Updates to Claims Auditing Software

In the coming months, the 1199SEIU Benefit Funds’ ClaimsXten Select Claims auditing software system will be updated to include Medically Unlikely Edits (MUEs), which prevent payment for an inappropriate number/quantity of the same service on a single day. An MUE for an HCPCS/CPT code is the maximum number of units of service under most circumstances reportable by the same provider for the same member on the same date of service. For more information, visit our Providers’ page, where we will be posting more news about the software update; contact your Provider Relations representative; or call our Provider Relations Call Center at (646) 473-7160.

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