We're reprocessing incorrectly rejected Tdap vaccine claims

Between July to September 2023, claims for CPT code 90715 (Tdap vaccine 7 yrs/> im) front-end rejected for missing National Drug Code (NDC) when they shouldn’t have.

There’s nothing you need to do. These claims were billed correctly, and we’ll reprocess them for payment. 2023 PCP Incentive Program (PIP) settlement won’t be impacted as immunization data is pulled from MCIR, not claims.

We value your partnership and the care you provide our members. We sincerely apologize for any inconvenience this has caused. Thank you for your patience and understanding.