Code-Auditing Enhancement

Aug. 08, 2017

Effective November 12, 2017, Blue Cross and Blue Shield of Montana (BCBSMT) will be implementing a code-auditing enhancement.* This software will help improve auditing of professional and outpatient facility claims that are submitted to BCBSMT by clinically validating modifiers submitted on such claims. Upon implementation of the code-auditing enhancement, providers may use the Claim Research Tool, available on the AvailityTM Web Portal, to research specific claim edits. For additional information, watch the Blue Review, as well as the News and Updates section of our Provider website.

*The above notice does not apply to government programs claims.

Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSIL. BCBSIL makes no endorsement, representations or warranties regarding any products or services offered by third party vendors such as Availity. If you have any questions about the products or services offered by such vendors, you should contact the vendor(s) directly.

Blue Cross®, Blue Shield® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans.