Reminder: TurningPoint musculoskeletal authorization program expanding in January

Starting Dec. 1, 2020, you can submit prior authorization requests to TurningPoint for orthopedic, pain management and spinal surgical procedures with dates of service on or after Jan. 1, 2021, for all of the following groups and individual members:

• Blue Cross commercial - All fully insured groups, select self-funded groups and members with individual coverage
• Medicare Plus Blue^SM - All groups and all members with individual coverage
• BCN commercial - All fully insured groups, all self-funded groups and all members with individual coverage
• BCN Advantage^SM - All groups and all members with individual coverage

For information about submitting authorization requests to TurningPoint, see "How do I submit authorization requests to TurningPoint" section of the Musculoskeletal procedure authorizations: Frequently asked questions for providers (PDF) document.

Spinal surgical and pain management authorizations transition from eviCore to TurningPoint

For dates of service before Jan. 1, 2021, eviCore healthcare^® manages:

• Lumbar spine surgery authorizations for Blue Cross commercial fully insured groups, Blue Cross commercial members with individual coverage and Medicare Plus Blue
• Pain management procedures for the groups and individual members listed at the top of this message

eviCore will accept retroactive authorization requests through April 30, 2021.

Training

Professional provider, facility and portal training webinars are available through mid-January. See the "TurningPoint musculoskeletal authorization program to expand in January" article in the November issue of The Record or on page 46 of the November-December issue of BCN Provider News (PDF).

More information

For more information about TurningPoint, see the following pages of this website:

• Blue Cross Musculoskeletal Services
• BCN Musculoskeletal Services

To view the lists of codes for which TurningPoint manages authorizations, see the Musculoskeletal procedure codes that require authorization by TurningPoint (PDF) document.

For detailed information, see the Musculoskeletal procedure authorizations: Frequently asked questions for providers (PDF) document.