ALLERGY AND IMMUNOLOGY
The EMR Built for the Immunotherapy Schedule, the Test Grid, and the Anaphylaxis Plan
GlaceEMR and GlaceRCM built for the SCIT recipe, the structured skin-test grid, and the biologic prior auth, billed at a percentage of collections with no base fees, backed by 95%+ first-pass adjudication and 99%+ collection of payer-allowed amounts*.
*Of payer-allowed amounts.
WHAT WE HEAR FROM ALLERGISTS
Procedure-Heavy, Schedule-Heavy, and High-Stakes
Your shot clinic runs three days a week, your testing room runs every morning, and your biologic suite carries a panel whose coverage changes every quarter, all in ways horizontal EMR software was never built for. Four pains come up in the first thirty minutes of almost every discovery call.
Skin testing is a paper grid the EMR cannot read
Forty to seventy wheals, intradermal confirmations, patch reads at 48 and 96 hours, all on a tray sheet scanned in as an image. Wheal and flare millimeters never become discrete data, and the retest two years later starts from scratch.
The EHR cannot hold the immunotherapy recipe
Vial concentration, extract content, lot numbers, diluent ratios, build-up and maintenance schedule. Most platforms have no place for it, so the SCIT program lives in a binder or a third-party module that does not talk to the chart.
Biologic prior auth takes a calendar week
The IgE, the eosinophil count, the failed therapies, and the ACT score live in four places. Your office manager spends a week per patient assembling the packet, and the patient misses two doses before approval lands.
Allergy billing under-captures earned revenue
Per-test counts, per-vial counts on antigen prep, injection codes, patch modifiers, and J-code waste reporting are each small and forgettable. Generic scrubbers do not know which payer counts a 95165 unit how, and your biller writes off the difference.
GLACEEMR FOR ALLERGY AND IMMUNOLOGY
An EHR Designed Around Your Grid, Your Vial Schedule, and Your Plan
GlaceEMR is ONC-certified and has run in private allergy practices for years, with 30+ years of company history behind it. This is the common GlaceEMR platform preconfigured for allergy and immunology, so the skin-test grids, immunotherapy schedules, biologic-eligibility workups, and anaphylaxis action plans are already in place before training starts. Every capability below ships today, not as a roadmap promise.
SCIT and SLIT recipe and schedule engine
Per-patient recipes carry vial concentration, extract content by allergen, lot numbers, diluent ratios, mixing date, expiration, and the build-up versus maintenance schedule. Printable vial labels include patient identifiers, color coding, and dilution. The shot record captures dose, site, and reaction every visit, and the prior reaction is visible to the nurse drawing up the next dose.
Skin and patch testing as structured data
Pre-built grids for environmental, food, and custom panels include histamine and saline controls. Wheal and flare in millimeters are captured per allergen as discrete values. Patch reads at 48 and 96 hours are scored on a grid with morphology and photo attachments. Two years later the prior grid is still graphable data in the chart, not a fuzzy PDF.
Anaphylaxis action plans that leave with the patient
Green-yellow-red zones populate with the patient’s current controller and rescue medication and the weight-based epinephrine dose, pulled from the chart instead of retyped. School and daycare letters generate in English and Spanish, and the plan updates between visits instead of functioning as a single-use handout.
Biologic eligibility and infusion workflow
Eligibility workups for omalizumab, dupilumab, mepolizumab, benralizumab, and tezepelumab pull the IgE, eosinophil count, and ACT score from structured fields. In-office administration documents the J-code, NDC, units, and drug waste in one place, so the buy-and-bill claim drops with the data each payer expects.
60+ lab interfaces and eRx
Quest, Labcorp, and 50+ hospital and reference labs route specific IgE panels, total IgE, eosinophil counts, and tryptase back as discrete trendable values linked to the ordering problem. Surescripts e-prescribing with interaction and allergy alerts covers the controller, rescue, and biologic prescribing your panel runs on.
Recall registries that work themselves
SCIT census, adherence, and recall views surface the immunotherapy patient due for the next dose, the food-allergy family due for an epinephrine refill, the asthmatic who may now qualify for a biologic, and the venom patient due for annual review. Recall turns the list into outreach through portal, SMS, email, or the GlacePhoneSmart phone agent.
