Home › Forums › BILLERS’ BOARD › Adult COVID Billing to MC+ Plans
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November 15, 2023 at 2:09 pm #10989
Missouri Public Health AssociationKeymasterWhen an Medicaid adult comes in for COVID, are you billing their MC+ plan or straight MO Medicaid?
November 15, 2023 at 2:10 pm #16264
Missouri Public Health AssociationKeymasterTo their plan.
November 15, 2023 at 2:13 pm #16263
Missouri Public Health AssociationKeymasterOk we are receiving denials from Healthy Blue stating we need to bill MO Medicaid. Anyone else having this issue with Healthy Blue.
November 15, 2023 at 2:17 pm #16262
Missouri Public Health AssociationKeymasterI haven’t had any issues. If the participants didn’t fill out the paperwork that came out around the August-September area, then their plans may of changed. Are you verifying on Emomed they are giving you the correct insurance information.
November 15, 2023 at 2:22 pm #16261
Missouri Public Health AssociationKeymasterYep, I am even re-running it after the denials are received.
November 15, 2023 at 2:29 pm #16259
Missouri Public Health AssociationKeymasterAnd on Emomed it is telling you they have Healthy Blue?
November 15, 2023 at 3:05 pm #16207
Missouri Public Health AssociationKeymasterYes both Emomed & Availity are showing active Healthy Blue coverage.
November 15, 2023 at 3:35 pm #16206
Missouri Public Health AssociationKeymasterAre you billing private vaccine to MC+? If so how much do you bill for the vaccine?
November 15, 2023 at 4:55 pm #16205
Missouri Public Health AssociationKeymasterBill MC+ for COVID vaccine and if it denies admin just bill admin fee to healthy blue. Make sure and enter NDC and dose when billing for COVID or flu vaccine on MC+. I billed $145.92 which is the medicare allowable and its paying $129.50 for COVID vaccine
November 16, 2023 at 11:26 am #16204
Missouri Public Health AssociationKeymasterIt also pays $33.20 for COVID admin fee on emomed. Above when I said MC+ I meant emomed. If you have other ? I would be glad to help.
November 22, 2023 at 10:44 am #16203
Missouri Public Health AssociationKeymasterI am trying to bill adult covid vaccine. Adult patient with managed care. I am going through emomed to bill the medicine. What do i put in the box for. decimal quantity. The dosage is 0.3ml.
November 22, 2023 at 2:54 pm #16202
Missouri Public Health AssociationKeymasterWhat decimal quantity are you using when you bill through emomed for adult with managed care covid?
December 8, 2023 at 10:36 am #16201
Missouri Public Health AssociationKeymasterLaura Sorry Im just seeing this, then you would bill .300 for dose. Feel free to email me jill.masterson@dadecountyhealth.org if you have any other questions.
December 28, 2023 at 11:16 am #16129
Missouri Public Health AssociationKeymasterAlisha, are you billing the pharmacy or medical in EMOMED?
December 28, 2023 at 3:18 pm #16128
Missouri Public Health AssociationKeymasterBill it as medical claim, you must add the NDC #, units and script #.
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