The Record

Save time: Don’t fax unnecessary information about inpatient stays

We’re receiving faxes related to inpatient stays from hospital utilization review departments. Most of these faxes aren’t required, and you can save time by not sending them.

The table below shows how to save time and get the information to the right place.

Type of information

How to send it

Lists of members admitted to the hospital

Use the e‑referral system to submit an authorization request for each admission.

Lists of members discharged from the hospital

If the case is still open in the e‑referral system, you can enter the discharge date.
If the case has closed because the authorized days have elapsed, you don’t need to do anything.

Clinical information

If the authorization request was approved in the e‑referral system, we don’t need additional clinical information.
If the member needs additional days, use the e‑referral system to request those days and attach the clinical information to the request.

Information on sick newborns (authorization requests separate from the delivery)

Make sure you’re sending to the correct fax number:

For Blue Cross commercial: 1-800-482-1713.
For BCN commercial: 1 866 313 8433.

Note: Information about sick newborns does need to be faxed because those members can’t be found in the e‑referral system.

Retroactive authorization requests for inpatient admissions that started as outpatient services

Use the e‑referral system to submit a retroactive authorization request for each inpatient admission.

Adjustments in dates of service for procedures managed by vendors, such as TurningPoint Healthcare Solutions LLC

Submit this information to the vendor who manages the procedure. For information about submitting requests to vendors, go to ereferrals.bcbsm.com.

If you have any questions about the sessions, contact April Boyce at aboyce@bcbsm.com. If you have questions regarding registration, email Patricia Scarlett at pscarlett@bcbsm.com.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2020 American Medical Association. All rights reserved.