Reimbursement Tutorial
This print summary, designed for health care providers and their office staffs, contains information on coverage, coding, and reimbursement under private health insurance and Medicare Part D. It was originally presented by Luis T. Gutierrez, Jr., President, Covance Commercialization Services. Mr. Gutierrez has in-depth knowledge of numerous medical technology markets, and regularly speaks to industry groups on health economic issues.
This tutorial is intended only for health care providers and their office staffs. It is not intended for use by patients and/or consumers.
Plan-Specific Information
Search for plan-specific information for ZOSTAVAX by state and plan type.
Medicare Part D eDispense Vaccine Manager
Medicare Part D eDispense Vaccine Manager is a new Web-based option for processing in-office Medicare Part D vaccine claims electronically. This Web-based tool is designed to provide patient-specific vaccine coverage information and allows for online claims processing for those Medicare Part D plans that are currently participating in the eDispense network. Health care professionals must first enroll in the eDispense Vaccine Manager online in order to process claims for the Part D plans listed. Merck is not responsible for the operation processing of claims through the eDispense Vaccine Manager, which is operated by Dispensing Solutions, Inc.™ (DSI). For general questions or information on how to enroll, see DSI's Web site at http://enroll.edispense.com. For additional questions or information, contact DSI directly at 1-866-522-3386.
(eDispense Vaccine Manager Availability Reports)
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.
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.
ZOSTAVAX is a registered trademark of Merck & Co., Inc.