Allergy and Immunology Medical Billing That Counts Every Unit Correctly
ClainetRCM delivers revenue cycle management built for allergists and immunologists. Stop losing revenue to antigen preparation unit errors and testing frequency denials.
Certified coders count tests and antigen preparation doses from the treatment record so every unit billed is a unit you can defend
Why Allergy and Immunology Billing Demands a Specialist
Allergy billing is a unit-counting discipline. Skin testing is billed per test, antigen preparation is billed per dose prepared, and injection services are separate from the serum itself. Get the counting wrong and you either lose revenue daily or invite recoupment.
Per-Test Unit Counting
Percutaneous and intradermal testing are billed per individual test, not per session. Undercounting is common and quietly costs a large share of testing revenue.
Antigen Preparation Dose Units
Serum preparation is billed by the number of doses prepared from the vial, which is entirely separate from the injections given. This is the most misunderstood code in the specialty.
Injection Versus Serum Separation
The administration of immunotherapy and the preparation of the antigen are distinct services. Billing only one of them forfeits real revenue every week.
Testing Frequency Limits
Payers limit how often panels can be repeated and how many tests are payable per session. Exceeding limits produces denials with no appeal rights under many plans.
Complete Allergy and Immunology RCM Solutions
From charge capture to final payment posting, ClainetRCM manages every step of your allergy and immunology revenue cycle so you can focus on patient outcomes.
Allergy and Immunology Medical Billing
Complete billing management built specifically for allergists, immunologists, and allergy clinics.
- Charge entry and claim scrubbing
- Electronic and paper claim submission
- ERA/EOB posting and reconciliation
- Denial management and appeals
- Patient statement and balance collections
Allergy and Immunology Medical Coding
Certified coders with deep allergy and immunology coding expertise capture every procedure at the correct, compliant level.
- Percutaneous and intradermal test unit counting
- Antigen preparation dose calculation and billing
- Immunotherapy injection administration coding
- Patch testing and food challenge coding
- Biologic therapy and authorization documentation
Healthcare Credentialing
Fast payer enrollment and re-credentialing so you never miss a payment because of a lapsed credential.
- Insurance enrollment and re-credentialing
- CAQH profile management
- Medicare and Medicaid enrollment
- Payer contracting and fee schedule review
- Ongoing status tracking and follow-up
Virtual Medical Assistant
Dedicated remote assistants to absorb your front-desk workload so your staff stays focused on patients.
- Prior authorizations and referrals
- Appointment scheduling and reminders
- Insurance eligibility verification
- Patient follow-up calls
- EHR data entry and documentation support
Accounts Receivable Management
Dedicated AR follow-up to recover outstanding claims and pull down aging balances across every payer.
- Aging AR review and prioritization
- Payer follow-up and escalation
- Patient balance collections
- Write-off and adjustment analysis
- Monthly AR performance reporting
Revenue Cycle Audit
A thorough audit of your allergy and immunology billing to surface revenue leakage and compliance risk before it escalates.
- Billing workflow assessment
- Coding accuracy and payer policy audit
- Denial pattern analysis
- Payer contract review
- Custom revenue improvement roadmap
Allergy and Immunology Billing Challenges We Solve Every Day
Allergy practices face billing obstacles that generic billing companies consistently get wrong. We know them all, and we fix them.
Antigen Preparation Miscounts
Doses prepared billed as vials, or not billed at all. This single code causes more lost allergy revenue than any other. We count from the preparation record.
Undercounted Skin Tests
Testing billed per session instead of per test. We count individual tests from the documentation on every panel.
Frequency Limit Denials
Repeat testing denied for exceeding payer limits. We track limits per patient and per payer before scheduling repeat panels.
Unbilled Injection Services
Immunotherapy administration performed but not billed separately from the serum. We capture both services correctly.
Biologic Authorization Gaps
Asthma and urticaria biologics require authorization and documented step therapy. Our team manages approvals before administration.
Modifier 25 Denials
Office visits billed with same-day testing denied without documentation of a separate service. We verify the note supports it.
