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April 2016

Blue Cross updating ClaimsXten™ for third-quarter 2016

McKesson ClaimsXten software, which uses the most current Common Procedure Terminology and Health Care Procedure Coding System codes to determine clinical edits, is periodically updated. This ensures that the most current CPT code updates, Centers for Medicare & Medicaid guidelines, specialty society guidelines and information gathered from industry seminars and publications are being used.

Blue Cross Blue Shield of Michigan is updating ClaimsXten for the third quarter of 2016, so 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 reimbursements more quickly and efficiently.

Blue Cross works to make sure that ClaimsXten is also aligned with any unique Blue Cross payment policy. Blue Cross reserves the right to make changes or corrections when additional changes are required or new information becomes available. In some instances, changes to ClaimsXten may be applied retroactively.

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 2015 American Medical Association. All rights reserved.
Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and
independent licensees of the Blue Cross and Blue Shield Association.