We fight for every cent.
Zero risk, full control.
A dedicated billing team focused solely on vaccine billing. Bills under your NPI and Tax ID. All money goes to your bank first. If insurance doesn't pay, Canid absorbs the loss. Weekly invoices on confirmed-paid claims only.
In-house
dedicated vaccine billers
100%
admin fees kept by you
$0
billing fees to your practice
3-4
weeks from claim to payment
Most practices think they profit $42 per vaccine. The real number is closer to $12.
Between insurance issues, billing fees, and waste, most practices lose a significant share of vaccine revenue before they see a dollar of profit. Most run ~12% margins. The AAP says you need 17–28% just to break even.
Without Canid: Private Vaccine (Varivax + BCBS)
With Canid: Same Vaccine, Same Insurer
For VFC vaccines, the impact is even more dramatic. See the full VFC breakdown →
Real-world billing losses we see every day
ProQuad in Texas
A Texas practice was reimbursed only 1/3 of the cost for ProQuad, actively losing money on every dose administered. With Canid, the practice would keep the full admin fee while Canid absorbs the inventory risk.
Out-of-Network Surprise
Patient's insurance was active, but the practice wasn't the in-network PCP. The claim denied and the practice had to eat the full vaccine cost. Canid's VFC borrowing safety net and eligibility checks catch these before they become losses.
Secondary Insurance (Medicare + Veteran)
Medicare patients with veteran or military benefits (TRICARE) often have secondary insurance that practices don't bill. The practice eats the cost on each dose. Canid's billing team chases secondary insurance on every applicable claim.
EMR Transition Billing Error
One practice discovered their RCM company wasn't collecting on Aetna at all due to a filing error during an EMR transition. Months of revenue just gone. With Canid, vaccine claims bypass your RCM entirely, eliminating this kind of gap.
The 7-step claim lifecycle. Fully automated.
From the moment you scan a vaccine to the moment insurance pays, every step is handled by Canid's billing engine and team. Here's exactly what happens.
Scan triggers the claim
When your MA scans a vaccine barcode, Canid instantly captures the patient, vaccine, lot number, insurance, and provider information. This data becomes the foundation of the claim. No manual data entry, no errors.
Auto-match with insurance plan rules
The billing engine matches the claim data against a rules database covering every combination of insurer, plan, and state. It knows which codes, modifiers, and billing strategies work for each payer.
Auto-assigns CPT/NDC/modifiers per insurer + plan + state
The system automatically assigns the correct CPT codes, NDC codes (when required), and modifiers for maximum reimbursement. This includes specialized codes: COVID (90480), RSV (96380), intranasal flu (90473), Medicare Part B G-codes, and pediatric counseling codes (90460/90461).
Same-day grace period for edits
After scanning, your team has until end of day to make corrections. Changed the site of administration? Different prescriber? All editable. Claims auto-submit the next business day, giving your team time to get everything right.
Waystar clearinghouse submission
Claims are submitted through Waystar, a major healthcare clearinghouse, with multiple validation layers before they reach the payer. This catches formatting errors, missing fields, and payer-specific requirements before they can cause a denial.
Insurance pays in weeks 3-4
Insurance processes and pays the claim. The money goes directly to your practice's bank account. Not to Canid. Not to a third party. To you, under your contracts, under your NPI and Tax ID.
Weekly Canid invoice for inventory portion only
Canid sends a weekly invoice for the inventory portion of confirmed-paid claims only. If a claim hasn't been confirmed as paid (via EOB or phone verification), Canid never invoices it. If insurance doesn't pay at all, Canid absorbs the loss entirely.
Specialized codes handled automatically
90480
COVID administration
96380
RSV (subcutaneous)
90473
Intranasal FluMist
G-codes
Medicare Part B
90460
Pediatric counseling (first)
90461
Pediatric counseling (add-on)
Your NPI. Your Tax ID. Your money.
