ALERT: e-referral system is displaying updated BCN knee arthroscopy questionnaires earlier than expected

The e-referral system is displaying updated BCN knee arthroscopy questionnaires for earlier dates of service than expected. The updated questionnaires were intended to display only for dates of service on or after Oct. 3, 2016, but are instead displaying for all dates of service, including those earlier than Oct. 3. This is occurring for providers who request authorization for knee arthroscopy procedures for adult BCN HMO^SM (commercial) and BCN Advantage^SM members 18 years of age and older.

We advise that providers simply complete the updated questionnaire. The e-referral system will either approve or pend the request. If the request pends and BCN cannot authorize it, BCN will contact the provider for additional clinical information.

We apologize for any confusion caused by the updated questionnaires displaying for dates of service prior to Oct. 3.

Updated preview questionnaires and medical necessity criteria are being prepared and will be available on the Clinical Review & Criteria Charts page of this website by the end of September.

Posted: September 2016
Line of business: Blue Care Network