Dec. 10, 2024
We will implement first quarter code updates for the ClaimsXten auditing tool on or after March 17, 2025.
These quarterly code updates aren’t considered changes to the software version. Code updates may include additions, deletions and revisions to:
Current Procedural Terminology (CPT®) codes
Healthcare Common Procedure Coding System codes
When applicable, we may also post advance notice of significant changes, like implementation of new rules, in News and Updates and Blue Review.
Use Clear Claim ConnectionTM (C3) to determine how certain coding combinations may be adjudicated when we process your claim. C3 is a free, online reference tool that mirrors the logic behind our code-auditing software.
Please note that C3 doesn’t contain all of our claim edits and processes. Its results don’t guarantee the final claim decision.
For more information, refer to our Clear Claim Connection page for a user guide, rule descriptions and other details.
This article doesn’t apply to government programs (Medicare Advantage and Illinois Medicaid) member claims.
ClaimsXten and Clear Claim Connection are trademarks of Lyric, an independent company providing coding software to Blue Cross and Blue Shield of Illinois. Lyric is solely responsible for the software and all the contents.
CPT copyright 2023 American Medical Association. All rights reserved. CPT is a registered trademark of the AMA.