Included with GlaceEMR vs usually an add-on
When you price out another EMR, count what is included before you compare the headline number. The rows below are upsells, separate vendors, or consulting fees almost everywhere else, each with its own renewal date. They ship with GlaceEMR, with no tier games and no surprise line items at renewal.
| Capability | Most EMRs | GlaceEMR |
|---|---|---|
| Immunotherapy recipe and shot-schedule engine | Third-party allergy module | Included |
| 200+ reports plus a self-serve report builder | Consulting or ticket | Included |
| Self-check-in kiosk, English and Spanish | Third-party vendor | Included |
| Telehealth, PACS, and DICOM viewer in the chart | Add-on license | Included |
| GlaceOffice administration suite (HR, PTO, credentials) | Separate subscription | Included, free for clients |
| Native iOS and Android apps for providers and staff | Mobile-web only | Included |
A solo practice can grow to 20 providers across multiple locations on the same platform, with no per-location upcharge and no contract to renegotiate when you add a satellite next quarter. HIPAA-compliant infrastructure, single-tenant database per practice, and LUKS full-disk encryption at rest in production underpin all of it.
FROM TEST TO PAID
One Path, Tracked End to End
The skin-test grid captures wheal and flare as discrete data, the SCIT recipe and schedule build from it, the shot or biologic is administered and documented, GlaceScribe drafts the note while GlaceIQ surfaces per-test and per-vial coding suggestions for your review, the scrubber checks unit counts and J-code waste before the claim goes out, and your named billing specialist works the queue to resolution. The same chart and the same team carry the dollar from the testing room to the deposit.
GLACERCM FOR ALLERGY AND IMMUNOLOGY
A Billing Service That Knows Allergy Unit Counts
GlaceRCM bills your claims in your EMR or ours, charged at a percentage of collections with no base fees and no monthly minimums. We would rather run it on our platform, where the scrubber sees the full testing flowsheet, but if you are staying on your EMR our billing team works your claims there. The service is built for the allergy code mix and the biologic prior-auth and buy-and-bill volume, and the numbers below reflect that focus.
95%+
First-pass claim adjudication. Most claims pay on the first submission, with no rework and no calendar lost to denial follow-up on the per-test and per-vial counts your panel runs on.
99%+
Collection rate of payer-allowed amounts*. The dollars the payer contractually owes you actually arrive, because we work the queue to resolution and the antigen-prep and biologic revenue lands on your books.
$0
Implementation fee, setup charge, and monthly minimum. We get paid when you get paid, so our interests and yours line up from the day the contract is signed.
*Of payer-allowed amounts.
Scrubbing tuned to allergy codes
Per-test skin testing counts, per-vial antigen-prep units on 95165, injection codes, patch modifiers, food-challenge documentation, and biologic administration with J-code, NDC, and waste reporting are all checked before submission. We know which payer counts a unit how, so the small line items stop leaking.
Biologic prior auth and buy-and-bill
Our team assembles the packet from the chart for omalizumab, dupilumab, mepolizumab, benralizumab, and tezepelumab, with the IgE, eosinophil count, ACT score, and prior-therapy history pulled from structured fields. When the payer mandates a specialty pharmacy route, we track that instead.
Denials worked to resolution
We do not drop a denial at 90 days, even when the appeal effort exceeds the dollar value of a single line. Every claim is tracked through appeals, second-level reviews, and peer-to-peer when biologic necessity is disputed. A write-off happens only when you sign off, and the dashboard shows where every disputed dollar stands.
A named billing specialist
A dedicated account manager who knows allergy payer mix in your state, the codes you bill, and your top denials. Not a ticket queue, not an offshore call center. They know your practice by name within a month of go-live.
Percentage of collections, no base fees. Provider credentialing, payer enrollment, daily patient statements, and a US-based billing call center are part of the service, not separate line items. Your patients call our team about a balance, not your front desk, and soft collections are handled in-house. The percentage you pay tends to cover itself out of the per-test and per-vial dollars you start collecting that a busier biller was quietly writing off.
