Immunization Program Billing

Billing resources for providers that vaccinate.

• Does billing make sense for your practice?
  Before you begin billing, assess whether or not you have the resources necessary to begin billing health plans.
• Setting up a Billing Program for Immunization Services
  Includes a checklist of activities that providers may consider when setting up a billing program.
• Contracts and Credentialing with Health Plans
  A contract documents the obligations and responsibilities of each health plan, practitioner, and provider organization. Credentialing determines practitioner or provider competency to deliver acceptable medical care.
• Electronic Funds Transfer (EFT) for Immunization Services
  Health Plans use EFT as the preferred method for reimbursing providers.
• Claims Management
  Medical claims management software systems automate clinic procedures and activities, and in some cases, can be used as clearinghouses. 
• Health Plan Website Registration
  Each health plan has a website health care providers can use for insurance verification, claims status and other functions. 
• Billing Information for Patient Encounters
  Guidance on steps to take before and during patient encounters to begin billing.
• Submitting Claims
  Resources and contacts for the process of submitting claims.
• Denial Reason Codes
  Explanations of the four most commonly used denial codes classifications.