Primary Care

Whether you treat adults, kids, or both, Refract handles the billing complexity unique to primary care, so you can focus on the medicine.

Primary care provider examining a patient

Primary care

The physician handles the visit, we handle the billing.

Refract sends clean claims across Medicare, Medicaid, and a long list of commercial payers. Your team stops chasing edits and gets back to patient care.

Primary care juggles more than just patient visits

High volume, high variety

A typical day moves between preventive visits, problem-focused visits, chronic care management, and same-day urgent issues, each with different coding and documentation rules.

Eligibility on every patient

Across Medicare, Medicaid, CHIP, and a long list of commercial plans, what's covered for a routine visit varies wildly. Surprises at the front desk slow everything down.

Denied claims drain revenue

Without a dedicated billing department, denied claims pile up. Every day they wait is revenue lost, and every minute spent on paperwork is a minute not spent with patients.

How Refract helps primary care practices

Claims

Specialty-aware coding from the start

Refract's AI handles E&M tier selection, preventive vs. problem visit billing, immunization administration, and chronic care management codes, applying the rules each payer enforces.

Eligibility

Real-time verification across every payer type

Check Medicare, Medicaid, CHIP, and commercial coverage before the visit (including co-pays, deductibles, and authorization requirements) so your front desk isn't scrambling.

Payments

Underpayments don't slip through

ERAs are auto-posted and every line item is checked against your contracted rates. Underpayments, especially common with public payers, get flagged for follow-up.

Pediatrician examining a young patient
Pediatrician reviewing a chart with a family
Pediatrician greeting a child and parent

Pediatrics

Pediatric practices have their own billing headaches

If your practice sees children, Refract handles the rules specific to pediatric billing (well-child visits, immunizations, and Medicaid/CHIP) without your team having to memorize them.

Well-child visits and immunizations

Preventive visits, immunization admin codes, and combination vaccines each have their own rules. Refract pairs the right product code with the right admin code automatically and applies modifier logic before submission.

Medicaid and CHIP, handled cleanly

A large share of pediatric patients are on public insurance. Refract verifies eligibility in real time, applies the right scrubbing rules, and flags underpayments, because lower reimbursement rates mean clean claims matter more.

Built for primary care practices of all sizes

Whether you're a solo general internist, a family medicine group, or a multi-provider pediatric practice, Refract scales to fit.

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