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January 2023

We’ve updated fax forms for submitting prior authorization requests to TurningPoint

On Nov. 22, 2022, Blue Cross Blue Shield of Michigan and Blue Care Network posted updated fax forms on ereferrals.bcbsm.com for use when submitting prior authorization requests to TurningPoint Healthcare Solutions, LLC, for musculoskeletal procedures.

We updated the forms as follows:

Prior authorization request form

Updates

Joint and spine procedures
  • Added a “Case urgency” section (standard or expedited)
  • Specified that for procedures with policies that have smoking and BMI criteria, the requesting provider must include signed documentation stating that they have discussed the risks and benefits of the procedure related to smoking and elevated BMI, as appropriate

Pain management: Epidural steroid injections

Added a “Case urgency” section (standard or expedited)

Pain management: Facet joint injection

Added a “Case urgency” section (standard or expedited)

Pain management: Neuroablation procedures
  • Added a “Case urgency” section (standard or expedited)
  • Added the question: “Is this request for Iovera® (cryoabltion)?”

Pain management: Sacroiliac joint injections

Added a “Case urgency” section (standard or expedited)

If you use fax forms to submit prior authorization requests to TurningPoint, be sure to incorporate the updated forms into your process.

You can find these forms and other useful resources on these pages of our ereferrals.bcbsm.com website:

TurningPoint Healthcare Solutions LLC is an independent company that manages authorizations for musculoskeletal surgical and related procedures for Blue Cross Blue Shield of Michigan and Blue Care Network.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2021 American Medical Association. All rights reserved.
Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and
independent licensees of the Blue Cross and Blue Shield Association.