AI AND PATIENT ENGAGEMENT
The Documentation, the Coding, and the Phones
Every AI capability is a suggestion you review and select. Notes wait for your signature and codes wait for your approval before either reaches a claim, so the coding judgment and the clinical decision stay with you, every time. The AI is built on HIPAA-compliant infrastructure from Amazon, Google, Anthropic, Deepgram, ElevenLabs, and other enterprise AI providers, with multi-vendor architecture that preserves operational redundancy.
GlaceScribe
Ambient SOAP notes tuned to allergy vocabulary, capturing the testing review, the immunotherapy discussion, and the anaphylaxis-plan teaching. Up to four speakers, including a parent for a pediatric food-allergy visit, in person or telehealth, English and Spanish patient-facing. Charting finishes when the visit finishes.
GlaceIQ
30+ AI features tuned to your day: per-test and per-vial coding suggestions at charge entry, undercoding detection on MDM, denial prediction before submission, biologic-eligibility prompts inline, and AI prior-auth packet assembly. You review and select each one.
GlacePhoneSmart
An AI phone agent answers as your practice in English or Spanish, books into real scheduler slots, runs recall for the immunotherapy patient due for the next dose and the venom patient due for annual review, fills cancellations, and surfaces voicemail summaries so the front desk stops drowning in callbacks.
A practice-branded portal, mobile app, kiosk, SMS, and email round out the stack, with English and Spanish on every patient-facing surface. The food-allergy family who only opens text and the seasonal-rhinitis patient who only opens email both end up on the schedule, both finish intake before they walk in, and both pay their balance without anyone at the front desk lifting a finger. Replies route back into the chart as structured tasks, so the epinephrine refill and the overdue shot appointment get worked on the cadence the program calls for instead of piling up in an inbox.
SWITCHING IS EASIER THAN YOU THINK
Coming From Another EMR
Most allergy practices we onboard are leaving a horizontal platform or a bolted-on allergy module that never fit the shot clinic and the testing room. The transition is the part you dread most, and it is the part we have done hundreds of times. Implementation is $0, data migration is included, and your account manager runs the move and stays your account manager after go-live.
DAY 1
A chart that already looks like yours
You log in to migrated history, problem lists, current meds, the active SCIT recipes and shot histories, and recent results, with your testing grids, immunotherapy schedules, and anaphylaxis templates already wired in. EMR go-live happens in under one week. The first few visits run slower; by the end of the day, your hands start to remember where everything lives.
DAY 30
Charting faster, claims flowing
You are charting faster than on the old system because the templates match how you document, and GlaceScribe carries most of your visit notes. Your shot room runs off the structured recipe, your first month of clean per-test and per-vial claims is on the dashboard, and you have walked the denial queue with your account manager. Recall is live and filling the shot schedule.
DAY 90
The switch starts paying for itself
Your first quarter’s dashboard shows cleaner claims, faster posting, and fewer denials in the 60-to-90 bucket. The per-test and per-vial revenue you used to leak is being captured, biologic auths land faster, and GlacePhoneSmart has visibly cut front-desk call volume while your recall campaigns refill the shot clinic. The conversation turns from migration triage to using the platform harder.
Data migration covers historical records, documents, images, problem lists, medications, allergies, and the active immunotherapy recipes and shot histories, handled by Glenwood from your prior vendor’s export in 2 to 5 business days so your staff does not rebuild charts. The RCM transition runs 4 to 8 weeks with payer enrollment in parallel, and we recommend a 30-to-90-day overlap with your previous vendor so the practice keeps operating normally. Glenwood has been independent and privately held since 1994, when our founder helped his physician wife acquire a private practice in Connecticut: 30+ years in market, no outside investors. Support runs 7:00 AM to 8:00 PM Eastern on weekdays, with 24×7 on-call coverage for urgent issues.
