How to submit inpatient authorization requests to Blue Cross during upcoming holiday closures
As a reminder, Blue Cross Blue Shield of Michigan and Blue Care Network corporate offices will be closed on these days:
During these office closures, follow the guidelines outlined below when submitting inpatient authorization requests for Blue Cross' PPO (commercial) and Medicare Plus BlueSM PPO members.
|Type of service
|Blue Cross' PPO (commercial) requests
|Medicare Plus Blue requests
|Acute initial inpatient admissions
Submit requests 24/7 through the e-referral system.
If the e-referral system isn't available:
Or, you can submit requests through the X12N 278 Health Care Services Review - Request for Review and Response electronic standard transaction.
|Post-acute initial and concurrent admission reviews
Follow the current process:
|Submit requests to naviHealth. Refer to the document Post-acute care services: Frequently asked questions for providers.
|Other inpatient services
Fax the following types of requests to 1-800-482-1713:
|On-call line and for urgent inpatient requests only
You can find additional resources on this website.
Posted: December 2019
Line of business: Blue Cross Blue Shield of Michigan