Primary care

Pediatric billing that keeps up with every visit

Pediatric practices bill frequent well-child visits, vaccines, and screenings, often for patients covered by Medicaid or CHIP. We bill each one correctly so vaccine administration and screenings don't go unpaid.

  • Well-child visits
  • Vaccines and VFC
  • Developmental screening
Pediatrics billing challenges

Where pediatrics claims get stuck

These are the specialty-specific problems that cause denials, delays, and underpayments most often.

Vaccine administration

Pediatric vaccine counseling codes depend on the number of components, and VFC vaccines follow separate rules.

Screenings

Developmental and behavioral screenings are often done but not billed.

Medicaid and CHIP rules

Medicaid programs have their own rules for well-child visits and billing.

What we handle

Pediatrics billing and coding, handled end to end

Certified billers and coders who work in pediatrics every day, with HIPAA-compliant processes throughout.

Well-child visits

Age-based preventive visits billed on schedule.

Vaccines

Administration codes and VFC billing handled correctly.

Screenings

Developmental, vision, hearing, and behavioral screenings billed when performed.

Sick visits

Problem visits, including same-day with well visits.

Recommended services

The services pediatrics teams rely on

All services
Quick check

Could your pediatrics billing be working harder?

Tap anything that sounds like your practice today.

Your result
0of 4 apply

Let's see where you stand

Select the statements that describe your practice to see whether specialty billing support would help.

Getting started

How we set up pediatrics billing

A clear path from first call to steady claims, planned so nothing stalls during the switch.

  1. Free billing audit

    First, we review a sample of your claims, denials, and A/R to see where revenue is getting stuck.

  2. Specialty setup

    Next, we set up the coding rules, payer requirements, and fee schedules specific to pediatrics.

  3. Go live

    Then our team takes over daily coding, claims, and follow-up, working inside your current systems.

  4. Monthly review

    Finally, reports and a review call show collections, denial trends, and what we're doing about each one.

Primary care

Related specialties we bill for

FAQ

Pediatrics billing questions

Something else on your mind? Talk to a billing expert.

Yes. For VFC vaccines, we bill administration according to your state program's rules instead of billing the vaccine itself.

Yes, when a standardized screening tool is used and documented. These are often missed and add up over time.

Yes. We bill Medicaid and CHIP managed care plans and follow each plan's requirements.

Get pediatrics billing that keeps up. Start with a free audit.

First, we'll review a sample of your claims. Then we'll show you where specialty rules are costing your practice revenue.