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 Association
KeymasterWhen an Medicaid adult comes in for COVID, are you billing their MC+ plan or straight MO Medicaid?
November 15, 2023 at 2:10 pm #16264Missouri Public Health Association
KeymasterTo their plan.
November 15, 2023 at 2:13 pm #16263Missouri Public Health Association
KeymasterOk 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 #16262Missouri Public Health Association
KeymasterI 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 #16261Missouri Public Health Association
KeymasterYep, I am even re-running it after the denials are received.
November 15, 2023 at 2:29 pm #16259Missouri Public Health Association
KeymasterAnd on Emomed it is telling you they have Healthy Blue?
November 15, 2023 at 3:05 pm #16207Missouri Public Health Association
KeymasterYes both Emomed & Availity are showing active Healthy Blue coverage.
November 15, 2023 at 3:35 pm #16206Missouri Public Health Association
KeymasterAre you billing private vaccine to MC+? If so how much do you bill for the vaccine?
November 15, 2023 at 4:55 pm #16205Missouri Public Health Association
KeymasterBill 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 #16204Missouri Public Health Association
KeymasterIt 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 #16203Missouri Public Health Association
KeymasterI 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 #16202Missouri Public Health Association
KeymasterWhat decimal quantity are you using when you bill through emomed for adult with managed care covid?
December 8, 2023 at 10:36 am #16201Missouri Public Health Association
KeymasterLaura 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 #16129Missouri Public Health Association
KeymasterAlisha, are you billing the pharmacy or medical in EMOMED?
December 28, 2023 at 3:18 pm #16128Missouri Public Health Association
KeymasterBill it as medical claim, you must add the NDC #, units and script #.
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