Ereferrals bcbsm

you use BCN's e-referral system • If additional visits needed, practitioner completes the revised Outpatient Treatment Authorization form • Visits are authorized based upon: - the number of sessions requested - progress being made toward established goals - use of evidence-based treatment - an appropriate projected therapy end date

Ereferrals bcbsm. ©1996-2023 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. We provide health insurance in Michigan.

Requirements for selecting a primary care provider. Blue Elect Plus members enrolled with a Michigan address must select a BCN HMO primary care provider, but they still have the option to seek care from other physicians and specialists without a referral.. Blue Elect Plus members enrolled with a non-Michigan address don't need an assigned primary care provider.

User Guide - Blue Cross Blue Shield of Michiganproviders please contact [email protected] or 800-437-3803 and ask for Kristy S. for further assistance) 2. After 10 days: Go to Ereferrals.bcbsm.com select Login (green button); you will be re-directed to Provider Secured Services. 3. On the Provider Secured Services screen look for the following link:ereferrals.bcbsm.com website and in our provider newsletters. For dates of service on or after April 1, 2021, we're designating certain medications as preferred products. This change will affect most Blue Cross Blue Shield of Michigan commercial, all Medicare Plus Blue. SM, all Blue Care Network commercial and all BCN Advantage. SM. members.Các Quy trình kỹ thuật Chương XXVIII _ Tạo hình thẩm mỹ được triển khai tại bệnh viện Đa khoa khu vực Cam Ranh. Xem thêm. Quy trình kỹ thuật Chương XXVII _ Phẫu thuật …POSTSERVICE CHANGE REQUEST FORM Utilization management toll-free phone: 1-833-217-9670 Utilization management local phone: 313-908-6040 Utilization management fax: 313-879-5509©1996-Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.We provide health insurance in Michigan.

Not signed up for our new provider portal (Availity Essentials) yet? Learn more* about the benefits of registering.. e-referral assistance. Refer to the appropriate e-referral User Guide or Web-based training, available on e-referral, or contact your provider consultant. * Clicking this link means that you're leaving the Blue Cross Blue Shield of Michigan and Blue Care Network website.You can access all of your cases by searching for them with the reference number or the member's contract number. Blue Cross and BCN will continue to make enhancements to the e-referral system to make it easier to use. Watch for future web-DENIS messages and news items on the ereferrals.bcbsm.com website announcing upcoming updates.contact your BCN provider representative. Your provider representative would be happy to visit your office to train your e-referral users. I would also like to suggest that each time you visit e-referral, stop by the welcome page at ereferrals.bcbsm.com to read recent news and get the latest updates for your staff.Not signed up for our new provider portal (Availity Essentials) yet? Learn more* about the benefits of registering.. e-referral assistance. Refer to the appropriate e-referral User Guide or Web-based training, available on e-referral, or contact your provider consultant. * Clicking this link means that you're leaving the Blue Cross Blue Shield of Michigan and Blue Care Network website.ereferrals.bcbsm.com . Pharmacy benefit . drugs ; Online: Submit through an . electronic prior authorization, or ePA, tool. Alternate methods • Fax: 1-866-601-4425 • Call: 1-800-437-3803 ... Blue Cross Blue Shield of Michigan and Blue Care Network members who have commercial plans.ereferrals.bcbsm.com. They are dated May 2023. What’s new • e-referral User Guide: o Long-Term Acute Care Hospital information has been added to the . …BCN Care Management provider call volumes high. BCN Care Management is experiencing high call volumes. To avoid waiting on the phone line, providers should use BCN's e-referral system to submit or check the status of referrals or requests for clinical review.We encourage providers to call the Medical Information Specialist line at 1-800-392-2512 with urgent requests only.benefit for Blue Cross Blue Shield of Michigan and Blue Care Network commercial members. Michigan prescribers . To submit prior authorization requests electronically, first register for Availity ® Essentials, our provider portal; refer to the . Register for web tools. page at bcbsm.com for details. Then: 1. Log in to availity.com*. 2. Click ...