Unlike other vaccine management platforms that bill under their own contracts, Canid bills under your practice's NPI and Tax ID. This matters for three critical reasons.
Full transparency
You have complete visibility into every claim, every payment, every denial. Check your insurance portal anytime. Admin fees are visible right there.
Industry compliance
Billing under your own identifiers keeps you in compliance with industry regulations. No middleman contracts. No partner-based billing surprises.
VFC requirement
VFC admin fees must go through the clinic's Tax ID. Any platform that bills under its own contracts can't handle VFC properly.
Canid's revenue model: aligned incentives
Canid earns the margin between the vaccine purchase cost and the inventory reimbursement from insurance. If insurance doesn't pay, Canid loses $200+ per dose. That's why our billing team fights for every cent on every claim.
Example: Single Varivax dose
Enterprise pricing for high-volume practices
For larger organizations, Canid offers a revenue share model on inventory reimbursements. Start with an estimated rate, review actual results after 3 months, and adjust if needed. One guarantee: always more profitable than managing vaccines on your own.
Every claim, every dollar, every detail visible.
Five dashboard views give you complete visibility into your vaccine billing. No black boxes. No waiting for statements. Real-time transparency into where your money is.
Your financial command center
See monthly recovered amounts broken down by inventory and admin codes. Track total recovered revenue split by private vs VFC. Monitor percentage recovered with pending distribution. See admin time saved at a glance.
$47K
Recovered MTD
94%
Collection rate
$3.2K
Pending
42 hrs
Admin saved
Know what's coming before it hits your bank
See which claims have been approved and paid by insurance before the money arrives in your bank account. No more guessing when or how much you'll receive.
Find any claim in seconds
Search by date of service, patient name, insurance carrier, claim status, inventory type, or invoice date. Create a support ticket from any claim. Access EOBs with a single click.
Every dollar accounted for
Complete record of all account activity: invoices issued, debits processed, credits applied. Full audit trail for your bookkeeping. No unexplained charges. No mysterious line items.
Downloadable, verifiable PDFs
Every invoice includes total amounts, applied charges, and direct links to the claims and EOBs with check date and number. Download as PDF for your records.
Have a question about a claim? Click, type, done.
From any patient's billing record, click "more info," then "new ticket." Canid's support team replies within the day. Every ticket is tracked in the system, so nothing falls through the cracks.
Four specialized teams. One mission: get you paid.
When a claim doesn't pay the first time, most practices write it off. Canid has $200+ on the line per dose, so our billing team fights through every denial, every underpayment, every coverage gap.
Corrections Team
Configuration errors
Catches and fixes configuration errors: wrong CPT code assigned, missing modifier, incorrect NDC code. These are the simplest denials to fix but the easiest to miss when you're handling thousands of claims.
Resubmission Team
Network issues
Handles network-level issues like out-of-network prescribers. Instead of writing off the claim, this team adjusts the billing strategy and resubmits with a different approach tailored to the specific payer.
Appeals Team
Payer processing errors
Fights payer processing errors through every available channel: insurance portals, phone calls, fax submissions. When a payer incorrectly denies a valid claim, this team does not stop until it's resolved.
Review Team
Coverage gaps (3-month monitoring)
Monitors patients with coverage gaps for up to 3 months. Covers lapsed coverage, grace periods, suspended coverage, and retroactively activated coverage (common with newborns). If insurance truly doesn't pay after monitoring, Canid absorbs the loss.
Underpayment "needling"
Most practices ignore $5-$20 underpayments because it's not worth the staff time. Canid chases every single one. Across hundreds of claims per month, these small shortfalls add up to thousands in recovered revenue per year.
Secondary insurance billing
Medicare patients with veteran or TRICARE benefits have secondary insurance that most practices never bill. Canid's billing team identifies these cases and pursues secondary insurance on every applicable claim. Your practice never manages any of this.
Same insurer, different rules by state.
