Medical Billing Forum
Coding => Coding => : dawn November 18, 2008, 09:52:57 AM
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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!
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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
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is it a Healthy Options plan? if so, they will not pay for the admin.
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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?
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I'm not surprised. GHI does a lot of 'bundling'.
Michele