How would providers set up their billing systems to submit DBAs?

Providers need to contact their EMR/billing software vendor to ensure their billing systems and clearinghouse connections are:

1. Set up accurately to submit the DBAs, and
2. Updated annually with the correct CPT codes, NDC codes, and vaccine material amounts as per the WVA’s Vaccine Assessment Grid.

Guidance to EMR/Billing software vendors:

• All DBAs should be electronically submitted to the payer (health insurers and TPAs) using the 837 Professional format.
• DBAs should not be submitted directly to the WVA. The WVA’s Outpatient and Inpatient Billing Guides and supporting documents are available online.