EXL HEALTH Complex Claim Review Resumes, Effective August 2023

May 31, 2023

In February 2023, Blue Cross and Blue Shield of Montana (BCBSMT) temporarily paused post-payment review of complex claims through EXL Health.

Effective August 1, 2023, EXL Health will resume post-payment review of complex claims.

Changes to the Complex Claim Review:

  • Dollar threshold raised to paid amount of $75,000 and above
  • For claims dates of service on or after August 1, 2023

Watch News and Updates for future program announcements.

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.