Pediatrics Billing Services
Well-child visits, vaccines and administration codes, and Medicaid/CHIP billing handled correctly. Agile Nexus Solutions provides pediatrics medical billing, coding and revenue cycle management for practices across all 50 states, so your team can focus on patients instead of paperwork.
Common Pediatrics billing challenges
- Well-child visits and immunizations with administration codes and counseling add-ons
- Medicaid and CHIP rules that vary by state
- Developmental screenings and same-day sick visits
How we help pediatrics practices
- Bill vaccines, administration and counseling codes correctly for every visit
- Follow state Medicaid and CHIP rules and keep eligibility current
- Capture screenings and separately billable services that are often missed
Every claim is checked before submission, sent within 24–48 hours, and followed until it is paid. You get monthly reports on collections, A/R and denials, and a dedicated account manager who knows your specialty.
What is included
- Eligibility and benefits verification
- Certified medical coding (ICD-10, CPT and HCPCS)
- Claim submission and rejection fixes
- Payment posting and reconciliation
- Denial management, appeals and A/R follow-up
- Credentialing and payer enrollment
Frequently asked questions
Do you bill VFC (Vaccines for Children) administration?
Yes. For VFC vaccines we bill the administration codes only, following your state’s Medicaid rules, and bill privately purchased vaccines with the vaccine product codes.
Can you handle Medicaid managed care plans?
Yes. We verify which Medicaid managed care plan each child is assigned to and follow that plan’s billing and authorization rules.
Request a practice audit or book a call to see how much more your pediatrics practice could collect.