October 2023
Blue Cross and Blue Shield of Illinois (BCBSIL) will implement its fourth quarter code updates for the ClaimsXten auditing tool on or after Dec. 4, 2023.
These quarterly code updates aren’t considered changes to the software version. Code updates may include additions, deletions and revisions to:
When applicable, BCBSIL 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 Connection™ (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 BCBSIL’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/Provider Tools section of our Provider website. It includes a user guide, rule descriptions and other details.
