Reminder: Submit prior authorization requests to TurningPoint for musculoskeletal procedures for most members
For dates of service on or after Jan. 1, 2021, providers must submit prior authorization requests to TurningPoint Healthcare Solutions LLC for orthopedic, pain management and spinal surgical procedures for the following groups and individual members:
Note: To determine whether you need to submit prior authorization requests for Blue Cross commercial members, see "How do I know if I need to request prior authorization from TurningPoint for members who have coverage through Blue Cross commercial plans?" in 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:
For these services, eviCore will accept retroactive authorization requests through April 30, 2021.
For information about submitting retroactive authorization requests to eviCore, see:
Professional provider, facility and portal training webinars are available through mid-January. See the "Reminder: Providers must submit authorization requests to TurningPoint for musculoskeletal procedures for most members" article in:
More information about TurningPoint
For more information about TurningPoint, see the following pages on this website:
To view the lists of codes for which TurningPoint manages authorizations, see the Musculoskeletal procedure codes that require authorization by TurningPoint document.
For detailed information, see the Musculoskeletal procedure authorizations: Frequently asked questions for providers document.
Posted: January 2021
Lines of business: Blue Cross Blue Shield of Michigan and Blue Care Network