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November 2017

Clarification: Inpatient authorization requirements

In an October Record article titled “Here’s what you need to know about Blue Cross inpatient authorization requirements,” some words were omitted in the first paragraph that would have made the article’s meaning clearer. The first paragraph should have read as follows:

Inpatient admission authorization requests for Blue Cross Blue Shield of Michigan commercial PPO and Blue Cross Medicare Plus BlueSM PPO must be submitted through e-referral, effective July 31, 2017. The only exceptions are sick or ill newborns and gender reassignment authorization requests, which must be faxed.

We’ve revised the online version of the article and you can access it by clicking here.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2016 American Medical Association. All rights reserved.