Clear Claim Connection

ClaimCheck® and ClaimReview®

To ensure consistency of our claims payment process, Arise Health Plan implemented with McKesson’s ClaimCheck® and ClaimReview® claim auditing software. The auditing edit rationale is derived from national standards, including but not limited to CMS, professional societies, and CPT.

Clear Claim Connection®

Arise Health Plan also utilizes McKesson's ClaimCheck® application for code auditing. This web-based application discloses the health plan's payment policies for various code combinations. It can either be used proactively or retrospectively by provider's offices to understand the clinical rationale supporting a particular auditing rule.

Clear Claim Connection® is designed to make our claims' payment policies, related rules, clinical edit clarifications, and clinical sourcing information easily accessible and transparent for all Arise Health Plan-contracted providers. Clear Claim Connection® will provide results that reflect the payment policies on the current date, not necessarily the service date.

If you need training or assistance, support is available through our Network Management Department. Please email GBNetworkDevelopmentDept@arisehealthplan.com.

Clear Claim Connection and ClaimCheck are trademarks of McKesson Information Solutions, Inc., an independent contractor.