Slow Reimbursements
High-volume, low-dollar injection claims stall in AR when worked manually. We work them systematically at scale.
Patient Balance Confusion
Recurring injection visits generate frequent small balances that confuse patients. We support clear statements and structured follow-up.
Get Started in 5 Simple Steps
Onboarding with ClainetRCM is fast and seamless. Most allergy and immunology practices go live within one week with no disruption to daily operations.
Free Consultation
We analyze your current billing setup and identify allergy and immunology revenue gaps at zero cost.
Custom Onboarding
We integrate with your EHR and PM system and configure allergy and immunology billing workflows.
Team Assignment
A dedicated billing team with real allergy and immunology experience is assigned immediately.
Claims Submission
Clean, policy-compliant claims submitted within 48 hours with real-time tracking.
Revenue Growth
Watch collections climb with transparent monthly performance reporting.
What We Commit To on Every Allergy and Immunology Claim
These are the standards we control and hold ourselves to, written into every engagement.
From charge capture to claim submission, on every working day
Business days to onboard your allergy and immunology practice end to end
Between full accounts receivable reviews, every single cycle
Starting rate on monthly collections. No setup fee, no contract
Allergy and Immunology Billing for Every Practice Size
Whether you are a solo allergist or a multi-site allergy group with several injection clinics, ClainetRCM scales with your patient volume.
Solo Allergists
Independent allergy and immunology physicians who need precise unit counting without in-house billing staff.
Allergy Groups and Clinics
Multi-provider allergy practices running multiple injection clinics and needing consistent unit accuracy across sites.
Hospitals and Health Systems
Hospital allergy and immunology programs requiring enterprise reporting and compliance oversight.
Frequently Asked Questions
Antigen preparation is billed by the number of doses prepared from the vial, and it is a completely separate service from administering the injection. This is the most misunderstood code in allergy billing. Practices routinely bill it per vial, or omit it entirely, and either way the loss compounds every week. We count doses from the preparation record so every unit billed is defensible.
Per individual test. A panel of forty percutaneous tests is forty units, not one. Undercounting here is extremely common and quietly costs a large share of testing revenue. Our coders count individual tests from the documentation rather than accepting a session-level charge.
Yes. Our virtual assistants manage authorization from request through approval, including the documented step therapy history most plans require before approving a biologic. We confirm approval before administration, since these are high-cost drugs that cannot be billed if given without authorization.
We track payer-specific limits on how often panels can be repeated and how many tests are payable in a session. Where a repeat panel would exceed the limit, we flag it before the appointment rather than after the denial, because many plans treat frequency denials as non-appealable and the practice simply absorbs the loss.
ClainetRCM integrates with the platforms allergy and immunology practices already use, including Epic, Athenahealth, eClinicalWorks, NextGen, AdvancedMD, and Modernizing Medicine. We adapt to your existing technology rather than forcing a migration, so onboarding does not disrupt your clinical workflow.
Pricing starts at 2.29% of monthly collections, so we are only paid when your practice is paid. There are no setup fees, no long-term contracts, and no hidden charges. Book a free consultation for a quote based on your volume and payer mix.
Ready to Grow Your Allergy and Immunology Revenue?
Talk to an allergy billing specialist about your antigen units, your testing counts, and your AR aging.
Request Your Free Audit TodayLet's Grow Your Allergy and Immunology Practice
No obligation. Our allergy and immunology billing specialists will review your current setup and identify exactly where you are losing revenue.
Why Consult With ClainetRCM?
In a single free session, our allergy and immunology RCM experts will uncover hidden billing gaps and give you a clear roadmap to increase collections starting immediately.
Free Revenue Audit
We review your billing performance and identify gaps at zero cost to you.
Dedicated Allergy and Immunology Billing Expert
You will speak directly with a specialist who understands allergy and immunology billing deeply.
100% Confidential
All information shared is protected by HIPAA and never shared with third parties.
Fast Onboarding
Practices go live within 7 to 14 business days of signing on.
No Long-Term Contracts
Pricing starts at 2.29% of collections. No setup fee, no lock-in.