Starting July 25, updated questionnaires to open in the e-referral system
On July 25, 2021, we'll update the following questionnaires in the e-referral system for Blue Care Network commercial and BCN AdvantageSM members:
- Out-of-network providers
- Sleep studies
We'll also update the corresponding preview questionnaires on this website.
As a reminder, 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.
Preview questionnaires
You can access preview questionnaires on this website to see the questions you'll need to answer 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: July 2021
Line of business: Blue Care Network