Starting May 16, 2023, Medicare Part D vaccine claims should be submitted to TransactRx at transactrx.com/physician-vaccine-billing.
As announced in the February 2023 edition of Office Visit, the Part D Vaccine Billing Guidelines (Medicare) Reimbursement Policy that has been in effect for ConnectiCare will also apply to EmblemHealth. Consistent with guidance from the Centers for Medicare & Medicaid Services (CMS), EmblemHealth and ConnectiCare will not reimburse claims for Part D vaccines administered in the physician’s office and submitted under the Part B medical benefit.
JP 61807 04/2023
