Clear Claim ConnectionTM
Clear Claim ConnectionTM is a web-based code auditing reference tool designed to mirror how ClaimCheck® evaluates code combinations during the auditing of professional claims. Clear Claim ConnectionTM enables Independence Blue Cross (IBC) to disclose its claim auditing rules and clinical rationale inherent to the ClaimCheck® system. Through this tool, you can view the justifications and clinical rationale on why code combination logic was applied to a professional claim processed in the base claims processing system.
Significant Edits Disclosure Report
The Significant Edits Disclosure Report is a searchable list of ClaimCheck® Significant Edits. A Significant Edit is defined by IBC as any ClaimCheck edit that results in the denial or reduction in payment for a particular CPT Code or HCPCS Level II Code more than 2000 times a year. This report will be updated annually.
Clear Claim Connection User’s Guide
