December 2018
BCN changes process for requesting a peer-to-peer review for non-behavioral health cases
Don't issue referrals for BCN AdvantageSM members staying in network
How to submit inpatient authorization requests to Blue Cross during upcoming holiday closures
How to submit inpatient authorization requests to BCN during upcoming holiday closures
Additional updated authorization criteria and e-referral questionnaires
e-referral User Guides, online eLearning updated
Xgeva® to require authorization for BCN AdvantageSM members
November 2018
eviCore to manage two radiopharmaceutical drugs, starting Feb. 1
Complete the provider specialty questionnaire in the e-referral system
Reminder: Submit BCN authorization requests to AIM for cardiology and high-tech radiology procedures
Updated authorization criteria and e-referral questionnaires
How to submit inpatient authorization requests to Blue Cross during upcoming holiday closures
How to submit inpatient authorization requests to BCN during upcoming holiday closures
Medicare Part B medical specialty drug prior authorization lists changing in 2019
October 2018
We're telling BCN AdvantageSM members they don't need referrals
Reminder: Submit BCN authorization requests to AIM for cardiology and high-tech radiology procedures
Additional updated authorization criteria and e-referral questionnaires
Register for Medicare Advantage webinar: Avastin® use for patients with retinal disorders
Tell us what you think about our utilization management services — you could win a prize!
Register now for an AIM Specialty Health® ProviderPortalSM webinar
Possible browser certificate error in e-referral for Windows 7 users starting Oct. 16, 2018
Treat Medicare Advantage members with Avastin® before other specialty drugs
Some medical benefit drugs for Medicare Advantage members need step therapy, starting Jan. 1
September 2018
Register today: NovoLogix® refresher course for medical specialty drug prior authorizations
BCN updates sleep study questionnaire in the e-referral system
Additional updated authorization criteria and e-referral questionnaires
August 2018
Fax authorization requests for BCN members moving to a SNF, rehabilitation facility or LTACH
Use in-network laboratories for toxicology, drug-of-abuse testing
Renflexis® requires authorization for BCN AdvantageSM starting Oct. 1
How to submit Blue Cross inpatient authorization requests during upcoming holiday closures
How to submit BCN inpatient authorization requests during upcoming holiday closures
FAQ available about LLPs and LMFTs
Additional updated authorization criteria and e-referral questionnaires in effect
Phone numbers change for BCN Case Management and Care Transition programs
Updated authorization criteria and e-referral questionnaires in effect
Error issue resolved in e-referral system
Reminder: Register for a medical specialty drug prior-authorization web tool refresher course
July 2018
2018 InterQual® criteria implementation delayed until Aug. 6
Starting Aug. 6, updated utilization management criteria used for behavioral health
2018 InterQual® criteria to be implemented starting Aug. 6
Last call for our provider training survey - Respond by July 31
Starting Oct. 1, additional specialty medications require authorization for BCN AdvantageSM members
What to do when you get conflicting results in the e-referral system
Register for a medical specialty drug prior-authorization web tool refresher course
We're updating you on Blue Distinction® Specialty Care
Deleting your browsing history after an e-referral system outage
How to request peer-to-peer review of inpatient admissions
TrogarzoTM and Zilretta® require authorization for commercial members starting Oct. 1
Appealing Blue Cross Medicare Plus BlueSM PPO acute inpatient hospital authorization decisions
How to submit Blue Cross inpatient authorization requests during upcoming holiday closures
How to submit BCN inpatient authorization requests during upcoming holiday closures
June 2018
Updated authorization criteria and e-referral questionnaires are in effect
Effective Oct. 1, Prolia® and Xgeva® are subject to a site-of-care requirement for BCN HMOSM members
Where to get help in using the e-referral system
May 2018
How to submit Blue Cross inpatient authorization requests during upcoming holiday closures
How to submit BCN inpatient authorization requests during upcoming holiday closures
Starting Aug. 7, FasenraTM and LuxturnaTM require authorization for Medicare Advantage members
No site-of-care requirement for BrineuraTM for BCN HMOSM (commercial) members
April 2018
e-referral not available 6 p.m. Friday, April 27, through 6 a.m. Monday, April 30
Starting June 1, no authorization is required for BCN routine outpatient behavioral health therapy
Medicare Outpatient Observation Notice requirements clarified
Last call for our provider manual survey — Respond by April 30 for a chance to win a prize
BCN members can now get long-acting injectable medications at home
March 2018
Blue Cross, BCN will continue to cover hyaluronic acids until further notice
How to submit Blue Cross inpatient authorization requests during upcoming holiday closures
How to submit BCN inpatient authorization requests during upcoming holiday closures
Tell us what you think about our provider manuals – You could win a prize
Provider forums are coming to a town near you
Effective immediately, two CAR T-cell therapies require authorization for Medicare Advantage members
Effective March 19, fax numbers are changing for BCN medical benefit drug authorization requests
MepseviiTM is subject to a site-of-care requirement for BCN HMOSM (commercial) members
February 2018
Proceed with outpatient authorization requests for knee arthroplasty in e-referral
Two additional medical benefit drugs require authorization for BCN effective April 1, 2018
January 2018
Blue Cross and Blue Care Network will no longer cover hyaluronic acids, starting April 1
How to submit Blue Cross inpatient authorization requests during upcoming holiday closures
How to submit BCN inpatient authorization requests during upcoming holiday closures
Use the e-referral system to submit BCN referrals and authorization requests
Submit functional limitation G codes for BCN AdvantageSM therapy services