Use e-referral system while Blue Cross and BCN offices are closed on Tuesday, March 24

Blue Cross Blue Shield of Michigan and Blue Care Network corporate offices have extended the closure of their buildings for an additional day, through Tuesday, March 24, 2020.

How to handle requests related to medical services

During this office closure, use the e-referral system to:

• Submit all referrals and authorization requests for medical services that are managed by Blue Cross or BCN Utilization Management
• Attach clinical information to the case as needed
• Check the status of these authorization requests

This applies to requests for all medical services, for all Blue Cross and BCN members.

While our offices are closed, our Utilization Management staff are not available to answer calls related to medical requests.

However, if a case pends and you need a decision in an emergency or an urgent situation, call the Utilization Management after-hours phone at 1-800-851-3904.

Our Utilization Management offices will reopen on at 8:30 am Eastern time on Wednesday, March 25.

For instructions on how to submit requests through the e-referral system and attach clinical information to the case, refer to the e-referral User Guide (PDF). You'll find additional information about the e-referral system and about referral and authorization requirements on this website.

Peer-to-peer reviews on medical cases to be completed but no new ones scheduled during closure

Peer-to-peer reviews on medical cases scheduled for March 24 will be completed. However, no new medical peer-to-peer reviews will be scheduled until we reopen on March 25.

How to handle requests related to behavioral health services

During this office closure, use the e-referral system to submit authorization requests for behavioral health services as well.

Behavioral Health department staff members are available to discuss a case, if needed. To reach a staff member:

• Medicare Plus Blue^SM PPO: Call 1-888-803-4960.
• BCN HMO^SM (commercial): Call 1-800-482-5982.
• BCN Advantage^SM: Call 1-800-431-1059.