trailer manually can be time-consuming and disruptive to practice workflow.


Login to Quanum Lab Services Manager

Avoid disruptions and reduce paperwork with electronic
billing trailers (eTrailer)

Now there’s an easier way to clear up inaccurate or incomplete lab test orders. eTrailer allows you to easily view and respond to missing billing information electronically through Quanum Lab Services Manager.

Eliminate paper trailers today. Check out our training
materials below to learn how to use eTrailer and get started.

Watch a training video or recorded training webinar

Download a Quick Reference Guide or Training Overview or

One Page Guide

New live sessions will be scheduled shortly
Download FAQs or a brochure
Access our Medicare Coverage & Coding Guide

With eTrailer, you can:

  • Know sooner when a lab order is missing required information
  • Resolve billing requests in real time so you can close out the order
  • View all outstanding lab orders in one place
  • Sort by category of missing information (e.g., ICD-10 codes, NPI #) or by ordering provider
  • Submit the requested information electronically
  • Confirm that the information you input will resolve the issue

This can help you:

  • Save time by simplifying daily tasks
  • Reduce paperwork, faxes, and disruptions
  • Minimize duplicated efforts within your practice
  • Quickly locate missing information
  • Prevent patients from being billed for tests that aren’t ordered correctly

Prevent billing trailers from the start

Most missing or incorrect lab test ordering information is due to Medicare Limited Coverage Policy (MLCP)-related errors.

Medicare's “limited coverage” tests are considered medically necessary only if the patient has certain medical conditions, symptoms, or diseases. Medicare determines medical necessity by considering the diagnosis information provided by the ordering physician. If a limited coverage test is not considered medically necessary by Medicare, the order must be accompanied by a signed, valid Advance Beneficiary Notice (ABN). Access our Medicare Coverage and Coding Guides for support in understanding MLCP guidelines.