New Mobile cardiac outpatient telemetry questionnaire to open in the e-referral system, starting Feb. 27

Starting Feb. 27, 2022, the Mobile cardiac outpatient telemetry questionnaire will open in the e-referral system for adult and pediatric BCN commercial members. This questionnaire will open for the following procedure codes: *93228, *93229, 0497T and 0498T.

We'll also add a corresponding preview questionnaire.

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 our 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.

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Posted: February 2022
Line of business: Blue Care Network