Check eligibility status, confirm benefits information, check claims and more!
CrestPoint Health utilizes a professional claim procedure code editing tool, called ClaimCheck®, in the processing of claims. ClaimCheck is developed by McKesson Health Solutions LLC, and licensed, adopted and modified by CrestPoint Health to assist in consistent claim reviews. The types of billing problems that are audited include, but are not limited to, unbundling, mutually exclusive services, duplicate submissions, fragmented billing of pre- and post-operative care, age/sex mismatch, upcoding, as well as obsolete, or invalid codes. Providers can simulate probable procedure code editing rules for CrestPoint Health claims prior to submitting a claim or after receiving the EOP. CrestPoint Health has made this online editing simulation tool, called Clear Claim Connection, available to participating providers. Download the User Guide
