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April 2015

BCBSM to update McKesson ClaimsXten for third quarter 2015

McKesson ClaimsXten, which uses the most current Common Procedure Terminology and Health Care Procedure Coding System codes, will be updated in July 2015.

As a result, we ask that you report the most current CPT and HCPCS codes on your claims. By reporting the most current codes, you will help us to process claims and send accurate reimbursement more quickly.

McKesson’s ClaimsXten is software that reviews procedure combination coding and compares CPT codes billed on claims against national rules to check for billing inconsistencies or errors. BCBSM uses ClaimsXten for clinical edits within our claim systems.

McKesson continually updates ClaimsXten information base using yearly CPT code updates, CMS guidelines, specialty society guidelines and information gathered from industry seminars and publications. In turn, BCBSM quarterly implements ClaimsXten updates in our claims system to ensure we are using current rules.

Watch upcoming issues of The Record for further ClaimsXten updates.

If you have questions, contact your provider consultant.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2014 American Medical Association. All rights reserved.
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