ClaimCheck transitions to ClaimsXten
Applicable To: Mercy Care Complete Care, Mercy Care DD, Mercy Care DCS CHP, Mercy Care Long
Term Care, Mercy Care RBHA and Mercy Care Advantage
Mercy Care has begun migrating from Change HealthCare’s ClaimCheck to Change HealthCare’s ClaimsXten.
What is ClaimsXten?
ClaimsXten is an auditing software product from Change HealthCare that in combination with claims processing systems:
· Reinforces compliance with standard code edits and rules
· Ensures correct coding and billing practices are being followed
Your Health Plan’s Go-Live Date
Mercy Care will transition to ClaimsXten on May 22, 2022.
How will the upgrade to ClaimsXten affect you?
Providers will continue to see similar edits as under ClaimCheck. ClaimsXten has enhanced audit logic and is able to expand many functions within the edits that were previously limited. Such as calendar month & calendar year editing, defining with & without modifier editing and other customizable components.
The Arizona State Edits will be added as part of the QNXT/ClaimsXten integration. Such as state age requirements per CPT code, frequency limitations per unit or per date.
Providers can still determine how coding combinations on a particular claim may be evaluated during the claim adjudication process, by utilizing Clear Claim Connection (C3). Clear Claim Connection is accessible through our Secure Web Portal.
Why are we upgrading from ClaimCheck to ClaimsXten?
- The ClaimCheck software will be sunsetting in March 2023 and will no longer be available for use.
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ClaimsXten is this vendor’s next generation code auditing software that will seamlessly transition Mercy Care from the current ClaimCheck software.
Thanks for all you do!
