The interface with LabCorp is bidirectional, but it's not like there's an integrated Amazing Charts control panel or anything.
We have a LabCorp computer in our lab. It is connected to my server via a "bridge". When the patient comes in, we enter in their Amazing Charts ID number into the LabCorp computer and it pulls up their demographics from the Amazing Charts database. This really does speed up the process of ordering lab. Once ordered, the results you receive will be associated with the patient's file in Amazing Charts.
Laboratory results are downloaded periodically through the day, via a program called Hypersend, which runs constantly in the background on my server. I have not noticed it to degrade performance.
Each morning, I just hit Ctrl+Ins on the server, which transfers all the downloaded lab results from Hypersend to Amazing Charts. The results appear in your Inbox. Double-clicking on the message opens a little program which allows you to sign off on labs, and also allows you to write letters to your patient's about their results, and send reminders to your staff about the results you are looking at.
The LabCorp computer program also has some nice bonus features, such as an estimated price list for each lab tests, and an index of the proper tube(s) necessary for each phlebotomy task.