September 2023

We updated questionnaires in e-referral system

On July 30, 2023, we updated questionnaires in the e-referral system, and 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 these questionnaires when making utilization management determinations on your prior authorization requests.

Updated questionnaires

We updated the following:

Questionnaire	Opens for	Updates
Blepharoplasty	Medicare Plus Blue℠ BCN commercial BCN Advantage℠	Updated a question
Chemical peels	BCN commercial BCN Advantage	Updated a question
Ethmoidectomy	Medicare Plus Blue BCN commercial BCN Advantage	Updated several questions

Preview questionnaires

Preview questionnaires show the questions you’ll need to answer in the e-referral system so you can prepare ahead of time.

To find the preview questionnaires, go to ereferrals.bcbsm.com and:

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.
For BCN: Click on BCN and then click on Authorization Requirements & Criteria. Scroll down and look under the Authorization criteria and preview questionnaires heading.

Authorization criteria and medical policies

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

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2022 American Medical Association. All rights reserved.