Traditional MedicareAdministrativeHigh impact
Reminder: New Claims Process for Medicare Part D Vaccine Billing
EmblemHealth·Reimbursement
Effective date
May 16, 2023
We identified it
Jun 20, 2026
Summary
Starting May 16, 2023, Medicare Part D vaccine claims must be submitted to TransactRx at transactrx.com/physician-vaccine-billing instead of through the Part B medical benefit. EmblemHealth and ConnectiCare will not reimburse Part D vaccine claims submitted under Part B medical benefits.
Action Required
By May 16, 2023: Billing team must stop submitting Medicare Part D vaccine claims through Part B medical benefit. Instead, submit all Medicare Part D vaccine claims to TransactRx at transactrx.com/physician-vaccine-billing. Update billing workflows for EmblemHealth and ConnectiCare members. Claims submitted incorrectly will not be reimbursed.