Pediatric Billing Pediatric Primary Care Orlando, FL (9 Pediatricians)
Sunshine Pediatrics: Eliminating Front-End Billing Errors & Cutting A/R to 19 Days
Using real-time 270/271 eligibility verification and automated vaccine coding to streamline pediatric billing.
Published July 2026 5 min read
19 Days
Days in A/R
Industry-leading aging performance
0%
Eligibility Denials
Front-end intake errors eliminated
+22%
Collection Increase
Year-over-year net revenue growth
The Challenge
- Frequent insurance eligibility rejections due to changing Medicaid plan coverage.
- Vaccine administration coding errors causing un-reimbursed immunization claims.
- High volume of uncollected patient co-pays during busy well-child seasons.
The Solution & Strategy
- Automated batch 270 eligibility checks run 48 hours before all scheduled visits.
- Configured automated CPT vaccine/administration code crosswalks in EHR billing engine.
- Deployed mobile check-in links allowing parents to settle copays prior to clinic arrival.
Quantifiable Key Results
Eligibility Denials
0%
100% eliminationDays in A/R
19 Days
Down from 41 daysImmunization Reimbursement
99.4%
First-pass clean rate"Our front desk operations and billing are completely synchronized now. Days in A/R dropped to 19 days, and vaccine claims are paid without hassle."
Dr. Maria Lopez, MDLead Pediatrician at Sunshine Pediatrics
Actionable Takeaways for Practice Leaders
1
Run automated batch 270 eligibility verification 48 hours prior to pediatric appointment schedules2
Crosswalk immunization CPT codes with administrative codes automatically to prevent vaccine rejectionsReady to Achieve Similar Results?
Schedule a complimentary Revenue Cycle Audit for your practice to pinpoint billing leaks and clean claim opportunities.
Organization Profile
Organization:Sunshine Pediatrics
Specialty:Pediatric Primary Care
Location & Scale:Orlando, FL (9 Pediatricians)
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