Starting Oct. 24, updated questionnaire to open in the e-referral system
On Oct. 24, 2021, we'll update the Endoscopy, upper gastrointestinal, for Gastroesophageal Reflux Disease (GERD) questionnaire for BCN commercial and BCN AdvantageSM members in the e-referral system.
We'll also update the corresponding authorization criteria and preview questionnaire on this website.
As a reminder, we use our authorization criteria, our medical policies and your answers to the questionnaires in the e-referral system when making utilization management determinations on your authorization requests.
You can access preview questionnaires on this website to see the questions you'll need to answer in the e-referral system. This can help you prepare your answers ahead of time.
To find the preview questionnaires, click BCN and then click Authorization Requirements & Criteria. Scroll down and look under the “Authorization criteria and preview questionnaires” heading.
Authorization criteria and medical policies
The pertinent authorization criteria and medical policies are also available on the Authorization Requirements & Criteria page.
Posted: October 2021
Lines of business: Blue Cross Blue Shield of Michigan and Blue Care Network