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Home / Specialties / Pediatrics

For pediatricians & pediatric groups

Pediatric billing done right, visit after visit

Well-child visits, vaccines and administration codes, Medicaid and CHIP billed accurately so your pediatric practice is paid for every service.

Pediatrics billing

Who we work with

  • General pediatric practices
  • Pediatric groups
  • Pediatric nurse practitioners
  • Pediatric subspecialists

3.99% of collections or a flat monthly fee. Two months of free credentialing. No setup fee.

Specialty expertise

Pediatric billing has many moving parts

Vaccines, screenings and Medicaid rules make pediatric billing detailed. We handle the details.

Well-child visits

Preventive visits billed by age with the screenings and counseling that go with them.

Vaccines & administration

Vaccine product codes and administration codes billed together, including counseling codes where they apply.

Medicaid & CHIP

State Medicaid and CHIP rules, managed care plans and vaccine program requirements followed.

Sick visits on the same day

Problem visits billed with modifier 25 alongside preventive care when documentation supports it.

Developmental screenings

Developmental and behavioral screenings billed when performed and documented.

Eligibility checks

Coverage verified before visits, including changes in Medicaid eligibility.

What you get

Complete pediatric revenue cycle

We help pediatric practices collect more of what they earn, without extra work for parents or staff.

  • Eligibility checks including Medicaid
  • Coding review of preventive and sick visits
  • Vaccine billing and reconciliation
  • Denial management and appeals
  • Two months of free credentialing for new providers
  • Monthly reports by provider
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Frequently asked questions

Do you bill Medicaid and CHIP?

Yes. We work with state Medicaid and CHIP programs and their managed care plans.

Can you bill vaccines and administration codes?

Yes. We bill vaccine products and administration codes together according to each payer's rules.

Do you bill sick and well visits on the same day?

Yes, when documentation supports both services, using the correct modifier.

How is pediatric billing priced?

3.99% of collections or a negotiated flat monthly fee, with two months of free credentialing and no setup fee.

Simple, transparent pricing

One clear price. No setup fee. No minimum.

No hidden fees and no long lock-in. We confirm your pricing in writing before we start.

Medical billing

3.99% of collections

We only earn when you get paid. No setup fee and no minimum.

Flat monthly fee

Negotiable

Prefer a fixed monthly price? We agree it with you based on your practice volume.

Credentialing

2 months free

Free for the first two months when we handle your billing.

Setup & onboarding

$0

We move your practice over and connect to your software as part of our service.

Nationwide coverage

Medical Billing for Practices in All 50 States - One Partner, Every State's Rules

Our team works remotely for practices across the United States. Wherever you see patients, we follow the payer and state rules that apply to you.

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State Medicaid & managed care

Every state runs its own Medicaid program, often through several managed care plans with their own enrollment, authorization and claim rules. We track them for you.

Medicare by region

Medicare claims go to the Medicare Administrative Contractor (MAC) for your region, each with its own local coverage rules. We bill to the right one.

Filing limits & payer rules

Timely filing limits and appeal deadlines differ by payer and plan. We submit and follow up well before every deadline.

Credentialing in every state

State Medicaid enrollment, license checks, CAQH and commercial payer applications for every state where your providers practice.

Workers' comp & auto claims

Workers' compensation and auto injury (no-fault / PIP) claims follow state-specific rules and forms. We handle them correctly.

Patient billing laws

Federal No Surprises Act protections plus state balance-billing rules are followed on every patient statement.

How it works

Getting started takes just a few days

Free consultation

Tell us about your practice, payers and software. We review where revenue is being lost - no cost, no commitment.

Onboarding & credentialing

Fill in our onboarding form, sign the agreement and BAA, and we connect to your system and handle any payer enrollment.

Billing goes live

Clean claims go out on time, payments are posted and every denial is worked and appealed.

Monthly reporting

Clear reports on collections, AR and denials, and a dedicated account manager you can reach.

See the offers for your organization:

Get started

Ready to get paid faster?

Start your onboarding online in a few minutes, or send us a quick message and a pediatrics billing specialist will contact you. Prefer to talk? Call or email us.

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