Online Self-paced Learning Modules. We have developed interactive learning modules to help you learn core functionalities and features of the e-referral tool. Please click the title link in the table below to start each module. Module. Audience. BCN. Blue Cross. 1.Blue Cross Commercial Forms. Use the appropriate Medication Authorization Request Form below to request prior authorization for a medication that's covered under a member's medical benefits and administered in an outpatient location. Providers located outside of Michigan who don't have access to the NovoLogix ® online tool must request ...BCN Advantage SM; Note: Services associated with this procedure code already require prior authorization for most Blue Cross commercial members. Submitting prior authorization requests. Submit prior authorization requests to AIM. For information on how to submit requests and for other resources, visit these webpages on our ereferrals.bcbsm.com ...Call the Blue Cross and BCN Pharmacy Clinical Help Desk at 1-800-437-3803. For Blue Cross commercial members only, mail the request to: Blue Cross Blue Shield of Michigan, Pharmacy Services Mail Code 512B 600 E. Lafayette Blvd. Detroit, MI 48226-2998; Alternate methods for submitting prior authorization requests to CarelonAug 22, 2023 · Procedure codes that require authorization by eviCore healthcare ® For Blue Cross commercial, Medicare Plus BlueSM, Blue Care Network commercial and BCN AdvantageSM members Updated August 2023Blue Cross Blue Shield of Michigan commercial March 2023 2 . Settings or scenarios . Prior authorization isn't required for services managed by Carelon in the following settings or scenarios: • Inpatient setting • When Blue Cross coverage is secondary — for example, when Blue Cross commercial coverage is secondary to Medicare

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For BCN members: For DME and P&O, contact Northwood, Inc., at 1-800-393-6432. For diabetes supplies, contact J&B Medical Supply at 1-888-896-6233. For Blue Cross commercial members: For information about DME and diabetes supplies, contact Provider Inquiry at 1-800-249-5103 to determine benefits.• Facilities interested in applying as a BCN-approved autism evaluation center (AAEC) should submit a letter of intent. Providers whose letters of intent are accepted will be asked to complete a formal application. Additional information is available on BCN’s Autism page at . ereferrals.bcbsm.com > BCN > Autism.appropriate BCN region. Complete all fields marked with an asterisk. If you have questions about completing this form, please contact the BCBSM web-DENIS coordinator at 877-258-3932 Type provider's first and last name or facility name here Type provider or facility NPI here In this section, list the names of each provider Go to Page 2 to ...Musculoskeletal Services. . Musculoskeletal Services. Providers must obtain authorization from TurningPoint Healthcare Solutions LLC for: Orthopedic procedures. Pain management procedures. Spinal procedures. This requirement applies to: Blue Cross commercial fully insured groups, select self-funded groups and members with individual coverage*. • BCN clinical program information, including behavioral health, outpatient therapy, radiology and sleep studies • Sample BCN questionnaires to help you prepare authorization requests for select procedures • Quick guides All visitors can access the resources at ereferrals.bcbsm.com, but you must have a login and password to get to the securedBCN commercial and BCN AdvantageSM Revised June 2023 1 . This document provides contact information for Blue Cross Blue Shield of Michigan and Blue Care Network departments and contracted vendors. Use these links to go directly to a section within this document: • Blue Cross commercial provider resources • Medicare Plus Blue provider resources

