New e-referral questionnaires to open June 14 for BCN HMO^SM

Starting June 14, 2020, new questionnaires will open in the e-referral system for certain procedures. In addition, new preview questionnaires will be available on this website.

We're replacing the Pregnancy termination 1 - Medically necessary or elective questionnaire with the following two questionnaires for adult BCN HMO members:

• Pregnancy termination 1 - Medically necessary. Applicable procedure codes are: *01966, *59100, *59840, *59841, *59850, *59851, *59852, *59855, *59856, *59857, *59866, S0190, S0191, S0199, S2260, S2265, S2266, S2267.
• Pregnancy termination 3 - Elective. Applicable procedure codes are: *01966, *59100, *59840, *59841, *59850, *59851, *59852, *59855, *59856, *59857, *59866, S0190, S0191, S0199, S2260, S2265, S2266, S2267.

We'll make preview questionnaires available for the new questionnaires soon. To find the preview questionnaires, click BCN and then click Authorization Requirements & Criteria. Scroll down and look under the "Authorization criteria and preview questionnaires" heading.

The preview questionnaires show the questions you'll need to answer in the actual questionnaires that open in the e-referral system. This will help you prepare your answers ahead of time.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2019 American Medical Association. All rights reserved.

Posted: June 2020
Line of business: Blue Care Network