While we are on the insurance coverage issue...how about the insurer we just came across that does not include Prevnar in their immunization benefit for employees because it is not required for school and they ONLY cover those that are required? Or, how about the insurer that we cannot yet seem to convince that Hemophilus Influenza B shot is NOT a flu shot (causing us to repeatedly submit claims)? I sense that we will soon be reporting them to the insurance commissioner as we did another company who was telling us they only reimbursed for separate Hep. and separate HIB. and that we should bill the combination this way. We wrote the commissioner and reported them. After notification from the insurance commissioner (who "instructed" them to change their system within 30 days or else...) they did! One office CAN make a difference on a large scale:) Karen Kohlruss RN BSN Holland Pediatrics