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May 2015

BCBSM to use McKesson ClaimsXten™ for outpatient facility claims

As you may know, Blue Cross Blue Shield of Michigan has used McKesson ClaimsXten for the clinical editing of our professional claims since 2012. During the first quarter of 2016, we will begin using McKesson ClaimsXten clinical code editing for outpatient facility claims as well.

This change will help us meet the challenges of our ever-changing health care environment and provide faster, more flexible business processes for additional health care providers.

ClaimsXten will not only apply the Blue Cross payment application for outpatient facility services but will:

  • Provide enhanced technical functionality.
  • Improve overall claims management.
  • Assist with maintaining consistent payment policy in alignment with state and national mandates.

More information about ClaimsXten outpatient facility claim processing will be provided in future issues of The Record.

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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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