Allergy testing, immunotherapy, biologics and recurring treatment workflows create documentation, coding and payer-rule dependencies that general billing teams may miss. Info Hub Consultancy Services provides allergy and immunology billing services from India for US healthcare organizations, with scope, responsibilities and escalation paths agreed before work begins.
Use ICS for a defined function such as coding, claims, denial follow-up or accounts receivable, or coordinate a broader revenue-cycle workflow inside your existing EHR, practice-management and clearinghouse systems. Support can be structured for an independent practice, a multi-location group or a hospital-affiliated specialty team.
A specialty billing partner should understand how clinical documentation, procedure coding and payer requirements connect. The working scope can include:
Coding support aligned with available documentation, applicable code sets and the review rules agreed with your organization.
Claim preparation, validation and submission through the systems and payer channels already used by your team.
Queue-based follow-up, documented actions and escalation of payer or documentation issues that need client input.
Allergy and immunology billing and coding requires a documented connection between the service performed, the record available and the payer workflow. Our review process can include:
Sample-based or workflow-level reviews against the documentation and payer rules included in the agreed scope.
Coding resources familiar with allergy testing, immunotherapy and specialty-specific modifier considerations.
Documented update and escalation workflows help teams respond when code guidance or payer requirements change.
An India-based delivery team can add specialty capacity without requiring a US organization to recruit every operational role locally. The model works best when access, ownership, handoffs and reporting are defined in advance.
Add capacity for selected queues or a broader billing scope as your operational needs change.
Agree working hours, queue ownership, turnaround expectations and escalation contacts before launch.
Delivery operates within documented HIPAA-aligned processes and a SOC 2 Type II control environment.
Use a team experienced with US payer portals, claim workflows, follow-up documentation and client escalation rules.
Before transition, confirm which work remains with your clinical and front-office teams and which queues the India-based team will own.
Compare the proposed team, workflow and reporting model against your existing gaps before making a transition. ICS can document:
The queues, systems, responsibilities and exclusions included in the engagement.
A delivery structure with agreed points of contact, role coverage and escalation paths.
Review checkpoints and exception handling aligned with the rules approved by your organization.
Reporting cadence, queue status and unresolved dependencies defined for the selected scope.
Start with a workflow review, then choose a defined service, a dedicated FTE team or a coordinated revenue-cycle scope.
These checkpoints summarize published CMS guidance for allergy and immunology claims. The payer’s policy and the rule in effect for the date of service always apply.
Medicare requires separate coding for the injection service and for the antigen and its preparation. When a practice provides both services, both codes are billed.
CPT codes 95120 through 95134 bundle the injection with antigen preparation and are not valid for Medicare. Report the injection code and the antigen preparation code separately instead.
Allergy test fee amounts are set for single tests, so the claim must show how many tests were performed. The MAC multiplies the one-test payment by the units reported.
Antigen preparation codes are paid per dose, and physicians report the doses planned when the vial is prepared. If doses are later adjusted, the billed number of doses does not change.
Medicare may pay for a reasonable supply of antigens when a physician who is a doctor of medicine or osteopathy prepares them. That physician must have examined the patient and set a plan of treatment and dosage regimen.
Antigens must be given according to the plan of treatment. A doctor of medicine or osteopathy may administer them, or a properly instructed person, who could be the patient, under the doctor's supervision.
Tell us which allergy and immunology billing workflow is creating the most pressure. We can review the current handoffs, systems, queue ownership and reporting expectations with your team.
Compare this service with our 64 specialty billing areas or discuss a focused India-based delivery model.
What is included in allergy and immunology billing services?
The scope can include coding support, charge entry, claim preparation and submission, payment posting, denial follow-up and accounts receivable work. The exact functions, systems and escalation rules should be agreed before transition.
Can an India-based team work in our existing billing systems?
Yes. ICS can work within the EHR, practice-management, clearinghouse and payer systems approved by your organization. Access controls, working hours and responsibilities are documented during onboarding.
Which allergy and immunology workflows require specialty knowledge?
Testing, immunotherapy, biologics and recurring treatment workflows can involve procedure-specific documentation, code and modifier considerations, payer policies and follow-up dependencies. The assigned scope should reflect the services your organization performs.
Can we outsource only denials or accounts receivable follow-up?
Yes. A US organization can begin with one defined queue, such as denial follow-up or accounts receivable, rather than transferring the full revenue cycle. Ownership, aging ranges and escalation criteria should be agreed in advance.
How is quality reviewed for allergy and immunology billing?
Quality controls can include documented work instructions, sample reviews, exception tracking and escalation of missing documentation or payer-rule questions. The review method and reporting cadence are aligned with the selected engagement.
How do we evaluate an allergy and immunology billing partner?
Compare specialty workflow knowledge, system compatibility, security controls, proposed staffing, queue ownership, reporting and transition planning. Ask for a clearly defined scope rather than relying on unsupported outcome guarantees.
When is the single dose vial antigen code billed?
CMS says the single dose vial code 95144 should be billed only when the physician providing the antigen supplies it for injection by some other entity. If the same physician also bills an injection code, payment is made at the multiple dose vial rate.
Why does CMS limit how much antigen is supplied at once?
Medicare pays for a reasonable supply of antigens prepared for a particular patient. CMS states the purpose of the limit is to make sure the antigens keep their potency and effectiveness while they are being administered.
Tell us your specialty, payer mix and billing priorities.
Build a dedicated offshore team or align billing fees with collections.
“ Partnering with ICS transformed our revenue cycle. Claim approvals are faster, denials have dropped significantly, and we finally have clear visibility into our billing performance. ”
Founder, Sunrise Family Clinic
“ The ICS team is knowledgeable, responsive, and deeply committed to helping our practice grow. Their customized dashboard gives us real-time insights we never had before. ”
Orthopedic Surgeon, CareAxis Hospital
“ We were drowning in paperwork and delays before ICS stepped in. Their team streamlined everything, from eligibility checks to patient billing, and gave us time to focus on care. ”
Practice Manager, Lotus Women's Health Center
“ ICS is more than a billing service—they’re a strategic partner. Their compliance-first approach gives us confidence, and their results speak for themselves. ”
Pulmonologist, Airway Specialty Clinic
“ With ICS, we saw a 35% increase in collections within the first quarter. Their billing accuracy and follow-up on aging claims are unmatched. ”
Dermatologist, ClearSkin Clinic
