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90715

cmcgarry

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Messages
358
Location
Sioux Falls South Dakota
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Most insurances don't cover very many routine vaccinations for adults. I would check with the payer to see if this is a contract exclusion (in which case you can usually bill the patient). Each payer has different policies; and even different groups can purchase different benefits.

On a personal note - I had my booster (Tdap) and didn't even expect the insurance to pay for it - but of course, I work for insurance so I should know my own benefits!:)

If your EOB puts it to patient responsibility, it is probably non-covered and you can bill the patient; if, however, they put it to provider and want you to write it off, I would be calling them.

Hope this helps,
 
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