• ereferrals.bcbsm.com: For referral and authorization requirements, select BCN and then Blue Elect Plus POS. • By phone, call Provider Inquiry • To send BCN electronic claims, call 1-800-542-0945. • To send paper claims, mail to: BCN Claims, P.O. Box 68710, Grand Rapids, MI 49516-8710. Blue providers outside Michigan:JOINT AND SPINE PROCEDURES AUTHORIZATION REQUEST FORM Utilization management toll-free phone: 1-833-217-9670 Utilization management local phone: 313-908-6040JOINT AND SPINE PROCEDURES AUTHORIZATION REQUEST FORM Utilization management toll-free phone: 1-833-217-9670 Utilization management local phone: 313-908-6040For BCN commercial members, fax to 1-866-601-4425. For BCN Advantage members, fax to 1-800-459-8027. Call the Blue Cross and BCN Pharmacy Clinical Help Desk at 1-800-437-3803. For BCN commercial members only, mail the request to: BCBSM Clinical Help Desk.Carelon-Managed Procedures (formerly AIM) Providers must obtain authorization from Carelon Medical Benefits Management (formerly AIM Specialty Health ®) for the following services: Cardiology services - Medicare Plus Blue SM. This includes cardiac implantable devices and services. High-tech radiology - This includes procedures for Michigan ... Behavioral health medical record documentation requirements and privacy regulations — for services other than ABA page 4 September 2017 For Blue Cross PPO (commercial), Blue Cross Medicare Plus BlueSM PPO, Blue Care Network HMOSM (commercial) and BCN AdvantageSM members HIPAA privacy regulations and documentation — for all non-ABA services by all practitioners31 Magazines from EREFERRALS.BCBSM.COM found on Yumpu.com - Read for FREEcodes that require authorization by TurningPoint” document on ereferrals.bcbsm.com. One authorization will cover both the setting and the procedure. The facility does not need to submit a separate authorization. The ordering physician should secure the required authorization and provide the authorization numbers to theFor drugs that require prior authorization, providers should submit requests as follows: For pharmacy benefit drugs, submit requests through CoverMyMeds. Learn about submitting requests electronically and through other methods on Blue Cross Pharmacy Benefit Drugs or on BCN Pharmacy Benefit Drugs. For most medical benefit drugs, including CAR-T ...Online provider search — bcbsm.com has an online provider search that allows you to look for affiliated providers by first selecting the member's Blue Cross or BCN product and then viewing the network choices by type of care and location. More detailed searches are possible by clicking on More Search Options.Blue Cross Blue Shield of Michigan

Time is running out to give us your opinion on provider training. You have until July 31 to complete our online survey. Your response will help us improve the way we distribute information to you. Thank you for your time and your input. Posted: July 2018. Lines of business: Blue Cross Blue Shield of Michigan and Blue Care Network.

BCN commercial and BCN Advantage SM Revised June 13, 2023 4 . Availity ® is an independent company that contracts with Blue Cross Blue Shield of Michi gan and Blue Care Network to offer provider portal and electronic data interchange services. eviCore healthcare ® is an independent company that contracts with Blue Cross Blue Shield of MichiganBlue Cross Commercial Forms. Use the appropriate Medication Authorization Request Form below to request prior authorization for a medication that's covered under a member's medical benefits and administered in an outpatient location. Providers located outside of Michigan who don’t have access to the NovoLogix ® online tool must request ...September 2023. Changes to preferred drug designations under the medical benefit for most commercial members, starting Jan. 1 (PDF) Management of outpatient diabetes supplies for additional members starting Jan. 1 (PDF) Some diabetes drugs to require prior authorization for Blue Cross and BCN members, starting Jan. 1 (PDF)May 4, 2015 · 1-800-392-2512. The e- referral User Guide has been created as a tool to instruct new users in the. system’s basic functions and provide some additional suggestions to save time. and avoid errors. Please take a moment to look at the Table of Contents and skim. through the sections to get acquainted with the contents.On Aug. 27, 2023, Blue Cross Blue Shield of Michigan and Blue Care Network will add and update questionnaires in the e- referral system. We'll also update the corresponding authorization criteria and preview questionnaires on the . ereferrals.bcbsm.com. website. As a reminder, we use our authorization criteria, our medical policies and your ...BCN's Blue Elect Plus POS webpage on the . ereferrals.bcbsm.com website. For more details about Healthy Blue Choices POS, refer to BCN's Healthy Blue Choices POS webpage. Inpatient services Inpatient admissions: BCN Utilization Man agement must be notified of acute non-behavioral health inpatientCare management and utilization management programs Overview for providers Revised September 2023 Services available for these products (may not apply to all groups or individual members): Blue Cross commercial Medicare Plus Blue BCN commercial BCN Advantage Blue Cross Blue Shield of Michigan and Blue Care Network offer the …Aug 30, 2023 · ereferrals.bcbsm.com. Chemical peels Authorization is required for all members. You must complete the dermal chemical peel questionnaire or epidermal chemical peel questionnaire that opens in the e-referral system. For more information, refer to the BCN-managed procedure codes that require authorization document.

