Effective June 22, submit appeals of eviCore decisions on BCN AdvantageSM requests to BCN, not to eviCore
Effective June 22, 2018, providers must submit appeals of eviCore healthcare's decisions on BCN Advantage authorization requests to the BCN Advantage Grievances and Appeals Unit and not to eviCore. Here's where to submit:
By mail:
Blue Care Network
ATTN: BCN Advantage Grievances and Appeals Unit
P.O. Box 284
Southfield MI 48076-5043
By fax: 1-866-522-7345
BCN will process these appeals using the normal BCN Advantage appeal process for standard and expedited appeals. For information on that process, refer to the BCN Advantage chapter of the BCN Provider Manual. Look in the section titled "BCN Advantage provider appeals."
Appeals of eviCore decisions on BCN HMOSM (commercial) authorization requests should continue to be submitted to eviCore.
Posted: June 2018
Line of business: Blue Care Network