Online Billing Enrollment
Enrollment in TransactRx is available at no cost to physicians or patients. After completing a simple one-time online enrollment process on the TransactRx Website physician offices can:
- Verify Members’ eligibility and benefits in real-time
- Advise Members of their appropriate out-of-pocket expense
- Submit vaccine claims electronically
- Receive reimbursement information in real-time
Physicians should select an authorized staff member who is most likely to be the primary user of the system to enroll the practice. This person should be prepared to provide the following information about the practice:
- Tax identification number
- National provider identifier(s) (NPI)
- Medicare ID number
- Drug Enforcement Administration (DEA) number
- State medical license number
When using TransactRx Part D Vaccine Manager to file a Medicare Part D vaccine claim, physicians will be reimbursed according to MVP Health Care’s reimbursement schedule, less the Member’s co-pay. Note: The Member’s co-pay is not always a flat dollar amount. It could be a percentage co-pay or even full price depending on where the Member is in their Part D pharmacy benefit (for example: if a Member is in their deductible phase or coverage gap, they could be responsible for 100% of the cost for the vaccine and its administration). TransactRx cannot be used to bill the administration and cost of Medicare Part B covered vaccines (e.g., influenza vaccine, pneumococcal vaccine, or Hepatitis B vaccine for high or intermediate risk individuals).
For questions related to enrollment and claims processing, call Dispensing Solutions’ customer support center at 1-866-522-3386 (EDVM). You can also contact the Professional Relations Service Center at 1-585-325-3114 or 1-800-684-9286 , or email us.