Starting May 9, new and updated questionnaires in the e-referral system

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

On May 9, 2021, we'll add and update questionnaires in the e-referral system. We'll also add and update the corresponding preview questionnaires on this website.

New questionnaires

We're adding the following questionnaires:

Updated questionnaires

We're updating the following questionnaires:

Preview questionnaires

You can access preview questionnaires on this website. They 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.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2020 American Medical Association. All rights reserved.

Posted: May 2021
Line of business: Blue Care Network