WE KNOW YOUR CODES
We Have Billed Your Mix Before
You already know your codes. We have built the workflows, the scrubber rules, the documentation prompts, and the denial templates around them, so the reimbursement you earned is the reimbursement you collect. The list below is the short version of what runs every day inside the platform for an allergy and immunology practice:
- 95004, 95017, 95018, 95024, 95027: percutaneous and intradermal skin testing
- 95044, 95052: patch testing and photo patch tests
- 95115, 95117: single and multiple allergen injections
- 95165: preparation of allergen extracts, single-dose vials (per dose unit)
- 95145, 95146, 95147, 95148, 95149: stinging insect venom immunotherapy preparation
- 95076, 95079: oral and ingestion food challenge
- 96372, J-codes: therapeutic biologic injection with NDC and waste reporting
- 99202 to 99215: office E&M with MDM-based selection for complex allergy visits
- ICD-10: J30 (allergic rhinitis), J45 (asthma), L20 (atopic dermatitis), T78.40XA (anaphylaxis), L50.1, Z88.0
QUESTIONS WE HEAR EVERY WEEK
Allergy and Immunology Practice FAQ
Short answers below; the longer conversation happens on the demo. Tap any question to expand the answer.
Does GlaceEMR handle SCIT and SLIT recipes and shot histories natively?
Yes. The immunotherapy recipe and schedule engine is built into the chart, not bolted on. Per-patient SCIT and SLIT recipes carry vial concentration, extract content by allergen, lot numbers, diluent ratios, mixing date, expiration, and build-up versus maintenance schedule. Printable vial labels include patient identifiers, color coding, and dilution. The shot record captures dose, site, and reaction every visit, and the prior reaction is visible to the nurse drawing up the next dose. SCIT census, adherence, and recall views surface the patients who are due, overdue, or at risk of dropping the program. Venom immunotherapy (95145 to 95149) runs on the same engine.
How are skin test grids and patch test reads captured?
As structured, graphable data, not a scanned form. Pre-built grids for environmental, food, and custom panels include histamine and saline controls. Wheal and flare in millimeters are captured per allergen as discrete values. Patch reads at 48 and 96 hours are scored on a grid with morphology and photo attachments per patch. The reaction summary auto-generates for the patient letter. Two years later when the patient comes back for a retest, the prior grid is still graphable data in the chart, not a fuzzy PDF. Percutaneous (95004), intradermal (95024), and patch (95044) results all flow into the testing flowsheet and link to the patient’s allergic-rhinitis or contact-dermatitis problem entry.
Is GlaceScribe HIPAA-compliant, and where does the AI run?
Yes, fully HIPAA-compliant. GlaceScribe runs on HIPAA-compliant AI infrastructure from Amazon, Google, Anthropic, Deepgram, ElevenLabs, and other enterprise AI providers, all under business associate agreements. The multi-vendor architecture preserves operational redundancy. Up to four simultaneous speakers are supported, English and Spanish patient-facing, and all coding and order suggestions surface for clinician review before any signing. Nothing reaches the chart until the clinician approves it. Audio is processed in transit, the resulting note is stored in your single-tenant chart database with LUKS encryption at rest, and data never trains a shared model.
How does GlaceRCM handle biologic prior auth and buy-and-bill?
Our team assembles the prior-auth packet from the chart for omalizumab, dupilumab, mepolizumab, benralizumab, tezepelumab, and other biologic orders. The IgE, eosinophil count, ACT score, prior-therapy history, and clinical narrative all pull from structured fields, finished and validated by our billing specialists before submission. Buy-and-bill J-code claims include NDC, units, and waste reporting in the format each payer expects. When the payer mandates a specialty pharmacy alternative, we track that route instead. The week-long packet assembly your office manager used to run becomes a same-day review for the provider.
Do we have to switch EHRs to use GlaceRCM, and what does pricing look like?
Not necessarily. You pay a percentage of collections, with no base fees, no implementation charges, and no monthly minimums, quoted after a 20-minute discovery call. About 98% of Glenwood clients choose the full bundle, because the quality of the billing depends on the quality of the integration with the testing flowsheet. But we are flexible: if you want to keep your current EMR, our billing team will work your claims in your EMR or ours, and GlaceEMR is available standalone for practices that keep their own billing team. GlaceRCM operates at 95%+ first-pass adjudication and 99%+ collection rate of payer-allowed amounts across our active client base.
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If you carry adjacent panels, see how GlaceEMR runs pulmonology, dermatology, otolaryngology, and pediatrics.
See What Glenwood Can Do for Your Practice
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