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Professional Providers: Clinical auditing tool ClaimsXten™ to be deployed on Facets system on Dec. 1

November 21, 2017 -

On Dec. 1, we will continue the process of moving from our current clinical auditing tool, ClaimCheck™ to an enhanced tool, ClaimsXten, which will allow us to manage unique requirements of our claims processing platforms.

Facets will be the second claims processing platform to have the tool deployed. It was successfully deployed on FEP Bridge in September, and will be deployed on additional platforms over the next year.

What does this mean for you?

Since ClaimsXten is being deployed to our systems over time, you may notice different outcomes for similar claims in the coming year, depending on which claims platform the patient's policy operates on. Please note: There will be no change to your process for submitting claims or to CareFirst Medical Policy as a result of this implementation. This only affects Professional providers at this time.

Questions? Please contact Provider Service at 877-228-7268

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