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When submitting requests before Jan. 13. Prior to Jan. 13, 2022, fax your request for preservice review as follows: For Blue Cross commercial members: Fax to Provider Inquiry at 1-866-311-9603. For BCN commercial members: Fax to the Medical Drug Help Desk at 1 877 325 5979.Shield of Michigan and BCN can contact Availity to get access to Blue Cross and BCN information as if they're a Michigan provider. Ancillary providers who have taken this step should follow the instructions in the . Michigan . providers: Look up requirements for a member who has coverage through Blue Cross Blue Shield of Michigan orAdditional Resources. ▽. Blue Distinction Centers · News Archive · Quick Guides · bcbsm.com · BCN · Blue Cross. Home. Set up e-referral and Health e-Blue in ...Blue Care Network announces date for program changes for breast biopsy (excisional) BCN previously communicated in the Nov.-Dec BCN Provider News, clinical review will be required for breast biopsy (excisional) and CCTA for BCN commercial and BCN Advantage HMO-POS SM and BCN Advantage HMO SM members effective Jan. 1, 2014. The effective date of these changes will be Jan. 6, 2014.e-Referral - News Item. For dates of service on or after Oct. 1, 2018, Trogarzo and Zilretta will be added to the medical drug prior authorization program for Blue Cross PPO (commercial) and BCN HMO SM (commercial) members. Trogarzo will also be subject to a site-of-care requirement for BCN HMO (commercial) members only, effective Oct. 1, 2018.Oct 5, 2023 · TurningPoint reviews this procedure code for BCN commercial and BCN Advantage members for dates of service on or after June 1, 2020, through March 25, 2023.Apr 17, 2023 · ereferrals.bcbsm.com or on our Provider Resources site under Member Care > Behavioral Health. (The Provider Resources site is accessible through our provider portal, availity.com*.) Quartet Care Navigation Platform Frequently asked questions for behavioral health providersBlue Cross Blue Shield of Michigan and Blue Care Network provide utilization management programs. ... Access this document via ereferrals.bcbsm.com to ensure you're viewing the most up-to-date information. Musculoskeletal services For joint and spine care Revised August 2023 :ereferrals.bcbsm.com. Chemical peels Authorization is required for all members. You must complete the dermal chemical peel questionnaire or epidermal chemical peel questionnaire that opens in the e-referral system. For more information, refer to the BCN-managed procedure codes that require authorization document.As a reminder, you can access resources related to authorizations and referrals on our ereferrals.bcbsm.com website. Click either Blue Cross or BCN and then use the links in the left navigation to reach information related to specific services. Posted: February 2022 Lines of business: Blue Cross Blue Shield of Michigan and Blue Care Network Access this document via ereferrals.bcbsm.com to ensure you're viewing the most up-to-date information. Advance care planning ... management services for Blue Cross Blue Shield of Michigan and Blue Care Network members who have Medicare Advantage plans. Title: Blue Cross and BCN - Advance care planning: For end-of-life decision making and ... ….

