Screen. Test. Treat.

Diabetes Testing Centers™ (DTC) began with diabetes-related testing and has evolved into a broader chronic-risk detection platform for modern primary care. Designed to integrate inside existing PCP clinics using as little as one dedicated room, DTC helps primary care practices identify chronic-risks and connect it to focused, non-invasive assessment pathways inside the clinical workflow they already use.  Our model is simple:

Screen using TriageIQ™. 

Test with DTC assessments. 

Treat through provider-directed care. 

TriageIQ™ serves as the intake-level pre-screener that helps capture what patients report but rarely volunteer before it is missed, minimized, or left undocumented. DTC assessments help providers evaluate those signals when clinically appropriate through focused testing pathways that may support medical necessity, care planning, monitoring, referrals, or follow-up decisions. The treating provider remains responsible for diagnosis, treatment, monitoring, referrals, and patient care. DTC does not replace the provider’s judgment. It helps organize the path from early risk recognition to appropriate clinical action.

Most chronic diseases do not begin with a diagnosis. They often begin years earlier with subtle changes in how a patient feels, functions, moves, thinks, sleeps, sees, or tolerates daily life. Patients may explain these changes away as aging, stress, fatigue, pain, or 'just getting older'. Many never mention them during a routine visit unless they are asked in a structured way. That is the gap DTC is designed to close.

By capturing these early indicators at intake, documenting them while the patient is already present, and connecting them to DTC assessments when appropriate, practices can create a clearer path from early risk recognition to timely testing, monitoring, referral, or provider-directed care.

DTC was founded by former family practice owners who saw firsthand how often chronic risks are missed until patients have already begun suffering preventable damage. That experience, combined with enterprise healthcare leadership in diagnostics and diabetes, shaped DTC’s development of scalable, non-invasive, billable programs for modern primary care. 

DTC adds structured pre-screening, focused assessments, and triage routing without a separate clinic or disruption to daily operations. Today, with access to a national network of more than 20,000 independent practices, DTC helps providers bring earlier detection, focused testing, and appropriate care direction into the clinical workflow they already use.

• No separate clinic.

• No major workflow disruption.

• No waiting for silent risks to surface as complications.

The visit does not change, only the clinical insight it produces does.

Find Signals Sooner

In-Clinic or At-Home

Important chronic-risk signals can appear early, often before they are clearly documented in the chart or raised during the visit. TriageIQ™ Adult is designed to support in-clinic or at-home intake by helping organize patient-reported concerns through a proprietary, non-diagnostic framework before the visit, during intake, or through remote outreach. This gives providers a more consistent way to review potential risk indicators that may otherwise remain undocumented, fragmented, or delayed, while helping them determine whether further screening, assessment, testing, care-gap review, follow-up, or additional clinical pathways may be appropriate.

TriageIQ™ Adult serves as the broad front-end pre-screener for the largest immediately addressable clinical population, helping organize patient-reported chronic-risk signals through a proprietary, age-appropriate framework. The process is designed to support provider review and may help identify when further screening, testing, documentation, follow-up, care-gap review, or care-management consideration may be appropriate. 

TriageIQ™ Geriatric adds an age-focused layer for older adults, where chronic-risk patterns are often more complex, overlapping, and easily missed during routine intake. It helps organize patient-reported signals through a proprietary geriatric-risk framework that may support provider review, follow-up planning, documentation, care-gap awareness, and care-management consideration without disclosing the specific screening domains, scoring criteria, or routing logic. 

TriageIQ™ Adult and TriageIQ™ Geriatric are non-diagnostic, patient-administered chronic-risk pre-screeners that organize patient-reported signals through proprietary, age-appropriate frameworks before provider review. The specific screening architecture, question-to-risk mapping, scoring criteria, weighting, thresholds, and routing logic remain non-public and proprietary to Medrano & Associates LLC. 

TriageIQ™ is a non-diagnostic, patient-administered, intake pre-screener that identifies structured risk signals across multiple areas of clinical concern before the visit begins.

Turn Intake to Insight

what others miss

The clinical case for earlier testing is not theoretical—it is measurable, documentable, and supported by written patient-reported findings captured at intake. By converting what patients may already be experiencing into structured documentation before the provider encounter, practices may better support the clinical rationale and medical necessity for appropriate follow-up testing, assessment, monitoring, or care planning.

Chronic damage accumulates long before symptoms become obvious, leaving providers to intervene later when care is more reactive, costly, and complex. The challenge is that most primary care workflows are not built to consistently capture risk during that earlier window. Patients present with a chief complaint and providers regularly respond to what is reported. 

DTC exists to help practices find what others miss and act on those signals through earlier, more accessible testing. By connecting structured pre-screening with focused in-clinic or remote testing, DTC helps providers identify risk earlier, support medical-necessity documentation, and guide patients toward appropriate next steps before silent risks become serious complications.

The providers who benefit most are not adding complexity. They’re unlocking clinical value already present in their existing patient panel and visit flow by using a structured pathway to surface risk earlier, document it clearly, and move patients toward timely care.

Find What Others Miss