Allergy and Immunology EHR and AI Medical Billing Software

Allergy practices test, build treatment vials and give injections for years. XEHR keeps every test, vial and dose in the record and turns each one into a correct claim.

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Chart · Office visit

Lastname, Firstname M. Sample patient · DOB 01/01/1980 · Commercial

Eligible

BP128/82

HR72

BMI26.4

Temp98.6

Progress noteAI Scribe draft

Seasonal nasal congestion and itchy eyes for three years.

J30.9 Allergic rhinitis, unspecified

ReviewSign note

Diagnosis carried to the claimJ30.9

THE HARD PARTS

What makes allergy and immunology billing hard

Testing counted one allergen at a time

Skin and blood testing are billed per test. If the number of allergens is not in the record, the claim is short or denied.

Immunotherapy that runs for years

Extract vials, dose schedules and reaction checks have to be followed visit after visit, and the preparation and the injections are billed separately.

Biologics behind approvals

Biologics for asthma, hives and eczema need prior authorization with documented severity, and renewals come round every year.

WHERE THE WORK HAPPENS

How allergy and immunology care is delivered and billed

Allergy and immunology is office-based and procedure-heavy. Visits are billed on the professional claim, often on the same day as skin testing, spirometry or allergen immunotherapy. Immunotherapy itself has two parts that are billed separately: preparing the extract vials and giving the injections, which can continue for years. Biologics for asthma, hives and eczema add infusion or injection lines and prior authorization work.

What payers check on allergy and immunology claims

Allergy tests are billed per test, so the number of allergens tested must be documented.
Extract preparation is billed by the number of doses prepared, and payers limit the doses they cover per year.
An office visit on the same day as testing or injections is billed only when a separate problem is documented.
Biologics for asthma, hives and eczema require prior authorization with documented severity and failed earlier treatment.
Immunoglobulin replacement for immune deficiency requires documented lab results and infection history.

Common allergy and immunology diagnoses ICD-10-CM

J30.9	Allergic rhinitis, unspecified
J45.909	Unspecified asthma, uncomplicated
L20.9	Atopic dermatitis, unspecified
L50.9	Urticaria, unspecified
Z91.010	Allergy to peanuts
D80.1	Nonfamilial hypogammaglobulinemia

Examples only. The provider chooses the code that matches the documented diagnosis, and XEHR checks it against the note and the payer's rules before the claim goes out.

A VISIT ON XEHR

An allergy and immunology visit, start to payment

1
Evaluate and test

History and exam are documented, and skin or blood testing is recorded with the number of allergens tested.
2
Build the treatment

When immunotherapy starts, the extract prescription and the number of doses prepared are recorded.
3
Give the injections

Each injection visit records the vial, dose and reaction check, so the schedule can be followed safely for years.
4
Bill testing and treatment

Visit, tests, extract preparation and injections are billed on checked claims, each with the units the record supports.

How XEHR helps

From the allergy and immunology visit to the payment

Tests recorded per allergenEach allergen and result is documented, and the number of tests carries straight to the claim.
Vials and doses trackedExtract prescriptions, vials and every injection are recorded, so the schedule and the billing stay in step.
Approvals with end datesBiologic approvals are tracked so renewals start before a patient’s treatment lapses.
AI that waits for youThe AI drafts notes and prepares claims; your providers sign and your billers approve.

Claim · CMS-1500

Sample claimLastname, Firstname M. · DOS 03/04/2026

Scrub passed

Scrubbed
Submitted
Accepted
Paid

Service	Dx	Units	Charge
Office visit	E11.9	1	145.00
A1c test	E11.9	1	28.00
Total			173.00

ERA postedPayment applied, no re-keying

Agentic AI for allergy and immunology

AI medical billing for allergy and immunology practices

XEHR is an agentic EHR: AI agents do the administrative work around every allergy and immunology visit, and your team approves what matters. How agentic AI works

Before the claim leaves

The claim-check agent looks for

Allergy tests are billed per test, so the number of allergens tested must be documented.
Extract preparation is billed by the number of doses prepared, and payers limit the doses they cover per year.
An office visit on the same day as testing or injections is billed only when a separate problem is documented.
Biologics for asthma, hives and eczema require prior authorization with documented severity and failed earlier treatment.

Around the visit

Agents run on their own

Coverage checked before each allergy and immunology visit
The visit note drafted for the provider to sign
Insurance payments matched and posted
Open claims tracked, denials read and appeals drafted

People decide

Your team stays in charge

Providers sign every note
Billers approve every claim and appeal
Staff submit prior authorizations
Any check can be overridden, with a reason

BUYER'S GUIDE

Questions to ask before you choose an allergy and immunology EHR

Ask every vendor, including us. The answers show whether a system was built for allergy and immunology work or only adapted to it.

Ask us on a demo

Is the number of allergens tested recorded and carried to the claim automatically?
Are extract preparation and each injection billed separately with the right doses?
Can staff see the patient’s vial and next dose before giving an injection?
Is the reaction check recorded before the patient leaves?
Are biologic approvals tracked with their renewal dates?

QUESTIONS

Allergy and Immunology practices ask us

Does XEHR work for allergy and immunology practices?

Yes. Testing, immunotherapy, biologics and office visits are documented and billed from one record.

Can staff give allergy injections from the schedule?

Yes. Injection visits show the patient’s vial and next dose, and the reaction check is recorded before the patient leaves.

Does XEHR support allergen immunotherapy billing?

Yes. Extract preparation and each injection are recorded and billed separately, with doses and units the record supports.

Can XEHR record skin test results?

Yes. Tests are documented with each allergen and result, and the number of tests carries to the claim.

Does XEHR support allergy practices with several injection locations?

Yes. Each location records injections against the same patient record.

Can XEHR document food allergy action plans?

Yes. Plans are documented and can be shared with families and schools with consent.

Does XEHR track immunoglobulin infusions?

Yes. Drug, dose and times are recorded and billed.

How much does XEHR cost for an allergy and immunology practice?

Pricing is published: $189 per provider per month for the Clinical plan, $449 per provider per month for the Practice Suite with billing, or 2.5% of collections for RCM as a Service. Month-to-month, with a BAA on every plan. See pricing.

How long does it take an allergy and immunology practice to go live?

Small practices are usually live in 2 to 4 weeks, including setup, data migration and training. We agree the plan with you before you sign.

Related specialties

See all specialties

See XEHR set up for allergy and immunology

A 30-minute walkthrough on a live test environment, with your specialty's templates and billing.

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