Updated BCN authorization criteria and preview questionnaires now available

Blue Care Network has made updated authorization criteria and preview questionnaires available on this website, on the Clinical Review & Criteria Charts page. These resources are available for the following service types:

• Knee arthroscopy
• Cervical spine surgery
• Joint replacement surgery (knee, hip and shoulder)
• Lumbar spine surgery

We encourage you to review the criteria and preview questionnaires prior to submitting an authorization request for these services in the e-referral system. You can use the questionnaires, in particular, as guides in gathering the clinical information you'll need when you encounter the actual questionnaires that display in the e-referral system.

Posted: September 2016
Line of business: Blue Care Network