Additional Code-auditing Software Scheduled for May 7, 2017 Implementation

January 23, 2017

Blue Cross Blue Shield of Texas (BCBSTX) will be implementing an additional code-auditing software system “Verscend ConVergence Point”, effective May 7, 2017. * This software will enhance auditing of professional and outpatient facility claims for correct coding according to Healthcare Common Procedure Coding System (HCPCS), Current Procedural Terminology (CPTR) and Centers for Medicare & Medicaid Services (CMS) guidelines.

Upon implementation, providers may use the Claim Inquiry Resolution tool, available on the AvailityTM Learn more about third-party links 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.

ConVergence Point is a trademark of Verscend Technologies, Inc., an independent third party vendor that is solely responsible for its products and services.

CPT copyright 2016 American Medical Association (AMA). All rights reserved. CPT is a registered trademark of the AMA.

Availity is a trademark of Availity, L.L.C., a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSTX. BCBSTX 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.