February 2017
Additional Code-auditing Software Scheduled for May 2017 Implementation
Blue Cross and Blue Shield of Texas (BCBSTX) is implementing an additional code-auditing software system, Verscend ConVergence PointTM, on May 7, 2017.* This software will enhance auditing of professional and outpatient facility claims for correct coding according to Healthcare Common Procedure Coding System (HCPCS), Current Procedural Terminology (CPT®) and Centers for Medicare & Medicaid Services (CMS) guidelines.
Upon implementation, providers can use the Claim Inquiry Resolution tool, available on the Availity® Web Portal, to research specific claim edits. For additional information, watch upcoming issues of Blue Review, as well as the News and Updates section on our provider website.*The above notice does not apply to government program claims.
ConVergence Point is a trademark of Verscend Technologies, Inc., an independent third party vendor that is solely responsible for its products and services.
CPT copyright 2016 American Medical Association (AMA). All rights reserved. CPT is a registered trademark of the AMA.
Availity is a registered trademark of Availity, LLC. Availity is a partially owned subsidiary of Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC), an independent licensee of the Blue Cross and Blue Shield Association. Availity operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSTX, a Division of HCSC. BCBSTX makes no endorsement, representations or warranties regarding any products or services offered by independent third party vendors. If you have any questions about the products or services offered by such vendors, you should contact the vendors directly.