A A A
Font Size |
Print
 

RECOMBIVAX HB®

Insurance Verification Checklist

Download the Insurance Verification Checklist (PDF) to help get information concerning a patient's insurance coverage for a specific product.

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 product.

Product Denied Letter Reconsideration Letter
RECOMBIVAX HB®
(version 1)
[Hepatitis B Vaccine (Recombinant)]
 Recombivax (version 1) Reimbursement Denied Letter (PDF) Recombivax (version 1) Reimbursement Reconsideration Letter (PDF)
RECOMBIVAX HB®
(version 2)
[Hepatitis B Vaccine (Recombinant)]
 Recombivax (version 2) Reimbursement Denied Letter (PDF) Recombivax (version 2) Reimbursement Reconsideration Letter (PDF)
RECOMBIVAX HB®
(version 3)
[Hepatitis B Vaccine (Recombinant)]
 Recombivax (version 3) Reimbursement Denied Letter (PDF) Recombivax (version 3) Reimbursement Reconsideration Letter (PDF)

Request for Benefit Information

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

RECOMBIVAX HB is a registered trademark of Merck & Co., Inc.