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REFERRAL NEWS

July 2014

Outpatient high-tech radiology requests must now go through CareCore National

June 2014

CareCore National training presentation now available online

2014 InterQual® criteria to be used effective August 4

May 2014

CareCore National training webinars available

Long-term continuous ECG rhythm recording and storage services require clinical review

High tech radiology authorization requests must go through CareCore National effective July 1

April 2014

Updated BCN Behavioral Health forms now available

February 2014

Proton beam therapy requires clinical review effective March 1

BCN Care Management provider call volumes high

Zoledronic acid - new J code and e-referral questionnaire effective Feb. 3

Prior Authorization for CCTA effective Feb. 3

January 2014

Updated questionnaires available for epidural and facet joint injections

Radiology Management Program Changes effective Jan. 6, 2014

Questionnaires available for breast biopsy (excisional)

BCN Care Management provider call volumes high

December 2013

How to access e-referral with Internet Explorer ® 11

Updated BCN provider affiliations codes on e-referral

Blue Care Network announces date for program changes for breast biopsy (excisional)

Blue Care Network announces date for program changes for contrast-enhanced computed tomography angiography of the heart and/or coronary arteries (CTA, CCTA)

November 2013

Blue Care Network offers Behavioral Health informational webinars

Determining medical necessity for BCN Advantage members: inpatient vs. observation stays

Enter to win a $250 gift certificate — Take the 2013 Care Management survey

New questionnaires available for lumbar spine surgery

New questionnaires available for arthroscopy of the knee

October 2013

2013 InterQual® acute care criteria take effect November 4

September 2013

Reminder: Blue Cross Complete member authorizations must now go through NaviNet

August 2013

Blue Cross Complete authorization requests must go through NaviNet beginning September 1

July 2013

Blue Care Network announces date for sleep management program changes

Blue Care Network announces questionnaire changes effective August 5

Lumbar spine surgery questionnaire updated effective July 29, 2013

June 2013

Blue Cross Complete announces changes effective August 1

Blue Care Network announces delay in changes for sleep management

Blue Care Network announces changes for frenulum surgery

2013 InterQual® criteria take effect July 1

May 2013

Blue Care Network reimbursement for intra-articular hyaluronic acid injections

Osteoporosis: Intravenous bisphosphonate therapy — Reclast infusion questionnaire

Blue Care Network announces questionnaire update for sleep management

Global referrals automatically entered with new BCN minimum requirements effective May 3, 2013

April 2013

Radiology management program changes effective May 1, 2013

March 2013

Changes in minimum length for global referrals highlighted in BCN Provider News

February 2013

Arthroscopy of the knee and lumbar spine surgery require prior authorization effective March 1, 2013

New sign-up and change forms introduced for e-referral

Behavioral health screening tools now available through e-referral Behavioral Health page

January 2013

Behavioral health screening tools now available through e-referral Behavioral Health page

Updated LTACH Assessment Form now available

New pain management questionnaires available for epidural and facet joint injections

Reminder: BCN changes minimum length for global referrals. Please make sure your referral coordinator is aware of these important changes.

December 2012

New behavioral health procedure codes are effective Jan. 1, 2013

Reminder: Global referrals for BCN commercial and Blue Cross Complete members should be written for a minimum of 90 days beginning Jan. 1

November 2012

Add e-referral to your favorites before the launch of the new bcbsm.com

Eylea and Lucentis® require clinical review beginning Jan. 1, 2013

Changes to Landmark Healthcare treatment plans effective Dec. 1

October 2012

Changes to the global referral process effective Jan. 1

2012 InterQual® criteria implemented

September 2012

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August 2012

For easier referrals, provider offices should ensure system compatibility with BCN's new e-referral tool

July 2012

2012 InterQual® criteria delayed

June 2012

Your e-referral user ID may need to change

April 2012

BlueCaid expands to serve entire county of Wayne and changes name to Blue Cross Complete

February 2012

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Radiology management questionnaire updated

Landmark Healthcare closed Feb. 20 in observance of Presidents' Day

New pain management Q&A and updated sample questionnaires available

Radiology management updates and sample questionnaires available

January 2012

Beaumont Health System, Blue Cross Blue Shield of Michigan and Blue Care Network Reach Agreement on Reimbursement Contract

Please double-check when entering member contract information

December 2011

Blue Care Network's home sleep study provider changes name

November 2011

Pended Beaumont requests handled within 24 hours

Blue Care Network takes steps to help redirect care for BCN commercial members at Beaumont hospitals for services on or after Jan. 12, 2012.

October 2011

Use caution to avoid HIPAA violations when selecting members for referral and authorization requests.

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September 2011

Blue Care Network changing reimbursement for intra-articular hyaluronic acid injections

August 2011

Benlysta® requires prior authorization

MakenaTM requires prior authorization

July 2011

Self-service password reset process begins July 25

Questionnaire changes take effect July 15

Blue Elect PlusSM self-referral option now available

June 2011

Self-Service Password Reset User Guide now available

Self-service password resets coming soon

April 2011

Updates to the prior authorization process for epidural injections or facet joint injections

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March 2011

Update: Pain management with epidural injections or facet joint injections will require prior authorization effective April 4

High-tech radiology questionnaires change

February 2011

Reminder: Urgent requests require 24-hour turnaround

January 2011

The Spine Care Referral Process has been updated

Drugs covered under the Blue Care Network or BCN Advantage HMO-POSSM medical benefit require unique codes when billing.


For earlier articles, please see the News Archive.