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ClaimsXtenTM Announces Software Version Upgrade

April 18, 2017

Beginning on or after July 17, 2017, Blue Cross and Blue Shield of New Mexico (BCBSNM) will perform a system software upgrade for ClaimsXtenTM from version 4.4 to version 6.0. Key enhancements include but not limited to:

  • V6.0 is now XML formatting with flexibility at header and line levels during claims processing
  • The Clear Claim Connection (C3) tool will have a new look and feel; new data fields for greater claim specificity, ICD code set default will now be ICD-10
  • Clinical edit clarifications and related sources will continue to be available

An instruction document will be available by July 17 to assist with learning the navigation in Clear Claim Connection.

For more details regarding ClaimsXten, including answers to frequently asked questions, refer to the Education & Reference/Provider Tools/ Clear Claim Connection page on our Provider website at bcbsnm.com/provider. Information also may be published in upcoming issues of the Blue Review.

Checks of eligibility and/or benefit information are not a guarantee of payment. Benefits will be determined once a claim is received and will be based upon, among other things, the member's eligibility and the terms of the member's certificate of coverage applicable on the date services were rendered.

ClaimsXten and Clear Claim Connection are trademarks of McKesson Information Solutions, Inc., an independent third party vendor that is solely responsible for its products and services.

CPT copyright 2017 American Medical Association (AMA). All rights reserved. CPT is a registered trademark of the AMA.