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Hi all~
I’m looking for some suggestions or input please regarding getting the process started with private insurance billing.
Our health department does not use VaxCare. We have in the past (before my time here & I’ve been here 3.5 years), but due to some heavy frustrations we no longer use this service. We are contracted and credentialed with Medicaid, along with all 3 Managed Care plans, and are wanting to expand into being able to bill private insurance.
For other health departments with a similar situation, how did you select which private insurance plans to start contracting and credentialing with 1st? Did you start with one plan at a time or did you have several plans contracting & credentialing at the same time?
Any input or willingness to share your experiences would greatly be appreciated!
Also, if you would list the county you are with, along with your email(if it’s ok to email you with any further questions), that would be great!Thank you all!
Sarah Cook, CPC
Medical Biller
Certified Medical Coder
Cass County Health Department
scook@casscounty.comHi Sarah–
Grundy County started billing private insurance several years ago when VaxCare wouldn’t take us, we felt like we had no choice.
We surveyed our largest employers to see who their insurance company was and we started with that. When you get Blue Cross and United Healthcare, that’s most of it and then we’ve just added on other smaller carriers as we go. The State helped us with a list of insurance contact people so we’d know who to call to request a contract.
We do not have an EHR and have been using TransactRx to bill. It’s not great, but it works.
One of the most challenging things is getting the remittance advice from the carrier. Some will send paper, others have a portal you have to register for. It would probably be a lot easier if we had an EHR.
We are billing for COVID vaccine administration and got a check today.
Elizabeth Gibson
Grundy County
egibson@grundycountyhealth.orgContracting with Medicare Part B is a pain! We had some funding years ago to help get started. I will see what I can find that might help and email to you.
Thank you for your responses with suggestions & input. They really help!
I apologize that I haven’t responded sooner as I am also covering Epi duties for our health department and work on this task as time allows.
Thank you again, all information is greatly appreciated!
Sarah Cook, CPC
Cass County Health Department
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