February 2024
Blue Cross and Blue Shield of Illinois will implement its first quarter code updates for the ClaimsXten auditing tool on or after April 15, 2024.
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 post advance notice of significant changes, like implementation of new rules, in the News and Updates section of our Provider website. Information also may be included in the Blue Review.
Use Clear Claim Connection™ to determine how certain coding combinations may be adjudicated when we process your claim. C3 is a free, online reference tool that simulates how BCBSIL’s code-auditing software works.
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 on C3 and ClaimsXten, refer to the Clear Claim Connection page. It includes a user guide, rule descriptions and other details.
This article doesn’t apply to government programs (Medicare Advantage and Illinois Medicaid) member claims.
