Health insurer WellPoint and software vendor Cerner Corp. have aligned to conduct a pilot program to get ready for end-to-end testing of transactions populated with ICD-10 codes.
Under the arrangement, participating provider clients of Cerner will select claims that have been submitted to and paid by WellPoint after being coded in ICD-9, recode in ICD-10, send the claims to WellPoint via clearinghouses for adjudication and post the 835 remittance advice. Cerner and WellPoint then will assess differences in successful completion of the claims/payment processes, such as payment and denial rates, which will help the organizations determine if they are on track with their ICD-10 compliance work.
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