Clinical Review & Criteria Charts

Below are links to charts detailing BCN's regional and government clinical review programs and lists of procedures that require clinical review. In addition, there are links to the services that require clinical review and their accompanying clinical criteria requirements and to Woman's Choice program information.

Referral and clinical review programs

Procedures that require clinical review

Medical necessity criteria / benefit review requirements

Woman's Choice

The Woman's Choice program allows BCN members to directly access affiliated physicians who perform obstetric or gynecologic services. In line with Woman's Choice guidelines, an obstetrician-gynecologist may perform or order some services without a referral from the primary care physician.