Healthcare SBC

Allergy & Immunology

Healthcare IT and billing built for an allergy and immunology practice

Testing panels, immunotherapy vial management and biologic therapy billing for allergy practices.

A physician reviewing a treatment plan with a patient

Why allergy & immunology is different

Allergy billing is unit-driven: percutaneous and intradermal tests are billed per test, and immunotherapy is billed by antigen preparation and injection, which means volume, accuracy and vial-level tracking determine revenue.

Healthcare SBC tracks testing units, manages immunotherapy vials and dose schedules per patient, and handles biologic administration and food challenge documentation.

Common challenges

Where allergy & immunology practices lose revenue

The billing and workflow problems specific to this specialty, and the ones generic systems handle badly.

Per-unit test billing

Skin testing is billed per test, so miscounted panels directly understate or overstate the claim.

Immunotherapy vial tracking

Antigen preparation billing depends on accurate vial and dose accounting across long treatment courses.

Extended service documentation

Food challenges and biologic administration require documented supervision time and observation.

Biologic authorization

Asthma and urticaria biologics carry heavy authorization and reauthorization requirements.

How we address it

Built for allergy & immunology workflows

  • Skin testing panels with automatic unit counting and result capture
  • Immunotherapy vial, dose and schedule tracking per patient
  • Food and drug challenge protocols with supervision time documentation
  • Biologic administration scheduling with authorization enforcement
  • Spirometry integration with trended results

Commonly billed codes in allergy & immunology

A sample of the codes our allergy & immunology coders work with daily.

  • 95004Percutaneous allergy tests, immediate reaction, per test
  • 95024Intracutaneous allergy tests, per test
  • 95165Allergen immunotherapy, preparation, per dose
  • 95115Allergen immunotherapy injection, single
  • 94010Spirometry with graphic record

Codes shown for reference only. Verify against current code sets and payer policy.

FAQ

Allergy & Immunology, frequently asked questions questions

How is allergy testing billed?
Percutaneous and intradermal tests are billed per individual test performed. The platform counts tests from the documented panel automatically, ensuring the claim matches what was actually administered.
How do you track immunotherapy vials?
Each patient's vials, antigen composition, dose schedule and remaining doses are tracked continuously, so preparation and injection are billed accurately and patients stay on schedule across multi-year courses.
Do you manage biologic prior authorizations?
Yes. We handle initial authorization, step-therapy documentation and reauthorization for asthma and urticaria biologics, tracking expirations so treatment continues uninterrupted.