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Pediatric Coding Alert

Practice Perspective:

Get to Know Whether to Hold Vaccine Claims Or Submit Them Now

Published on Mon Feb 21, 2011

This practice confirmed whether its payers were ready to accept vaccine claims.If your insurer hasn't said a peep about whether it will accept the new vaccine administration codes 90460-90461, you should contact the provider relations department directly. That's how Bonnie Palmer with Lawrenceville Pediatrics in Georgia determined which claims she should submit now, and which she should hold onto.Palmer's local insurers gave her the following advice on submitting claims. If you'd like to follow her lead and determine which payers are reimbursing for vaccines, contact all of the payers with whom you are contracted and ask them for specific advice on the new codes. In addition, she adds, "I would recommend that offices only send a few claims to see how they are processing before they send hundreds and find out that they are all denying."Blue Cross and Blue Shield of Georgia has the new codes loaded into its systems [...]
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