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.

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July 2019 Anthem New Hampshire Provider News