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What's New
IVR Claim Status Menu Changes in July
BCBSIL Hosts 'e-Match' Expo
Care Comparison Data Collection Tool Form and Instructions
New Credentialing Process
Walmart Reminder
Electronic Refund Management – July Webinars
NPI Submission Edit Update — May 2010
Facility Outpatient Claim Submission Reminders – May 2010
Lowe's - Prior Certification Required for Specialty Drugs - May 2010
Modifier 59 Exempt Code and ClaimCheck® V45 Updates – May 2010
Stay Informed with E-Commerce 'Alerts' – May 2010


Modifier 59 Exempt Code and ClaimCheck® V45 Updates

Effective June 14, 2010, BCBSIL will make updates to the Modifier 59 exempt code pair logic through our code auditing tool, ClaimCheck. These changes are based on the updates to the Centers for Medicare and Medicade Services (CMS) National Correct Coding Initiative (NCCI) code auditing system. Additionally, effective July 26, 2010, BCBSIL will be upgrading to McKesson ClaimCheck Version 45 for all lines of business.

For further information about current bundling methodologies, or to request specific code-to-code bundling, you may utilize Clear Claim ConnectionTM (CCC or "C3"), a Web-based code auditing reference tool available to all independently contracted BCBSIL providers.

ClaimCheck and Clear Claim Connection are trademarks of McKesson Information Solutions, Inc., an independent contractor.

May 2010


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