On April 10, 2018, BlueCross BlueShield of South Carolina and BlueChoice HealthPlan announced that we would upgrade our code-auditing system from ClaimCheck® to ClaimsXtenTM during the first quarter of 2019. ClaimsXten is Change Healthcare’s next-generation solution for ensuring proper coding on health insurance claims. This upgrade will take place on March 2, 2019.
ClamsXten is a market-leading, rules-based software application that evaluates claims for adherence to BlueCross and BlueChoice coverage and reimbursement policies, benefit plans, and industry-standard coding practices based mainly on Centers for Medicare & Medicaid Services (CMS) and American Medical Association (AMA) guidelines. This clinically based code review application will replace our current ClaimCheck® code review tool.
In preparation of this implementation, we will be hosting several online training opportunities.
- Tuesday, Feb. 5, 2019 at noon
- Thursday, Feb. 7, 2019 at noon
- Tuesday, Feb. 12, 2019 at noon
- Thursday, Feb. 14, 2019 at noon
You can read more about ClaimsXten in the initial announcement or review the ClaimsXten: Correct Coding Initiative Reference Guide.
If you have questions about this bulletin please contact Provider Relations and Education by submitting the Provider Education Contact Form or by calling 803-264-4730 and a knowledgeable education specialist will respond.