The Record header image

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

August 2023

Questionnaire updates in e-referral system

In June, we updated questionnaires in the e-referral system. We also updated the corresponding preview questionnaires on the ereferrals.bcbsm.com website.

As a reminder, we use our authorization criteria, our medical policies and your answers to the questionnaires in the e-referral system when making utilization management determinations on your authorization requests.

Updated questionnaires

We updated the following questionnaires on the date specified below:

Questionnaire

Opens for

Updates

Release date

Blepharoplasty

  • Medicare Plus Blue℠
  • BCN commercial
  • BCN Advantage℠
  • Updated a question
  • Added two questions

June 25, 2023

Left atrial appendage closure

    BCN commercial

Added a question

June 11, 2023

Left atrial appendage closure

  • Medicare Plus Blue
  • BCN Advantage
  • Updated a few questions
  • Added a question

June 11, 2023

Septoplasty

  • Medicare Plus Blue
  • BCN commercial
  • BCN Advantage

    This questionnaire no longer opens for pediatric members

June 25, 2023

Preview questionnaires

Preview questionnaires show the questions in the e-referral system so you can prepare your answers ahead of time. To access them, go to ereferrals.bcbsm.com and:

  • For BCN: Click on BCN and then click on Authorization Requirements & Criteria. Scroll down and look under the Authorization criteria and preview questionnaires heading.
  • For Medicare Plus Blue: Click on Blue Cross and then click on Authorization Requirements & Criteria. Scroll down and look under the Authorization criteria and preview questionnaires – Medicare Plus Blue heading.

Authorization criteria and medical policies

The Authorization Requirements & Criteria pages explain how to access the pertinent authorization criteria and medical policies.

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 2022 American Medical Association. All rights reserved.