Know how to access and use RC Claim Assist through Availity Essentials

This article was developed to provide information on how to access and use RC Claim Assist, a free web‑based resource. RC Claim Assist provides:

• An overview of medical drug products
• A calculation tool to identify the correct National Drug Code and CPT codes to bill
• The correct NDC quantity to bill
• The unit of measure and HCPCS billable units according to the package information

How to access RC Claim Assist

Here’s how to find RC Claim Assist within Availity Essentials:

1. Go to availity.com** and log in to your provider portal.
2. Select Payer Spaces on the menu bar.
3. Click on the BCBSM and BCN logo.
4. Go to the Applications tab.
5. Click on RC Claim Assist medical drug coding tool
6. Click on Select a Provider.
7. Click on Submit.

Tips to help you use RC Claim Assist

You can use any of the following starting points to retrieve the conversion between HCPCS or CPT and NDC:

• HCPCS or CPT code
• NDC code
• Drug name

Refer to the tool only as a general reference and in conjunction with other resources, such as applicable fee schedules.

Note: Average wholesale price displayed is for reference only and doesn’t reflect the actual reimbursement in claims processing.

Availity is an independent company that contracts with Blue Cross Blue Shield of Michigan and Blue Care Network to offer provider portal services.

**Blue Cross Blue Shield of Michigan and Blue Care Network don’t own or control this website.