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Tools for CIGNA Claims

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ClaimCheck® is a code auditing software that can expedite accurate claim processing. CIGNA plans to implement ClaimCheck 8.5 Knowledge Base Version 43 with National Correct Coding Initiative (NCCI) Version 15.2 beginning August 17, 2009.

Viewing claim code edits can be made easier with Clear Claim ConnectionTM.  This disclosure tool, powered by McKesson, allows users to enter CPT and HCPCS codes and immediately view audit results. Clinical Edit Clarifications present NCCI edit information or offer the rationale behind a ClaimCheck edit.

ClaimCheck and Clear Claim Connection information is available at CIGNA for Health Care Professionals.

At this time, no changes will be made to the ClaimCheck Knowledge Base currently being used for members covered by Great-West Healthcare. Information regarding Great-West Clinical Guidelines and Medical and Surgical Policies is available on the Great-West website.

Claim coding edit results are guidelines and are not a guarantee of an actual claim payment.