CommercialCoverageMedium impact
[Virginia] Discontinuation of payment for immunization administration fees
Anthem BCBS·VA · Family Medicine, Internal Medicine, Pediatrics +1 more·Claims & Billing
We identified it
May 3, 2026
Summary
Anthem Virginia will discontinue payment for immunization administration fees. Healthcare practices in Virginia should stop billing these administration codes to Anthem and verify alternative billing procedures for vaccine administration services.
Action Required
Immediately: Billing team must stop submitting claims to Anthem Virginia for immunization administration fees. Review current billing practices for vaccine administration and contact Anthem Virginia to clarify alternative billing procedures or if patients will need to pay out-of-pocket for administration services. Update billing software rules to flag these services for Anthem Virginia patients.