NCPA has updated the vaccine billing handout for members with the info you need to bill COVID-19 boosters. The most recent NCPDP guidance (current version here; see Section 10), recommend that claims for COVID-19 boosters use Submission Clarification Code (SCC) 10. Some PBMs may temporarily require SCC 07 and SCC 10 to be submitted together which allows them to process claims immediately and avoid having to reject claims in this fluid situation. Email [email protected] with questions.
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