Missouri Tests System Using Physician Billing Data from a Medical Billing Clearinghouse to Track Immunizations

Improving the transmission of clinical data to public health databases

The Missouri Department of Health and Senior Services (MDHSS) designed, tested and evaluated a method to capture immunization data directly from physician billing and link it to the state's integrated health information system.

Key Conclusions

  • The project demonstrated that extracting immunization information from physician billing data is a viable means to acquire accurate, timely vaccine data for young children. This method may not be viable for other conditions.

  • Based on project results, expanding the number of medical billing clearinghouses that submit immunization data to MDHSS would increase the number of doses of vaccine documented in the statewide registry.