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July 2015

BCBSM to update McKesson ClaimsXten for fourth quarter, 2015

McKesson ClaimsXten, software, which uses the most current Common Procedure Terminology and Health Care Procedure Coding System codes to determine clinical edits, will be updated in October 2015.

McKesson updates the ClaimsXten information base quarterly, using CPT code updates, CMS guidelines, specialty society guidelines and information gathered from industry seminars and publications. In turn, Blue Cross implements changes to ClaimsXten quarterly to ensure we’re following the most current rules.

That’s why it’s important that you report the most current CPT and HCPCS codes on your claims. Doing so will help us process claims and send accurate reimbursement more quickly and efficiently.

Watch upcoming issues of The Record for future ClaimsXten updates. If you have any 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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