Medical Billing Forum

Coding => Coding => Topic started by: dawn on November 18, 2008, 06:52:57 AM

Title: GHI will not pay for admin of vaccines
Post by: dawn on November 18, 2008, 06:52:57 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!
Title: Re: GHI will not pay for admin of vaccines
Post by: Michele on November 18, 2008, 06:36:55 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
Title: Re: GHI will not pay for admin of vaccines
Post by: jenfogle on November 19, 2008, 12:43:02 PM
is it a Healthy Options plan? if so, they will not pay for the admin.
Title: Re: GHI will not pay for admin of vaccines
Post by: dawn on January 07, 2009, 06:01:08 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?
Title: Re: GHI will not pay for admin of vaccines
Post by: Michele on January 07, 2009, 07:13:52 PM
I'm not surprised.  GHI does a lot of 'bundling'. 

Michele