Complete the new questionnaires in e-referral for BCN members
On Jan. 27, 2019, questionnaires will open for BCN authorization requests in the e-referral system for the following outpatient procedures:
In addition, updated or new questionnaires for the following services began opening for BCN authorization requests in the e-referral system on Nov. 25, 2018:
You must complete the questionnaire when submitting a request to authorize these procedures for the following members:
We've made preview questionnaires available on this website, on the BCN Authorization Requirements & Criteria page. Look in the "Authorization criteria and preview questionnaires" section.
You can look over the preview questionnaire for a specific procedure to see what questions you'll need to answer in the actual questionnaire that opens in the e-referral system for that service. Once you know what questions you'll need to answer, you can prepare your answers ahead of time. This can cut down on the time it takes to submit the authorization request.
We've also posted links to the medical policies and authorization criteria related to these procedures on the Authorization Requirements & Criteria page.
We use our medical policies, our authorization criteria and your answers to the questionnaires when making utilization management determinations for the authorization requests you submit.
Posted: January 2019
Line of business: Blue Care Network