BCN otoplasty and rhinoplasty questionnaires to open on Feb. 10 in e-referral
The otoplasty and rhinoplasty questionnaires will open in the e-referral system starting Feb. 10, 2019, for BCN HMOSM and BCN AdvantageSM authorization requests.
These questionnaires were originally intended to open starting Jan. 27, as we communicated in a web-DENIS message in late January, but they've been delayed.
As a reminder, you must complete the questionnaire when submitting a request to authorize these outpatient procedures, which are associated with the following procedure codes:
We've made preview questionnaires available on this website. To find them, click BCN, then click Authorization Requirements & Criteria. Look in the "Authorization criteria and preview questionnaires" section.
You can look over the preview questionnaire to see what questions you'll need to answer. Preparing your answers ahead of time can reduce 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.
* CPT codes, descriptions and two-digit modifiers only are copyright 2018 American Medical Association. All rights reserved.
Posted: February 2019
Line of business: Blue Care Network