BCBSM Michigan and Blue Care Network to BCBSXX to conduct pre-service review for a BCBSXX member.” 1. Click the . Inpatient Authorization. or . ... ereferrals.bcbsm.com. website. *Clicking this link means that you’re leaving the Blue Cross Blue Shield of Michigan and Blue Care Network website. While we recommend this site, …eviCore is an independent company that manages authorizations of select services for Blue Cross Blue Shield of Michigan and Blue Care Network. Title: Blue Cross and BCN: Procedure codes that require authorization by eviCore healthcare Author: Blue Cross/BCN Provider CommunicationsTo find the CareCentrix training, search on “home health care” and then click the Courses tab. To request access to the provider training site: Click here to register .*. Complete the registration. We recommend using the same email you use to communicate with Blue Cross for provider-related needs. This will become your login ID.Blue Care Network announces date for program changes for breast biopsy (excisional) BCN previously communicated in the Nov.-Dec BCN Provider News, clinical review will be required for breast biopsy (excisional) and CCTA for BCN commercial and BCN Advantage HMO-POS SM and BCN Advantage HMO SM members effective Jan. 1, 2014. The effective date of these changes will be Jan. 6, 2014.Through our provider portal: Log in to our provider portal ( availity.com *). Click Payer Spaces on the menu bar and then click the BCBSM and BCN logo. Click the eviCore Provider Portal tile on the Applications tab. By logging in directly to the eviCore provider portal at evicore.com *. You can also call eviCore at 1-855-774-1317.Blue Cross Blue Shield of Michigan and Blue Care Network provide utilization management programs. These programs vary based on member coverage and may be administered by Blue Cross or BCN staff or by contracted vendors. Utilization management programs focus on ensuring that patients get the right care at the In September 2020, Blue Cross Blue Shield of Michigan and Blue Care Network announced in . The Record. and in . BCN Provider News. that we're moving to the Availity ® provider portal. The transition began March 19, 2022, as shown in the diagram below. This document contains frequently asked questions about this transition. General informationBlue Cross/BCN Provider Communications Created Date: 20221028193448Z ...Watch for news on system updates, training and other topics at ereferrals.bcbsm.com. *Blue Cross Blue Shield of Michigan doesn’t own or control this website. Availity® is an independent company that contracts with Blue Cross Blue Shield of Michigan and Blue Care Network to offer provider portal and electronic data interchange services. W010723 Ereferrals bcbsm, For Blue Care Network commercial and BCN Advantage. SM. members . b. Perforator vein reflux of at least 500 milliseconds by duplex ultrasound AND planned saphenous reflux procedure 4. Leg or ankle edema or swelling with superficial vein reflux of at least 500 milliseconds by duplex ultrasound and findings continue after ALL of the following: a., Go to ereferrals.bcbsm.com. 2. Click . Blue Cross. 3. Click Medical Benefit Drugs. 4. Scroll to the Blue Cross commercial column. ... *Clicking this link means that you're leaving the Blue Cross Blue Shield of Michigan and Blue Care Network website. While we recommend this site, we're not responsible for its content. Title:, JOINT AND SPINE PROCEDURES AUTHORIZATION REQUEST FORM Utilization management toll-free phone: 1-833-217-9670 Utilization management local phone: 313-908-6040, Blue Cross Blue Shield of Michigan implemented InterQual acute care, rehabilitation, long-term acute care and skilled nursing criteria effective Aug. 2, 2021. On this date, the modifications outlined below took effect and all previous modifications and InterQual criteria were replaced with these guidelines. All prior authorization requests must be, Quản lý chất lượng bệnh viện. Kết quả tự kiểm tra, đánh giá chất lượng bệnh viện... CÔNG BỐ Kết quả tự kiểm tra, đánh giá chất lượng bệnh viện và khảo sát sự hài lòng người …, ©2023 – Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. , ATTN: BCN Advantage Grievances and Appeals Unit . P.O. Box 284 . Southfield MI 48076-5043 . Fax: 1-866-522-7345 . Phone: 1-800-450-3680 . BCN will process these appeals using the normal BCN Advantage appeal processes for standard and expedited appeals., appropriate BCN region. Complete all fields marked with an asterisk. If you have questions about completing this form, please contact the BCBSM web-DENIS coordinator at 877-258-3932 Type provider's first and last name or facility name here Type provider or facility NPI here In this section, list the names of each provider Go to Page 2 to ..., Blue Cross Blue Shield of Michigan and Blue Care Network provide utilization management programs. These programs vary based on member coverage and may be administered by Blue Cross or BCN staff or by contracted vendors. Utilization management programs focus on ensuring that patients get the right care at the , ereferrals.bcbsm.com. website. *For self-funded plans, the employer assumes the risk for claims costs and pays a fee for administrative services provided by Blue Cross or BCN. **Clicking this link means that you're leaving the Blue Cross Blue Shield of Michigan and Blue Care Network website. While we recommend this site,, Updated: Blue Cross continues to pay claims during our union represented employee work stoppage at Blue Cross (PDF) Assisted reproductive technology benefit expanded, starting Jan. 1. 