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May 2023
We made some questionnaire changes in e-referral systemOn March 26 and April 9, 2023, we added, updated and removed questionnaires in the e-referral system. We also made changes in 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. New questionnaire On March 26, we added a Breast reduction questionnaire that’s specific to BCN Advantage℠ members. This questionnaire will open for adolescent and adult BCN Advantage members for procedure code *19318. Updated questionnaires We updated the following questionnaires on the date specified below:
Removed questionnaire On March 26, we removed the Blepharoplasty, lower lid questionnaire. Although this service continues to require prior authorization for Medicare Plus Blue, BCN commercial and BCN Advantage members, the questionnaire no longer opens. Preview questionnaires Preview questionnaires show the questions you’ll need to answer so you can prepare your answers ahead of time. To access them, go to ereferrals.bcbsm.com and follow instructions below:
Authorization criteria and medical policies The pertinent authorization criteria and medical policies are also available on the Authorization Requirements & Criteria pages. |
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