BCBSM/BCN Dual Header The Record Header Logo

The Record - Insurance Card with the BCBSM/BCN Cross and Shield logo that reads, Blue Cross Blue Shield, Blue Care Network of Michigan. Tagline: Confidence comes with every card. Image of Note boards with paper that has the letters RX on it accompanied by a stethoscope

Forward to a friend  |  Subscribe  |  The Record Archive  |  Contacts  |  bcbsm.com  |  Print this article

December 2017

Reminder: Online training for prior authorization program begins in December

Beginning Jan. 1, 2018, some Blue Cross Blue Shield of Michigan commercial PPO members will require preauthorizations for the services listed below. The requirement is for our members with individual health plans and some of our members with coverage through their employers.

  • Interventional pain management
  • Radiation therapy (oncology) services
  • Inpatient and outpatient lumbar spinal fusion surgery

The prior authorization program for these members will be administered by eviCore healthcare.

To help you make a smooth transition, we’re offering online training on the prior authorization process through eviCore.

Training sessions will cover:

  • Overview of eviCore healthcare
  • Overview of eviCore’s clinical approach
  • Review of prior authorization process and specifics of the program
  • Review of web portal
  • Overview of eviCore’s provider resources

Online training dates

Radiation therapy

Interventional pain and lumbar spine fusion

11 a.m. Dec. 5

2 p.m. Dec. 6

2 p.m. Dec. 7

10 a.m. Dec. 8

10 a.m. Dec. 11

4 p.m. Dec. 12

3 p.m. Jan. 4

11 a.m. Jan. 5

Each session is 60 minutes. The training will be recorded and then available on web-DENIS.

How to register for a training

  • Select a date and time for the program you’re interested in.
  • Go to evicore.webex.com.
  • Click on the Training Center tab at the top of the page.
  • Click the Upcoming tab and find the date and time of the conference you wish to attend.
  • Click Register and enter the registration information.

Note: The sessions are named “Blue Cross and Blue Shield of Michigan Radiation Therapy Provider Orientation” and “Blue Cross and Blue Shield of Michigan Interventional Pain & Lumbar Spine Fusion Provider Orientation.”

After you have successfully registered for the conference, you’ll receive an email containing the toll-free phone number and meeting number, conference password and a link to the web portion of the conference. Please keep the registration email so you’ll have the information for your session.

Training sessions will be stored at the eviCore site and can be accessed for future reference.

Note: MESSA is currently excluded. Auto groups and the UAW Retiree Medical Benefits Trust are also excluded. Blue Care Network HMO isn’t affected by this change.

For more information about the preauthorization process, see the November Record article “Here’s more information about determination, training for new preauthorization program for commercial PPO.”

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

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