Healthcare Workflow Automation
Real interoperability is everything the integrations leave out.
Shadowbox connects the systems built to connect — and automates the work they never reach: the portals your staff still log into by hand. Any system a person can use, no API required, with your people in control.
Integration covers what’s connected. The work lives everywhere else.
Shadowbox offers every connectivity method — Library EMR, HL7, API, FHIR. But the edge is what none of them reach: the portals a person still has to open, one login at a time.
The pre-connected systems
- Structured data through built connections — HL7, API, FHIR
- The EHRs a vendor has already wired
- Real and valuable — and a fraction of the working day
The portals in between
- Logging into portal after portal, one credential at a time
- Re-keying the same data from one screen into the next
- Chasing a single finding across disconnected systems
- Rework from missing fields — pre-auth codes, ICDs, incomplete orders
One browser. Every system a person can log into.
Shadowbox works the way your staff already do — it logs in and clicks — which means it reaches systems no integration was built for. No interfaces. No IT burden.
No API. No integration project.
If a person can log in and use it, so can Shadowbox — whether or not the system was ever designed to connect. Credentials are all it needs.
Up to 16 systems at once.
A single session works across an EHR, a lab portal, a payer portal, a state registry — moving data between them in real time, at machine speed.
Credentialed. Workstation-based. SOC 2 Type II.
Only credentialed users have access, and Shadowbox extracts only the data a task requires. It runs on the user’s workstation — not a shared cloud — and signs a BAA with customers and referring practices.
The un-integrated work is where judgment lives.
Automating the long tail doesn’t mean removing the people who understand it. Shadowbox keeps a person in control at the moments that carry weight — not a limit on the automation, an understanding of the work it does.
If an EHR matters to you, it matters to us.
However it reaches the market, Shadowbox is the layer underneath.
Whether a partner delivers it or you run it yourself, it’s the same platform doing the same thing — automating the swivel between systems.
Automate your own multi-system work.
If your team swivels between portals every day, you don’t need anyone in between. Shadowbox runs directly in your systems — login only, live in days, with your staff in control at every checkpoint.
Distribute Shadowbox under your brand.
Clinical labs already do this. Shadowbox automates the full chain their practices run — orders in, results back, and now the clinical notes that support them — captured straight from the EHR with no re-keying. Every order goes out clean and complete on the first pass, so claims are billed right the first time and denials fall for everyone downstream. Their brand on the surface, our platform underneath. The same model works for any organization that serves clinicians across a stack of portals and wins by making that work faster, cleaner, and more complete.
The work your practice does by hand, every day.
These are the workflows where staff still log into portal after portal. Primary care is our lead focus — the quality and care-gap work below is squarely their day — and the same pattern extends to the specialties carrying the heaviest prior-auth load. Shadowbox does the login and the lookup, then flags what needs a person; it never makes the clinical call for you.
HEDIS and quality measures attribute overwhelmingly to primary care, pediatrics, and OB/GYN — so this is genuinely these teams’ daily workflow, not a stretch fit. Most of these practices have no population-health platform at all: just an EHR and the payer portals staff already log into.
HEDIS & payer quality bonuses
If your practice has quality bonus dollars tied to HEDIS measures, closing those gaps usually means someone on staff logging into payer portals and outside systems to confirm what’s already been done and chase what hasn’t. Shadowbox automates that lookup — checking the same systems your staff already has login access to — so your team spends less time hunting for proof and more time on the patients who actually need a visit.
The record no platform sees
A specialist’s note in another EHR, an outside lab result, a discharge summary — the parts of the record never wired into a data feed. Shadowbox retrieves them with the login access your team already has, so your team gets the full picture without opening each system by hand.
Even with a PA tool in place, a real share of requests still land on staff working a payer portal by hand. Shadowbox picks up exactly that leftover work — logging in, checking status, assembling documentation, and flagging what needs a decision.
Podiatry & Pain Medicine
Injections and nerve blocks, advanced imaging, implantable devices, and durable medical equipment drive heavy, repetitive PA volume in these practices. Shadowbox works the payer portals your billers fall back to today — checking status and flagging what needs a decision — so your team isn’t the catch-all for every case the existing tools can’t reach.
