Providers now have an online option for processing Medicare Part D vaccine claims electronically. eDispense Part D Vaccine Manager, a product of Dispensing Solutions Inc., provides physicians with real time claims processing for in-office administered vaccines. This new online resource helps to reduce the current challenges in providing Medicare Part D vaccines and vaccine administration reimbursement to our members.

 

How to enroll
Enrollment in eDispense is available at no cost to physicians or patients.
After completing a simple one-time online enrollment process at http://enroll.edispense.com physician offices can:

• verify members’ eligibility and benefits in real-time
• advise members of their appropriate out-of-pocket expense
• submit vaccine claims electronically
• receive reimbursement information in real-time

Physicians should select an authorized staff member who is most likely to be the primary user of the system to enroll the practice. This person should be prepared to provide the following information about the practice:

• Tax identification Number
• National provider identifier(s) (NPI)
• Medicare ID number
• Drug Enforcement Administration (DEA) number
• State medical license number

When using eDispense Part D Vaccine Manager to file a Medicare Part D vaccine claim, physicians will be reimbursed according to MVP Health Care’s  reimbursement schedule, less the member’s copay.

 

**It is important to note that the member’s copay is not always a flat dollar amount.  It could be a percentage copay or even full price depending on where the member is in their Part D pharmacy benefit (for example: if a member is in their deductible phase or coverage gap, they could be responsible for 100% of the cost for the vaccine and its administration).

 

eDispense cannot be used to bill the administration and cost of Medicare Part B covered vaccines (e.g. influenza vaccine, pneumococcal vaccine, or Hepatitis B vaccine for low risk individuals).

 

Questions?
For questions related to Enrollment and claims processing, call Dispensing Solutions’ customer support center at 1-866-522-3386 (EDVM).  You can also contact the Professional Relations Service Center at (585) 325-3114 or (800) 999-3920, or e-mail us at professionalrelations@mvphealthcare.com.