Blue Cross and Blue Shield of New Mexico (BCBSNM) will implement its fourth quarter code update for the ClaimsXten auditing tool on or after April 17, 2023.
- 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 (HCPCS) codes
When applicable, BCBSNM may also post advance notice of significant changes, like implementation of new rules, in the News and Updates section of our Provider website and the Blue Review monthly newsletter.
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 BCBSNM’s 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 the Clear Claim Connection page in the Education and Reference/Tools section of our provider website for more information on C3 and ClaimsXten. It includes a user guide, rule descriptions and other details.
ClaimsXten and Clear Claim Connection are trademarks of Change Healthcare, an independent company providing coding software to BCBSNM. Change Healthcare is solely responsible for the software and all the contents.
CPT copyright 2021 American Medical Association (AMA). All rights reserved. CPT is a registered trademark of the AMA.