Orthopedics & Spine
Prior authorization for imaging, injections, and surgical scheduling is one of the heaviest administrative loads an orthopedic or spine practice carries. Even with a PA tool in place, a real share of requests still land on staff logging into a payer portal by hand. Shadowbox picks up exactly that leftover work — logging in, checking status, flagging what needs a human decision — so your billing team isn’t the fallback for every case the existing tools can’t reach.
Cardiology
Cardiology prior auth often comes down to assembling the right supporting documentation and getting it into a payer’s portal correctly the first time. Shadowbox logs into those payer systems directly, pulls together what’s needed, and flags anything ambiguous for your staff to review before it goes out — cutting down the back-and-forth that leads to denials and resubmissions.
Oncology
In oncology, a prior auth delay isn’t just an administrative headache — it can delay treatment. Shadowbox handles the repetitive part of that process: logging into payer systems, pulling status, flagging what’s missing, and giving your staff a clear starting point instead of a vague denial letter to decode. Your team still makes the clinical call — Shadowbox just removes the manual chase that gets in the way of making it fast.
Radiology
Radiology’s prior auth volume is high enough that even small gains per case add up fast. Shadowbox logs into the payer portals your staff already uses today, checks status, and surfaces what actually needs a person’s attention — so your team isn’t spending its day re-checking the same handful of systems for updates.
Fixing the front end pays for itself.
Figures from Shadowbox customer case studies. Clean, complete orders on the first pass mean fewer denials, less rework, and revenue that was being left on the table.
(PGL/PCL, 25k+ transactions)
Clean digital orders, no IT lift
PGL/PCL, a multi-state diagnostic lab, used Shadowbox to fix their front end. Orders dropped from about 3 minutes to under 30 seconds, high-volume clinics gave back 20+ staff hours a month, and denials fell as first-pass orders came in complete.
“This case study proves that fixing the front end with a clean, digital ordering process has a transformative impact.”
Adrian Brown · Director of Revenue Strategy, PGL/PCL
The clinics won’t switch labs
Birdrock Laboratories gives each referring clinic its own branded ordering app that connects to that clinic’s own EHR. It has been live in 70+ practices across 11 states since 2018 — cutting claims with missing billing information by more than 90%, and returning 10x on the investment every month.
“At one point, we considered switching lab providers, but then we found out the new lab didn’t offer Shadowbox. That was the end of that discussion.”
Jonathan A. · Executive, multi-location intensive outpatient treatment facility
Frequently asked
How does Shadowbox connect EHRs without an API?
Shadowbox works through browser-level automation using credentials on the user’s workstation. If a staff member can log in and view a portal, Shadowbox can automate data transfer across up to 16 systems simultaneously without requiring custom API engineering or IT projects.
How does Shadowbox help a primary care practice close HEDIS and care-gap measures?
Most primary care, pediatric, and OB/GYN practices have no population-health platform — just an EHR and the payer portals staff already use. Shadowbox automates the manual lookup behind quality measures: it logs into those payer portals and outside systems with the credentials your staff already has, confirms which gaps are already closed, and surfaces the ones that still need attention. Your team reviews and acts on what it flags; Shadowbox does the hunting, not the clinical decision. No new integration, data feed, or population-health platform is required.
Is Shadowbox HIPAA compliant and SOC 2 certified?
Yes. Shadowbox is SOC 2 Type II certified, CISA Secure by Design, and fully HIPAA compliant. It signs Business Associate Agreements (BAAs) with customers and runs locally on user workstations rather than a shared cloud.
What results and ROI can practices expect from Shadowbox?
Based on published customer case studies, Shadowbox users achieve an average 21% reduction in payer denials, a 13% net revenue increase, a 412% ROI within months, and zero rework on automated orders.
Can Shadowbox help a primary care practice close HEDIS and care gaps without a population health platform?
Yes. Most independent primary care, pediatric, and OB/GYN practices have quality bonus dollars tied to HEDIS measures but no population health platform — just an EHR and the payer portals staff already use. Shadowbox automates that lookup, checking the same systems your staff already has login access to, to confirm what has already been done and surface the gaps that still need attention. Your team stays in control of every clinical decision.
Which EHR systems does Shadowbox support?
Shadowbox connects to a wide and growing library of EHR and practice-management systems, and can map additional systems on request. If an EHR matters to you, it matters to us — ask us about yours.
Is your practice a good candidate for Shadowbox?
Bring the workflow that eats your team’s day. We’ll show you Shadowbox working inside it — real systems, logins only, nothing to integrate. Then you decide.