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Wiki 90715
- Thread starter deut649
- Start date
mitchellde
True Blue
what does the denial indicate? it is probably due to not covered.
cmcgarry
Guest
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,
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,