Feb. 9, 2021

Disclaimer: Due to continual development by the Centers for Disease Control and Prevention (CDC) and state laws, the contents of this bulletin will be updated regularly. Please refrain from saving or printing this information to ensure you always have the latest updates.

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 available to help fight the virus and both plans cover the administration of the vaccine at 100 percent of the allowed amount.

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, Healthy Blue℠: 00403, PAI: 00886, BlueChoice^® HealthPlan: 00922 and Medicare Advantage: 00C63.

Vaccine Administration Codes

Pfizer –

• 0001A – First Dose – 30mcg/0.3mL dosage
• 0002A – Second Dose – 30mcg/0.3mL dosage

Moderna –

• 0011A – First Dose – 100 mcg/0.5mL dosage
• 0012A – Second Dose – 100 mcg/0.5mL dosage

Johnson & Johnson –

• 0013A

Note: All three vaccines are funded by the government and should not be submitted for payment.

If you have any questions regarding the information in this bulletin, please contact Provider Education by using the Provider Education Contact Form located on www.SouthCarolinaBlues.com or www.BlueChoiceSC.com.