We’re continuing to streamline preauthorization process for Medicare Plus Blue^SM PPO physical therapy

Blue Cross Blue Shield of Michigan continues to partner with eviCore healthcare for its physical and occupational therapy program for Medicare Plus Blue PPO members. Based on your input and comments about the preauthorization process, we’ve asked eviCore to help streamline the process and lessen the administrative burden.

Some providers raised questions about which fields of the authorization form on the eviCore web portal were mandatory and which ones were optional. As promised in the June Record article, we've created a sample form to help you identify the mandatory fields and provide some explanation of the field contents when necessary.

Click here to access the sample form. While it will help address some issues in the short term, eviCore continues to work on new ways to expedite the overall authorization process.

For more information, go to ereferrals.bcbsm.com, select Blue Cross in the left-hand navigation and, under the Authorization/Referrals section, click on this link for eviCore-Managed Procedures. You can also go directly to the site by clicking on this link.

We’ve created an FAQ about using the e-referral system as well.

Your input helps us make improvements to the program, which will be especially beneficial as we move forward with preauthorization for other groups in 2018.