TurningPoint to manage authorizations for musculoskeletal procedures with dates of service on or after June 1 for certain members

In a January Record article, we let you know that providers will need to submit authorization requests through TurningPoint Healthcare Solutions LLC for inpatient and outpatient musculoskeletal surgical procedures for Blue Care Network commercial members, as well as BCN Advantage^SM and Medicare Plus Blue^SM members.

Here’s additional information you need to know:

• Providers should submit authorization requests for all surgical procedures related to musculoskeletal conditions scheduled to occur on or after June 1, 2020, to TurningPoint starting May 1.
• This pertains to procedures currently managed by Blue Cross Blue Shield of Michigan or BCN.
• These changes don’t apply to Blue Cross commercial plans.
• eviCore healthcare^® will continue to manage lumbar spinal fusion surgeries for Medicare Plus Blue members throughout 2020. You can find the codes for these procedures by going to ereferrals.bcbsm.com and following these steps:
  1. Click on Blue Cross and then eviCore-Managed Procedures.
  2. Click on Procedures that require authorization by eviCore healthcare.
  3. Scroll down to the Lumbar spinal fusion surgery procedures requiring authorization by eviCore table.
• You can find procedure codes for orthopedic and spinal procedures managed by TurningPoint on ereferrals.bcbsm.com. The direct links are:
• Orthopedic
• Spinal

For more information, refer to our frequently asked questions document on ereferrals.bcbsm.com on the following pages:

• Blue Cross Musculoskeletal Services page
• BCN Musculoskeletal Services page

Portal registration and access
To register for the TurningPoint portal, go to myturningpoint-healthcare.com and click on Register for Access under the Login Now button. From there, you’ll need to fill out a validation form and submit your request to TurningPoint.

Note: Only professional providers can register for the portal at this time. Providers can request an authorization through the portal and then provide the appropriate facility with the authorization number. Facilities can view the status of an authorization request through the e-referral system 24 hours after TurningPoint makes a determination.

If you have any questions or need assistance, email TurningPoint at  portalregistration@turningpoint-healthcare.com.

Provider offices can also access the TurningPoint provider portal by following these steps:

1. Visit bcbsm.com/providers and log in to Provider Secured Services.
2. Click on the Musculoskeletal Service Authorizations through TurningPoint link
3. Enter your NPI.

If you’re having trouble accessing the TurningPoint provider portal using this process, contact the Blue Cross Web Support Help Desk at 1-877-258-3932.

Note for out-of-state providers: Log in to your home plan's website and select an ID card prefix from Michigan. This will take you to the Blue Cross Blue Shield of Michigan website. You can then follow the instructions above to access the TurningPoint provider portal.

Webinar training
We’ll offer a training webinar for professional providers and facilities in April. To register for training on TurningPoint’s clinical model and the TurningPoint provider portal, click on the appropriate link below:

• Professional providers can register for training here.
• Facility providers can register for training here.