REFERRAL NEWS
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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)
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
Subscribe to BCN Provider News for up-to-date referral information
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.
Subscribe now to receive e-mail notification for each BCN provider newsletter
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