Effective Nov. 12, 2017, Blue Cross Blue Shield of Texas (BCBSTX) will be implementing an enhancement to the Verscend ConVergence Point code-auditing software*. This software enhancement will help improve auditing of professional and outpatient facility claims that are submitted to BCBSTX by clinically validating modifiers submitted on such claims.
Upon implementation of the code-auditing enhancement, providers may use the Claim Research Tool (CRT), available on the AvailityTM Web Portal. The CRT offers enhanced, real-time claim status functionality, along with detailed ineligible reason codes descriptions.
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.
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