Musculoskeletal Services
TurningPoint Healthcare Solutions LLC manages prior authorizations for:
- Orthopedic procedures
- Spinal procedures
This requirement applies to:
- Blue Care Network commercial members
- BCN Advantage℠ members
- Blue Cross Blue Shield of Michigan commercial fully insured groups, select self-funded groups and members with individual coverage*
- Notes:
- This excludes MESSA members.
- This includes UAW Retiree Medical Benefits Trust non-Medicare members, for dates of service on or after May 31, 2021
- Medicare Plus Blue℠ members
Note: TurningPoint also manages prior authorizations for pain management procedures; visit the Pain Management Services page for details.
How to submit prior authorization requests
To learn how to submit requests, see our Getting Started page.
Submit requests before providing services.
Training for the TurningPoint program
We offer provider training. To learn more, see our Training Tools page.
*To determine whether you need to submit prior authorization requests for Blue Cross commercial members, see the document titled Determining whether procedure codes require prior authorization for a member
.
TurningPoint Healthcare Solutions LLC is an independent company that manages prior authorizations for musculoskeletal surgical and related procedures for Blue Cross Blue Shield of Michigan and Blue Care Network.
Frequently accessed documents
Additional resources
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