ClaimsXten™ Quarterly Update Effective Aug 19, 2024  

May 8, 2024

Blue Cross and Blue Shield of Montana will implement its third quarter code updates for the ClaimsXten auditing tool on or after Aug. 19, 2024.

These quarterly code updates aren’t considered changes to the software version. Code updates may include additions, deletions and revisions to:

  • Current Procedural Terminology codes
  • Healthcare Common Procedure Coding System codes

When applicable, BCBSMT 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 ConnectionTM (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 our 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 for more information on C3 and ClaimsXten. It includes a user guide, rule descriptions and other details.

ClaimsXten and Clear Claim Connection are trademarks of Lyric, an independent company providing coding software to BCBSMT. Lyric is solely responsible for the software and all the contents.

CPT copyright 2023 American Medical Association (AMA). All rights reserved. CPT is a registered trademark of the AMA.