
December 2020
Reminder: BCN covers Cologuard tests only for members age 50 or older
Updated questionnaires available in the e-referral system on Dec. 20
December and January holiday closures: How to submit inpatient authorization requests
e-referral system out of service for maintenance overnight Dec. 19-20
AIM ProviderPortal out of service for maintenance on Dec. 19
We’re expanding access to diabetes monitoring products for commercial members, starting Jan. 1, 2021
Reminder: TurningPoint musculoskeletal authorization program expanding in January
Waste avoidance program expansion starting March 1, 2021, for commercial members
November 2020
Peer-to-peer review request process to change Jan. 4 for inpatient medical hospital admissions
Update: New and updated questionnaires available in the e-referral system on Nov. 22
Nov. 26-27 holiday closure: How to submit inpatient authorization requests
e-referral system out of service for maintenance overnight Nov. 21-22
October 2020
Accessing the TurningPoint Provider Portal, registering for training and other important information
Nov. 3 holiday closure: How to submit inpatient authorization requests
Prior authorization requests for outpatient CAR-T therapy drugs for Medicare Advantage members
Update: Questionnaire updates in the e-referral system on Oct. 25
e-referral system out of service for maintenance overnight Oct. 17-18
Medicare Part B medical specialty drug prior authorization list is changing in January 2021
September 2020
Questionnaire updates in the e-referral system in September and October 2020
Medical specialty drug prior authorization lists will change in November for certain members
e-referral system out of service for maintenance overnight September 19-20
Update: Starting Sept. 1, BCN requires authorization for elective pediatric feeding programs (S0317)
Viltepso™ will require authorization for commercial members effective September and October 2020
August 2020
Sept. 7 holiday closure: How to submit inpatient authorization requests
New e-referral system upgrades
Tecartus™ will require authorization for commercial members effective August and September 2020
e-referral system out of service for maintenance overnight August 15-16
July 2020
e-referral system out of service for maintenance overnight July 18-19
Medicare Plus BlueSM PPO expands prior authorization program to genetic, molecular testing
June 2020
Medicare Part B medical specialty drug prior authorization list is changing Aug. 21 and Sept. 28
July 3 holiday closure: How to submit inpatient authorization requests
Avoid blocked inpatient authorization e-referral submissions by using the correct criteria
Updated e-referral questionnaire to open June 28 for BCN and Medicare Plus BlueSM PPO
Medicare Part B medical specialty drug prior authorization list is changing in July and August
e-referral system out of service for maintenance overnight June 20-21
eviCore has updated corePath for physical and occupational therapy authorizations
eviCore simplifies authorization process for radiation oncology, starting July 1, 2020
New e-referral questionnaires to open June 14 for BCN HMOSM
May 2020
Updated: More COVID-19-related utilization management changes
Register for training on TurningPoint's clinical model and more
e-referral system out of service for maintenance overnight May 16-17
April 2020
Some Blue Care Network transitional care fax numbers discontinued starting June 1
Recommendations for submitting authorization requests for medical oncology drugs to AIM
Hospitals must notify naviHealth before transferring Medicare Advantage members to SNFs
e-referral system out of service for maintenance overnight April 18-19
What to do about e-referral error message
March 2020
We'll pay only inpatient facility claims for ZulressoTM starting July 1, for Blue Cross' PPO members
Use e-referral system while Blue Cross and BCN offices are closed on Tuesday, March 24
e-referral system out of service for maintenance overnight March 21-22
Use e-referral system while Blue Cross and BCN offices are closed on March 20 and 23
Authorization requirements eased for COVID-19-related services
naviHealth is taking measures to keep Medicare Advantage members safe in response to COVID-19
Medicare Part B medical specialty drug prior authorization list is changing in June
No software upgrade on March 8-9 for e-referral system
February 2020
Medicare Part B medical specialty drug prior authorization list is changing in April
e-referral system may be slow or problematic after data center move
e-referral system out of service for maintenance three times in February 2020
January 2020
Submit requests for swallow services to BCN, not to eviCore healthcare
Authorization requirements are changing for home health, TPN and IDPN services for BCN members
How to submit inpatient authorization requests to Blue Cross during upcoming holiday closure
How to submit inpatient authorization requests to BCN during upcoming holiday closure