Pediatric Billing Services for Wellness and Immunization Claims
Claim Click Solutions handles well child visit coding, vaccine billing, and payer follow up so pediatric practices get paid on time, every time.
Trusted by urgent care centers and multi-site groups.
98.2%
Clean claim rate
Pediatric billing has unique rules that standard general billers routinely miss
Immunization & Vaccine Coding Errors
Mishandling VFC (Vaccine for Children) program administration codes, CVX codes, and NDCs leads to immediate payer rejections.
Well-Child vs. Problem Visit Overlaps
Failing to properly apply Modifier 25 when a problem is addressed during a routine preventive evaluation causes bundled denials.
Complex Medicaid & CHIP Rules
State-specific Medicaid regulations, periodic fee schedule updates, and prior authorization mandates create chronic backlogs.
Newborn Coverage Gaps
Delayed insurance enrollment for newborns results in temporary unverified coverage status and delayed claim payouts.
Growth & Behavioral Screening Omissions
Forgetting specialized billing codes for developmental screenings, autism evaluations, and behavioral health assessments.
Seasonal Volume Fluctuations
Back-to-school physical rushes and winter flu outbreaks overwhelm in-house billing teams, causing aging accounts receivable.
● How We Fix It
Dedicated pediatric RCM engineered for maximum collections
End-to-end revenue cycle management tailored for children's healthcare
Eligibility & Newborn Verification
Instant verification of active Medicaid, CHIP, and commercial policies, including newborn enrollment status.
Pediatric Medical Coding
Precise coding for well-child exams, immunizations, developmental screenings, and acute episodic care.
Scrubbing & Claim Submission
Automated and manual edits check for pediatric-specific bundling rules before claims reach insurers.
Payment Posting & Reconciliation
Rapid posting of electronic remittance advices (ERAs) to keep financial reports instantly up to date.
Denial & Appeal Management
Detailed tracking and prompt appeals of denied claims, recovering revenue lost to minor administrative errors.
Patient AR & Statement Support
Clear, parent-friendly billing statements and compassionate customer service lines that improve family collections.
We master the complex coding nuances unique to children's health
The tangible impact of choosing Claim Click Solutions
The quantifiable financial impact on your pediatric practice
No learning curve, no generic templates — just billers who already know the codes your center uses every single shift.
● Case Study
How a 4-location pediatric group recovered $620K in stalled receivables
● Common Questions