Update: Questionnaire updates in the e-referral system on Oct. 25

This message was originally posted on Oct. 12, 2020. On Oct. 20, we updated this message to reflect that we’ll be updating two additional questionnaires on Oct. 25.

We use our authorization criteria and medical policies and your answers to the questionnaires in the e-referral system when making utilization management determinations on your authorization requests.

On Oct. 25, 2020, we'll update the following questionnaires in the e-referral system for BCN HMO^SM and BCN Advantage^SM members:

• Breast implant management
• Breast reconstruction
• Breast reduction
• Orthognathic surgery

Preview questionnaires

You'll be able to access updated preview questionnaires within this website. The preview questionnaires show the questions you'll need to answer in the actual questionnaires that open in the e-referral system. This can help you prepare your answers ahead of time.

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.

Authorization criteria and medical policies

The pertinent authorization criteria and medical policies are also available on the Authorization Requirements & Criteria page.

Posted: October 2020
Line of business: Blue Care Network