Integration News

November 2011

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ClaimCheck® 9.0 applied to GWH-Cigna claims

As of November 7, 2011, ClaimCheck 9.0, the automated code auditing tool developed by McKesson, applies to claims for your patients with GWH-Cigna ID cards. With this change, ClaimCheck is now used for all Cigna medical claims to help expedite and improve the accuracy of claim processing.

ClaimCheck 9.0 aligns Cigna claims more closely with the Centers for Medicare and Medicaid Services (CMS), and improves processing and auditing capabilities, including modifier recognition, processing, and the application of CMS/National Correct Coding Initiative (NCCI) edits.

You may view both ClaimCheck and NCCI code edits by using the Clear Claim Connection™ code editing verification tool. This disclosure tool allows users to enter Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes and immediately view the code audit results prior to submitting a claim. Clear Claim Connection shows NCCI edit definitions and the rationale behind a ClaimCheck edit. Clear Claim Connection is available on the secure Cigna websites, including the Secured Provider Portal (GWHCignaforHCP.com) and the Cigna for Health Care Professionals website (CignaforHCP.com).

 For more information on ClaimCheck 9.0, refer to the Frequenty Asked Questions available on the Secures Provider Portal (GWHCignaforHCP.com) > Clinical Edit Verification.

 

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