CommercialAdministrativeMedium impact
New Phase Added to ClaimsXten
BlueCross BlueShield of South Carolina·SC·Claims
Effective date
Mar 1, 2026
We identified it
Jun 20, 2026
Summary
BlueCross BlueShield of South Carolina has added a third phase to their ClaimsXten auditing tool, effective March 2026. The new phase includes enhanced review rules for outpatient consultation coding, duplicate claim submissions, and unbundled code pairs to improve claim accuracy and reduce denials.
Action Required
Before March 1, 2026: Billing team must review and align internal coding practices with updated ClaimsXten Phase 3 guidelines. Focus on outpatient consultation coding accuracy, eliminate duplicate claim submissions, and ensure proper code bundling. Train all coding staff on the enhanced auditing rules to prevent claim denials and delays.