EXL Health Complex Claim Review Paused, Effective Feb. 8

March 8, 2023

Effective February 8, 2023, BCBSMT paused post-payment review of complex claims through EXL Health to allow time for providers time to adjust billing processes. This pause does not impact Blue Card claims.

EXL Health began conducting post-payment review of commercial claims on behalf of Blue Cross and Blue Shield of Montana (BCBSMT) in 2022.

Watch News and Updates for future program announcements as we will provide a 60-day notice prior to the resumption of post-payment review through EXL Health.

If you have questions, please contact your BCBSMT Network Representative.

EXL Health is an independent company that has contracted with BCBSMT to provide medical claim audits for members with coverage through BCBSMT.

BCBSMT makes no endorsement, representations or warranties regarding third-party vendors and the products and services offered by them.