Blue Cross and Blue Shield of New Mexico (BCBSNM) promoted testing use of ICD-10 on electronic professional and institutional claims (837P and 837I transactions) as critical to successful implementation. Enrollment in our ICD-10 Testing Program was open to all interested providers who met necessary prerequisites. End-to-end testing began in May 2015 and providers were encouraged to enroll through Aug. 7, 2015.
Participants submitted test claims for BCBSNM members based on actual patient records. Participants submitted duplicate or “twin” claims for testing – one claim used ICD-9 codes and its twin was coded with ICD-10. BCBSNM processed both the ICD-9 and ICD-10 claims with the intention of taking all submitted and accepted test claims to a finalized status. For each finalized claim, BCBSNM returned an 835 Electronic Remittance Advice (ERA). Participating providers also received testing summary results for each set of twin claims.
The end-to-end testing has indicated that systems at BCBSNM appear to be ready to accept and process ICD-10 claims. The end-to-end testing also indicates that major clearinghouses appear ready to handle ICD-10 claims appropriately. For additional information, refer to our ICD-10 Testing Program overview and results summary.