AdministrativeAnthem Blue Cross and Blue Shield | CommercialJune 30, 2019

State-supplied vaccines reminder - professional

A recent review of claim denial trends has identified that providers are not billing appropriately for state-supplied vaccines. As a reminder, when billing for the administration of state-supplied vaccines, it is important that the state-supplied vaccine be reported with the SL modifier and a $0.00 billed charge along with the corresponding vaccine administration code.  Additionally, and just as important, vaccines and their respective vaccine administration procedure codes for a single date of service should be reported on the same claim form.