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REFERRAL NEWS

February 2016

Take a short survey about the e-referral support website and you could win a prize!

January 2016

Clarification of site of administration requirements for FCA and GM commercial members using select infusion drugs

eviCore authorization requirements change for pediatric members and for select procedure codes

December 2015

BCN Behavioral Health utilization management criteria is changing on January 1

Call Northwood at 1-800-393-6432 to identify a contracted supplier

What to do if you get an error message when submitting a case

Announcing e-referral enhancements beginning Dec. 7, 2015

Help us improve our services to you by taking our Care Management survey

November 2015

Global referral: What it allows a specialist to do

Changes in eviCore authorization requirements

Add correct servicing provider information when submitting requests to eviCore

Reminder: Prostatic urethral lift procedures require clinical review

October 2015

eviCore healthcare Web Portal webinars available

Updated Spine Care Referral Program questionnaire is now available

Some providers showing missing or incorrect address in e-referral

September 2015

Reminder: Effective Oct. 1, 2015, submit authorization requests to eviCore healthcare for select radiology, cardiology and radiation therapy services

Help us improve our services to you by taking our Care Management survey

Enter ICD-10 codes in e-referral for dates of service October 1 or later

Re-evaluation for ABA autism treatment services will not be required every three years, for all BCBSM and BCN members

Submit authorization requests to eviCore healthcare prior to October 1 for procedures with dates of service on or after October 1

August 2015

Select infusion drugs have new requirements for site of administration starting Oct. 1, 2015

Chiropractors may provide some physical therapy services for BCN commercial members

eviCore healthcare expanded procedure reviews coming — register now for September 2015 webinars

July 2015

Preventive lung cancer screening requires clinical review effective Oct. 1, 2015

New effective date for eviCore healthcare expanded reviews is Oct. 1, 2015

e-referral upgrade slated for Aug. 17

2015 InterQual® Home Care Criteria available only in Q&A format

June 2015

More procedures to be reviewed by eviCore healthcare effective September 1

eviCore healthcare Web address changes July 6

Upgrades coming to e-referral

2015 InterQual® criteria to be used effective August 3

May 2015

Additional medical drugs to require prior authorization/clinical review effective July 1, 2015

March 2015

Transplants undergo standard BCN clinical review process effective April 1, 2015

Finding home sleep study providers

Clinical review requirements for long-term continuous ECG rhythm recording and storage services

Register now for April 2015 behavioral health webinar

January 2015

Additional medical drugs to require prior authorization/clinical review effective April 1, 2015>

Some e-referral cases pending; BCN Care Management provider call volumes high

December 2014

Member compliance required before reauthorizing positive airway pressure devices effective Jan. 1, 2015

November 2014

Issues and tips document updated

October 2014

Enter to win a $250 gift certificate — Take the 2014 Care Management survey

Current e-referral system issues

How to access e-referral with Internet Explorer ® 10 or 11

September 2014

Issues and tips document now available

New e-referral system now available!

Are you ready for the new e-referral tool? It's coming Monday, Sept. 29 at 7 a.m.

New e-referral online training now available

The new e-referral tool coming Sept. 29; training tools now available

Care Management phone line unavailable Thursday, Sept. 4 from noon to 1:30 p.m.

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)