This is one of the most overlooked sources of billing errors. The same insurance carrier can have completely different rules depending on which state you're in. What works in Texas will cause overpayments in New York.
Canid auto-configures at three levels:
Texas
VFC insurances pay admin fees tied to inventory codes with specific amounts. This is the standard approach in Texas, and billing systems must be configured to submit claims this way.
New York
Submitting those same Texas amounts in New York causes overpayments, which then trigger clawbacks and audits. Different state, same insurer, completely opposite result. Also one of the highest third-party payer delay states.
New Jersey & Tennessee
No VFC borrowing allowed. If a patient turns out to be VFC-eligible after receiving a private dose, you cannot retroactively swap in these states. Canid's system enforces this rule before the scan, preventing compliance violations.
Georgia
Requires the EP modifier instead of SL for VFC claims. Using the wrong modifier leads to automatic denials. Canid's billing engine knows which modifier to apply based on the state before the claim ever leaves the system.
California, Illinois & New York
High third-party payer concentrations causing significant delays in reimbursement. Canid's billing team has strategies specific to these states to accelerate payments and follow up more aggressively on slow-paying payers.
The billing problems nobody tells you about until they cost you.
New vaccine / seasonal CPT lag
When new vaccines launch, insurers lag on updating their CPT code databases. Claims get denied. Canid proactively identifies these gaps, defines the billing and appeals strategy, and handles the back-and-forth until the workflow stabilizes. Same approach for seasonal flu, COVID, and RSV modifier changes.
Prior authorizations (behind the scenes)
Some vaccines require prior authorization from insurance before they can be billed. Canid handles this completely behind the scenes. Your team never knows it happened, and the patient never gets a surprise bill.
Quarterly audits for every practice
Internal quarterly audits review claim status and distribution, private vs VFC mix, stuck or delayed claims, and borrowing patterns. Identifies missing portal access, configuration improvements, and misclassified VFC plans. Results in a collaborative action plan with your team.
Works alongside your billing company
Vaccine payments appear in your ERA inside your EMR. Two approaches: the "impossibles bucket" (set aside Canid payments so your billing company doesn't apply them elsewhere) or full reconciliation push to your EMR (beta for Office Practicum). Coordinated during onboarding.
Modifier 25 guidance
When vaccines are given on the same day as a well-visit, your practice's billing team needs to add Modifier 25 to the well-visit claim. This prevents bundling denials. Canid provides guidance during onboarding and flags issues when detected.
RCM savings: vaccines bypass your biller
Many practices pay 4-6% on all reimbursements to their RCM company, including vaccine claims. For a 4-provider practice doing $500-600K in annual vaccine revenue, that's $20-24K per year going to your biller for work Canid handles at no cost. With Canid, vaccine claims bypass your RCM entirely.
Patients never pay. Period.
This is a core principle, not just a policy. Canid never bills patients directly. Pediatric patients never pay out of pocket for vaccines. This protects your practice's reputation and keeps families coming back.
Never bills patients directly
No surprise vaccine bills to parents. Ever.
Never charges kids for vaccines
Pediatric patients never pay out of pocket.
Dedicated COB team
Coordination of benefits resolved with minimal practice or patient involvement.
Patient contact as absolute last resort
Only by trained specialists, only when every other avenue is exhausted.
Self-pay / wholesale for uninsured
Wholesale pricing available for uninsured parents who want to pay out of pocket.
Canid absorbs unrecoverable claims
If insurance truly doesn't pay, Canid absorbs the loss. Not the practice, not the patient.
"I don't know how you guys do it in billing."
Marla Voos
Pinery Pediatrics — Colorado | Customer since Jan 2026
Billing is just one piece. Explore the full platform.
Ready to stop losing money on every vaccine?
Book a demo and we'll walk through the billing dashboard using your specific EMR and payer mix. Or calculate your savings right now.
17
States
Growing
Live clinics
Dedicated
Dedicated billers
Nationwide
Team members
Trusted by pediatric practices nationwide
