COVID-19 Vaccine

COVID-19 Vaccine

BlueCross BlueShield of South Carolina and BlueChoice® HealthPlan continue to work diligently and actively to ensure the provider community is abreast of important information related to COVID-19 to allow for seamless services.  The COVID-19 vaccine is in the works to help fight the virus and both plans will cover the administration of the vaccine at 100 percent of the allowed amount.  Below are terms and conditions that must be followed.

Enroll – 

To receive and administer the COVID-19 vaccine, you must enroll in the federal COVID-19 Vaccination Program.  Be mindful that you must be credentialed with BlueCross BlueShield of South Carolina, and sign and agree to the conditions outlined in the CDC COVID-19 Vaccination Program Provider Agreement.  To view and complete the agreement, click here.

Report – 

Within 24-hours of administering the COVID-19 vaccine, be sure to record it in the recipient’s medical record and report all required information to the relevant state, local or territorial public health authority within 72-hours.

It is important that you maintain the vaccine administration records for at least three years following vaccination, or longer if required by state, local or territorial law.

Communicate – 

For most COVID-19 vaccines, two doses of vaccines, separated by 21 or 28 days, will be needed.  As different COVID-19 vaccines will not be interchangeable, the recipient’s second dose must be from the same manufacturer as the first dose.

For this reason, it is strongly encouraged that you make every attempt to schedule the patient’s second dose appointment when they receive their first dose.

Filing Guidelines – 

Be sure to submit claims for the administration of the vaccine to the appropriate lines of business (LOBs).  Submitting claims electronically is the quickest and preferred method.  For your convenience, the electronic payer IDs are listed below.

Thomas Cooper: 00315, State Health Plan: 00400, BlueCross BlueShield of South Carolina: 00401, FEP: 00402, PAI: 00886, BlueChoice® HealthPlan: 00922 and Medicare Advantage: 00C63.

If you have any questions about this bulletin, please contact Provider Education at Provider.Education@bcbssc.com or reach out to your Provider Education Representative for further assistance.