Medical Billing Forum

Coding => Coding => : dawn November 18, 2008, 09:52:57 AM

: GHI will not pay for admin of vaccines
: dawn November 18, 2008, 09:52:57 AM
does anyone know how to get GHI to pay for admin of vaccines?  they will not pay when I bill 90465, 90466, 90471, 90472, or 90468 every other insurance company pays on these codes!
: Re: GHI will not pay for admin of vaccines
: Michele November 18, 2008, 09:36:55 PM
I am not aware of anyone having any difficulties with this.  The code is appropriate and it doesn't require a modifier.  I'm hoping another forum member may have had this problem and knows what you need to do.

Michele
: Re: GHI will not pay for admin of vaccines
: jenfogle November 19, 2008, 03:43:02 PM
is it a Healthy Options plan? if so, they will not pay for the admin.
: Re: GHI will not pay for admin of vaccines
: dawn January 07, 2009, 09:01:08 PM
not just Health Options - all GHI plans will not pay for any administrations of vaccines, they claim that they have a higher reimbursement rate for the vaccines so they don't pay for the admin - does any else get paid?
: Re: GHI will not pay for admin of vaccines
: Michele January 07, 2009, 10:13:52 PM
I'm not surprised.  GHI does a lot of 'bundling'. 

Michele