eviCore to handle BCN initial and follow-up authorization requests for PT, OT and ST starting later in 2018

Later this year, providers who currently submit their initial authorization requests for physical, occupational and speech therapy, or for physical medicine services by chiropractors, through the e-referral system or by calling BCN will submit these requests through eviCore healthcare's provider portal instead.

At the same time, requests to authorize follow-up services will also be submitted through the eviCore provider portal instead of through the Landmark Healthcare portal.

This change will apply to requests for BCN HMO^SM (commercial) and BCN Advantage^SM members and to the following providers:

• Facilities
• Therapists performing physical, occupational and speech therapy
• Chiropractors performing physical medicine services
• Referring physicians
• Podiatrists

In addition, BCN is working with eviCore to implement the corePath^SM authorization model for these requests for BCN HMO (commercial) and BCN Advantage members. corePath will streamline the authorization process and make it easier for providers to submit authorization requests. It's the same model that was implemented for Blue Cross Medicare Plus Blue^SM PPO authorization requests starting Jan. 1, 2018.

We first communicated about this change in the article titled eviCore to handle BCN initial and follow-up authorization requests for PT, OT and ST starting later in 2018, on page 42 of the May-June 2018 BCN Provider News.

More details about these changes will be provided in the coming months.

Posted:
Line of business: Blue Care Network