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Durable Medical Equipment, Prosthetics and Orthotics

Resources

Northwood, Inc. manages prior authorizations and the supplier network for DME/P&O for the following groups and members:

  • Blue Cross commercial (Fully insured groups and members with individual coverage) and BCN commercial

    Exception: Members who have pharmacy benefits through BCN pr Blue Cross can obtain certain DME products, including continuous glucose monitor, or CGM, products, from participating network pharmacies. Prior authorization could be required.
  • BCN Advantage℠ and Medicare Plus Blue℠
    • Members must obtain CGM products through a participating network pharmacy. Prior authorization could be required.
    • UAW Retiree Medical Benefits Trust members with BCN Advantage plans must obtain CGM products through a DME supplier.
  • Northwood is the preferred provider for Blue Cross commercial and Medicare Plus Blue members.

Note: For diabetes supplies, Northwood manages prior authorizations for blood glucose monitors and testing supplies, and insulin pumps and supplies.

How to submit prior authorization requests

To learn how to submit requests, see our Getting Started page.

Submit requests before providing services.

Northwood Inc. is an independent company that manages both prior authorizations and a supplier network for durable medical equipment, prosthetics and orthotics, and medical supplies (including diabetes supplies) for various Blue Cross Blue Shield of Michigan and Blue Care Network members.