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November 2015

Blue Cross to update McKesson ClaimsXten for first quarter 2016

McKesson ClaimsXten — software that uses the most current Common Procedural Terminology and Health Care Procedure Coding System codes to determine clinical edits — will be updated in January 2016.

McKesson updates the ClaimsXten information base quarterly, using CPT code updates and Centers for Medicare & Medicaid Services guidelines, specialty society guidelines and information gathered from industry seminars and publications. In turn, Blue Cross Blue Shield of Michigan implements changes to ClaimsXten quarterly to ensure we’re following the most current rules.

That’s why it’s important 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.

Review upcoming issues of The Record for future ClaimsXten updates. If you have any questions, contact your provider consultant.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

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