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We integrate with 25+
EHR software platforms
Get Paid Faster With End-to-End Pediatric Revenue Cycle Management
We manage the end-to-end revenue cycle for pediatric practices by handling the complete billing process, from eligibility and benefits verification to denial management services and AR follow-up.
96%
First-Submission Rate
Up from 61% avg
33%
Fewer Denials
Across pediatric clients
28 Days
Average AR Days
Down from 72-day avg
+32%
Revenue Increase
Average per practice
Complete pediatric claims management
We manage the full claim lifecycle from creation through resubmission, reducing errors, preventing rejections, and recovering revenue that your current billing process is leaving uncollected. From well-child visits and sick visits billed on the same day to multi-component vaccine claims, every claim is handled with specialty-level precision.
Certified pediatric coding expertise
Pediatric billing demands precise knowledge of age-specific preventive codes (99381-99395), vaccine product and administration codes (90460-90474), developmental screening codes (96110, 96127), and the modifier rules that prevent bundling denials. Our certified coders work these code families daily and stay current on every AAP and AMA update.
Denial prevention, not just recovery
We catch billing errors before claims leave your practice. Our pre-submission audits verify age-appropriate code selection, modifier accuracy for same-day preventive and sick visits, correct vaccine product-to-administration pairing, and ICD-10 alignment to support a 98% first-pass rate so fewer claims ever reach the denial stage.
Accurate Medicaid and CHIP billing, all 50 states
From eligibility verification through state-specific Medicaid and CHIP guidelines, we maintain compliance with every program's requirements for pediatric services. Whether it is VFC vaccine billing, EPSDT screenings, or state-mandated developmental assessments, reimbursements never stall over documentation gaps or program-specific errors.
Why Practices Outsource Pediatric Billing to Us Over Other Companies
1
Certified pediatric billers, not general medical billers
Our team works exclusively with pediatric practices. That specialization means fewer claim rejections, faster payment turnaround, and coding accuracy that general billing companies cannot match. When your biller understands the difference between a new patient well-child code and an established patient preventive visit, knows that vaccine product codes and administration codes must be billed separately, and can correctly pair Modifier 25 for same-day sick and preventive visits, your denials drop and your collections improve.
2
We act like your billing department, not a vendor
Each practice is assigned a dedicated account manager who knows your payer contracts, authorization workflows, and documentation standards inside out. You get consistent communication, proactive problem-solving, and a team that treats your revenue like it is their own.
3
We prove our value with measurable billing outcomes
We do not ask you to trust us on faith. Our results are tracked, reported, and visible to you every month. Across our pediatric clients we consistently deliver:
• 98% clean claim rate (up from an industry average of 72%)
• 30% reduction in claim denials within the first 90 days
• Average AR days cut from 52 down to 24
• 28% average revenue increase per practice within 6 months
Pediatric Billing Services
Every phase of pediatric care billed accurately. From routine well-child checkups and immunization visits to developmental screenings and complex chronic care management, every service is coded with specialty-level precision.
Medical billing and coding
Certified pediatric billers handling age-specific preventive codes (99381-99395), E/M visit codes (99211-99215), vaccine product and administration codes (90460-90474), developmental screening codes (96110, 96127), and newborn care codes (99460-99463) with 98% clean claim accuracy and faster payment cycles.
Denial management and AR recovery
Aggressive denial follow-up within 24 to 48 hours. We fight every claim, track AR aging weekly, and identify denial patterns - whether it is bundled service rejections, missing modifiers on same-day visits, or vaccine billing mismatches - before they cost you twice.
Prior authorizations
We manage all prior authorization requests for specialist referrals, behavioral and developmental assessments, and high-cost pediatric procedures so your staff focuses on patients and families, not paperwork and hold music.
Insurance eligibility verification
Real-time eligibility checks before every visit to eliminate avoidable rejections at the point of submission. We verify coverage across private insurance, Medicaid, and CHIP, including co-pays, deductibles, and program-specific pediatric benefits before services are rendered.
Credentialing and payer enrollment
Provider enrollment and credentialing with all major networks, Medicaid programs, and CHIP so your pediatricians start billing in-network faster and without lapsed contract gaps.
Patient billing and collections
Clear, family-friendly patient statements and a collections process that recovers balances without damaging the patient relationships you have worked hard to build. We understand that pediatric billing involves communicating with parents and guardians, and we handle every interaction with care.
Monthly KPI reporting
Transparent monthly dashboards covering collection rate, denial rate, AR aging, and revenue trends. You see everything, always, with no surprises on your end.
Vaccine billing compliance
We ensure every immunization claim is billed with the correct vaccine product code paired to the proper administration code, with counseling documentation for 90460 compliance, VFC program tracking, and accurate ICD-10 linkage. Vaccine billing errors are one of the top revenue leaks in pediatrics, and we close that gap completely.
What OBGYN Practice Owners Say About Our Billing Services
Real feedback from providers who transitioned to our platform.
★★★★★
"We were losing over $4,000 a month on vaccine billing errors alone. Within 60 days of switching to Cube Therapy Billing, our denial rate on immunization claims dropped from 18% to under 3%. Their coders actually understand the difference between 90460 and 90471, and our collections reflect it."
Dr. Karen L.
Pediatric Practice Owner, GA
★★★★★
"Managing Medicaid and CHIP claims across three states was a nightmare for our billing team. Cube took over and within 90 days our AR days went from 58 to 22. I can see every claim status in real time, and my front desk staff finally has time to focus on families instead of insurance calls."
Dr. Michael R.
Multi-Location Pediatric Group, NJ
★★★★★
"Thanks to Cube Therapy Billing, our revenue has increased by 30% within six months. Their monthly reports show me exactly where every dollar is, and they caught same-day billing errors we had been making for years on well-child and sick visit combinations."
Dr. Lisa T.
Founder and CEO, TX
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