BCN Medical Benefit Drugs: How to submit requests electronically
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The process of requesting prior authorization for medical benefit drugs differs according to the member's coverage and the type of drug:
- For BCN commercial members:
- For most medical benefit drugs, submit prior authorization requests through the NovoLogix® web tool. This includes requests for gene and cellular therapy drugs.
- For medical oncology and supportive care drugs, submit prior authorization requests to OncoHealth. To determine which self-funded groups have requirements under the program, see the Oncology Value Management program participation list for commercial self-funded groups
. - For BCN Advantage members:
- For most medical benefit drugs, submit prior authorization requests through NovoLogix. This includes requests for gene and cellular therapy drugs.
- For medical oncology and supportive care drugs, submit prior authorization requests to OncoHealth.
Shared Resources
- Blue Cross Behavioral Health: Frequently asked questions for providers
- Autism coverage overview
- Obtaining an autism diagnostic evaluation and finding treatment
- Documentation requirements for autism services
- Autism diagnostic evaluation results form
- Requirements for diagnostic evaluations by approved autism evaluation centers and independent evaluation teams
- Letter of intent to become an approved autism evaluation center
- AAEC evaluation and billing guidelines
- Attestation form for psychologists interested in providing ABA
- Autism: Billing guidelines and procedure codes
- Behavioral health: For mental health and substance use disorders — Includes information about care management and utilization management programs
Frequently accessed documents
Additional resources
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