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BlueCross BlueShield of Texas
   
         
     
 
What's New
Availity Participating Provider Training Webinars - September 2010
NPI-related Errors to Result in Electronic Claim Rejection as of Sept 6, 2010
Pharmacy Updates - August 2010
EFT ERA EPS: Beyond the Basics, Part 2
2010/2011 Synagis Process
Electronic Refund Management (eRM) - September Webinars
Behavioral Health Program Changes Eff 01/2011 FAQs
IVR Claim Status Menu Changes in July
Overpayment Reconciliations Simplified
EFT ERA EPS: Beyond the Basics, Part 1
Hospital Acquired Conditions and Never Events
Surgical Procedures Performed in the Physician's/Professional Provider's Office
BCBSTX Offers New Solution for Credentialing
CareCost Estimator (CCE)
Untimed Billing Procedure CPT Codes - Update


Clear Claim Connection

Blue Cross and Blue Shield of Texas (BCBSTX) offers Clear Claim Connection™ (C3) as a web-based code auditing reference tool. C3 is an online code auditing tool, designed by McKesson Information Solutions, Inc., that enables BCBSTX to disclose our claim auditing rules and clinical rationale to our contracting provider network. C3 "mirrors" how BCBSTX’s current code auditing software evaluates code combinations during the adjudication of a claim. This tool allows you to access BCBSTX’s claim auditing rules and clinical rationale inherent in the code auditing software.

To access Clear Claim Connection, you will need to register with one of the following web based portals; Availity or RealMed.  For your reference, we have provided log-in instructions;

Availity instructions 

RealMed instructions

Once you have entered Clear Claim Connection, you have the ability to enter claims data in order to display the claims auditing results. If you would like more information you may contact your local Professional Provider Network office or Provider Customer Service at 1-800-451-0287.

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

revised 5/2010


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a Mutual Legal Reserve Company, an Independent Licensee of the
Blue Cross and Blue Shield Association.
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