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ClaimCheck® Upgrade and Edit Clarification

In an effort to maintain an enhanced level of transparency, the ClaimCheck® software has been upgraded from version 9.0.46 to 9.0.47 effective April 18, 2011. This upgrade applies to all contracted providers who deliver professional services to members by way of the CMS-1500 claim form or equivalent electronic format.

Detailed disclosures of all ClaimCheck® code edits are available through Clear Claim Connection™, which is accessible through the NaviNet® web portal 24 hours a day, 7 days a week. If you have any questions about ClaimCheck® or Clear Claim Connection™, please contact your Network Coordinator.

For more information, please read the complete article in Partners in Health UpdateSM.