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The fastest growing health plan in Michigan

We're a nationally recognized nonprofit health benefits company focused on improving the health and lives of one million members across Michigan.

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Helping Michiganders manage mental health

We're working to resolve some vaccine claims denying incorrectly

We recently experienced two issues with vaccine codes denying when they shouldn’t:

Flu vaccine CPT codes 90656, 90658 and 90661 denied incorrectly for children under 4 years of age when they’re available for those ages 6 months and older.
Some vaccine codes (90476-90759, A4641-A4642, A9500-A9800, B4034-B9999 and Q9950-Q9983) have been denying for Medicaid members for missing or invalid NDC when they shouldn’t.

The issues impact claims with dates of service on or after Aug. 1, 2024.

There’s nothing you need to do. We’re currently working to correct the system error and reprocess impacted claims.

The issue with flu vaccines and age limit has been corrected. A correction for the issue with vaccine codes denying for missing / invalid NDC is expected to be in place on Nov. 24, 2024.

We value your partnership and the care you provide our members, and we sincerely apologize for any inconvenience this has caused. Thank you for your patience and understanding.

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