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Pediatrics medical billing services
Pediatric practices bill frequent well-child visits, vaccines, screenings and a large Medicaid/CHIP population. We keep these high-volume, low-margin claims accurate and on time.
Why pediatrics billing is different
These are the issues that most often cause denials and lost revenue in pediatrics. Our team handles each one.
- Well-child visits with sick visits on the same day
- Vaccine administration codes and VFC rules
- Developmental and behavioral screenings
- Medicaid and CHIP managed-care rules
Services and procedures we handle
Everything your pediatrics practice needs
Medical Billing & Coding
Certified coders and billers who turn every encounter into a clean, compliant claim.
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Credentialing & Enrollment
Get providers enrolled with payers faster, and keep them active.
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Denial Management
Work every denial, win the appeal, and fix the root cause.
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A/R Recovery & Follow-Up
Turn aging receivables into cash, starting with the highest-value claims.
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Eligibility & Benefits Verification
Know coverage, copays and deductibles before the patient walks in.
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Prior Authorization
Authorizations requested, tracked and approved before care is delayed.
Explore serviceSwitching is simpler than you think
Free revenue audit
We review your A/R aging, denial history, payer mix and coding patterns, then show you what is recoverable.
Onboarding
BAA signed, secure system access set up, workflows mapped and your dedicated team assigned.
Daily operations
Claims, payments, denials, A/R and patient billing are worked every business day.
Monthly review
A KPI report and a call with your account manager covering results and next steps.
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Frequently asked questions
Straight answers about how ClaimEdgeSolutions works with your practice.
Ask us anything01Do you work with Medicaid managed-care plans?
Yes. We bill state Medicaid and Medicaid managed-care plans and handle their specific rules.
02Can you bill developmental screenings?
Yes, including standardized developmental, behavioral and vision/hearing screenings.
03Do your coders have pediatrics experience?
Yes. Your account is assigned coders and billers with pediatrics experience who know its codes, modifiers and payer rules.
04How quickly can we switch to ClaimEdgeSolutions?
Most practices are fully live in 2–4 weeks. We work alongside your current team or vendor during the transition so cash flow is not interrupted.
Get a free pediatrics billing audit
We review your denials, coding patterns and A/R and show you exactly where revenue is being lost.