Reimbursement Forms

The resources in this section provide information to help physicians and their staffs with Merck vaccine reimbursement claims. If you still have questions after consulting these resources, our professional staff can provide personalized assistance for appropriate billing, coding, or other claims submission procedures related to Merck vaccines.

Questions?

Contact a Merck Vaccine Reimbursement Support Center professional at 1-800-734-6282 between the hours of 9:00 am and 8:00 pm (ET), Monday through Friday.

Insurance Verification Checklist

Download the Insurance Verification Checklist (PDF) to help verify that a patient's insurance will cover a specific vaccination.

Plan-Specific Information

Search for plan-specific information by Merck Vaccine product, state, and plan type.

Reimbursement Claim Support Letters

To streamline your practice's reimbursement process, the Merck Vaccine Reimbursement Support Center provides you with sample advocacy letters concerning various reimbursement issues. Letters are customized by Merck vaccine product. View sample letters.

Request for Benefit Information

Use the Request for Benefit Information form to ask the Merck Vaccine Reimbursement Support Center to research your reimbursement question directly with a third-party payer. This service is limited to five (5) patients per month, per office location.

Information concerning Medicare Part D

Certain adult vaccines may be eligible as a pharmacy benefit and may be reimbursed under one of two types of Medicare Part D plans. Learn more.