
Starmark is the engineering and operations partner behind VitalAxis — a cloud-native laboratory information system and revenue cycle management platform serving 200+ lab locations and 1,000+ pathologists nationwide.
Starmark engineers and operates the VitalAxis platform — a comprehensive cloud-native solution for laboratory information management and revenue cycle management, serving commercial laboratories, pathologists, and physician practices across the United States.
A comprehensive LIMS/LIS platform covering the entire diagnostic workflow — from specimen collection to result distribution — across multiple laboratory specialties.
End-to-end billing and collections platform with real-time analytics, automated claim processing, and multi-payer support — maximizing revenue capture for every specimen.
Our RCM operations team works as an extension of VitalAxis — processing claims, managing denials, and maximizing collections for laboratories across the country.
Starmark provides the operational backbone for VitalAxis's RCM platform, with AAPC & AHIMA certified coders and dedicated billing teams:
Our engineering covers every phase of the laboratory operational lifecycle — from the moment a test is ordered to the moment payment is collected.
Test ordering, patient collection, specimen transportation, receiving, validation, and send-out management.
Technical processing, device and slide management, staining workflows, and diagnostic interpretation support.
Report distribution via fax, EMR integration, remote printing, superbill generation, and claim processing.
We provide the full stack of engineering, infrastructure, and operational services that keep this platform running 24/7.
Full SDLC ownership — .NET, C#, Angular, React — building every module of the LIMS and RCM platforms.
Azure-based multi-tenant infrastructure with 99.99% uptime, multi-site failover, and auto-scaling.
HIPAA-compliant architecture with PHI safeguards, SOC 2 audited infrastructure, BAA compliance, and continuous security hardening.
Comprehensive manual and automated testing for every release — ensuring zero-defect deployments.
Certified coders and billing specialists processing claims, managing denials, and optimizing collections.
Round-the-clock infrastructure monitoring, incident response, and performance optimization.
Our engineering and operational expertise enables this platform to deliver exceptional outcomes for laboratories across the country.
Through deep domain expertise and engineering excellence, we help this platform achieve industry-leading metrics:
Starmark engineers VitalAxis's AI-powered capabilities — transforming lab operations from reactive to predictive across the entire diagnostic workflow.
Whole slide imaging with AI pre-screening, tissue classification, confidence scoring, and synoptic report auto-fill — multiplying pathologist productivity.
Our engineering team builds and maintains VitalAxis's AI platform, delivering transformative capabilities across the lab ecosystem:

Visit VitalAxis to explore the cloud-native laboratory information system and revenue cycle management platform that Starmark engineers and operates.