Access & Training
BCN
Referrals & Authorizations
- Prior Authorization & Plan Notification
- Acute Inpatient Admissions
- Air Ambulance
- Autism
- Behavioral Health
- Cardiology
- Chiropractic Services
- Diabetes Supplies
- DME / P&O
- Home-Based Services
- Laboratory Services
- Medical Benefit Drugs
- Musculoskeletal Services
- Oncology
- Pain Management
- Pharmacy Benefit Drugs
- Post-Acute Care
- PT, OT, ST and Physical Medicine
- Radiology
- Sleep Studies
- Transplant Services
BCN Products with
Unique Requirements
Additional Resources
Pain Management Services
TurningPoint Healthcare Solutions LLC manages prior authorizations for pain management services for:
- Blue Care Network commercial members
- BCN AdvantageSM members
Notes:
- For information about pain management services for Blue Cross Blue Shield of Michigan commercial and Medicare Plus BlueSM members, see the Blue Cross Pain Management Services page.
- TurningPoint also manages prior authorizations for orthopedic and spinal procedures; see the BCN Musculoskeletal Services page for details.
Resources
- Musculoskeletal procedure codes that require authorization by TurningPoint (PDF)
- Musculoskeletal procedure authorizations: Frequently asked questions for providers (PDF)
- Musculoskeletal procedure authorizations: Quick reference for providers (PDF)
- TurningPoint Peer to Peer Quick Reference Guide (PDF)
- TurningPoint Advance Practice Practitioner (APP) Peer-to-Peer Process (PDF)
- TurningPoint Provider Training Manual (PDF)
- Pain management: For non-hospice palliative care and for musculoskeletal-related pain management procedures (PDF) — Includes information about care management and utilization management programs
TurningPoint fax forms for prior authorization and postservice change requests
- Pain management: Epidural steroid injections authorization request form (PDF)
- Pain management: Facet joint injections authorization request form (PDF)
- Pain management: Neuroablation procedures authorization request form (PDF)
- Pain management: Sacroiliac joint injections authorization request form (PDF)
- Postservice change request form (PDF)
To determine which pain management form to submit, see the “Pain management” section of the Musculoskeletal procedure codes that require authorization by TurningPoint document (PDF). This document specifies which procedure codes fall within each pain management category.
Training for the TurningPoint program
We offer provider training. To learn more, see our Training Tools page.
TurningPoint Healthcare Solutions LLC is an independent company that manages prior authorizations for musculoskeletal surgical and related procedures for Blue Cross Blue Shield of Michigan and Blue Care Network.