Payment

Adult Vaccine Billing Guide:

Overview of insurance coverage for adult immunizations.

 

Vaccine Payor Resources: (Protected)REGISTERLOGIN

Vaccine management tips to help protect your bottom line.

 

The Business Case for Pricing Vaccines:

The AAP’s Business Case for Pricing Vaccines

 

Vaccines for Children Program (VFC) Act of 2021 Support Letter:

The Strengthening the Vaccines for Children Program (VFC) Act of 2021

 

Benchmarking:

CDC – Vaccine Private Sector Price List

AAP – Vaccine Payment Benchmark Summary

 

Simplified Financial Analysis: (Protected)REGISTERLOGIN

Check your profitability for individual vaccines and identify any areas of concern.

 

Payer Mix Worksheet

Compare payment rates for each vaccine CPT code across your major payers to easily identify areas of concern.

 

CMS Guidance:

CMS PFS Relative Value (RVU) Files

Medicare Coverage for Vaccines

 

Vendor Partner Vaccine Reimbursement Helplines:

Sanofi Pasteur: 800-822-2463  (Sanofi Pediatric Vaccine Inquiry Form)

Merck: 800-734-6282

Pfizer: 800-666-7248