2023 (PDF) Vyvgart Hytrulo to have a site-of-care requirement for most commercial members starting Jan. 1 (PDF) Reminder: Changes for in-lab sleep studies to ... , Blue Cross Blue Shield of Michigan P.O. Box 33248 Detroit, MI 48232-4248. Area codes: 734, 810, 947, 989 or outside Michigan. Provider Inquiry Blue Cross Blue Shield of Michigan P.O. Box 2227 Detroit, MI 48321-2227. Area codes: 231, 269, 616. Blue Cross Blue Shield of Michigan P.O. Box 230589 Grand Rapids, MI 49523-0589. Area code: 906 ... , • BCN clinical program information, including behavioral health, outpatient therapy, radiology and sleep studies • Sample BCN questionnaires to help you prepare authorization requests for select procedures • Quick guides All visitors can access the resources at ereferrals.bcbsm.com, but you must have a login and password to get to the secured, Musculoskeletal Services. Providers must obtain authorization from TurningPoint Healthcare Solutions LLC for: Orthopedic procedures. Pain management procedures. Spinal procedures. This requirement applies to BCN commercial and BCN Advantage SM members. For information about musculoskeletal services for Blue Cross commercial and Medicare Plus ..., Welcome to Blue Cross Online Visits. Not feeling well? Talk with a U.S. Board certified doctor or nurse practitioner wherever and whenever you need one. Sign up now*. Please note: You must have video capability for visits through smartphone or computer. If your camera isn't working, please call 1-844-606-1608 to speak with a service rep., Jun 2, 2023 · Blue Cross Blue Shield of Michigan, • Facilities interested in applying as a BCN-approved autism evaluation center (AAEC) should submit a letter of intent. Providers whose letters of intent are accepted will be asked to complete a formal application. Additional information is available on BCN’s Autism page at . ereferrals.bcbsm.com > BCN > Autism., Shield of Michigan and BCN can contact Availity to get access to Blue Cross and BCN information as if they’re a Michigan provider. Ancillary providers who have taken this step should follow the instructions in the . Michigan . providers: Look up requirements for a member who has coverage through Blue Cross Blue Shield of Michigan or, Blue Cross Blue Shield of Michigan and Blue Care Network offer care management programs and support services to members. These programs vary based on member coverage and may be administered by Blue Cross or BCN staff or by contracted vendors. Care management programs provide patient support by identifying patients with health, You can access this document from the ereferrals.bcbsm.com website, on these webpages: Blue Cross Authorization Requirements & Criteria page. BCN Authorization Requirements & Criteria page. Here are the additional upcoming closures that will occur during 2021, so you can plan ahead: Good Friday - Friday, April 2. Memorial Day - Monday, May 31., Blue Cross Blue Shield of Michigan and Blue Care Network offer care management programs and support services to members. We also provide utilization management programs. These programs vary based on member coverage and may be administered by Blue Cross or BCN staff or by contracted vendors., Slogan: "An toàn - Tin cậy - Kịp thời". Khoa huyết học truyền máu được thành lập vào tháng 10 năm 2011, xuất thân từ tổ Huyết học Truyền máu của Khoa xét nghiệm …, Aug 30, 2023 · ereferrals.bcbsm.com. Note: The information in these tables is for summary purposes only. For Blue Cross commercial members, not all services in the categories listed require authorization for every employer group. The lists of groups identified as excluded from specific authorization requirements are not all-, codes that require authorization by TurningPoint” document on ereferrals.bcbsm.com. One authorization will cover both the setting and the procedure. The facility does not need to submit a separate authorization. The ordering physician should secure the required authorization and provide the authorization numbers to the, Click BCN Medical Benefit - Prior Authorization on the Provider Secured Services welcome page. Enter your NPI. This will bring you to the NovoLogix welcome page. BCN's Pharmacy Help Desk. BCN's Pharmacy Help Desk can also input the request on your behalf. You can call the Help Desk at 1-800-437-3803., BCN's Blue Elect Plus POS webpage on the . ereferrals.bcbsm.com website. For more details about Healthy Blue Choices POS, refer to BCN's Healthy Blue Choices POS webpage. Inpatient services Inpatient admissions: BCN Utilization Man agement must be notified of acute non-behavioral health inpatient, ereferrals.bcbsm.com. They are dated May 2022. Blue Cross Blue Shield Blue Care Network @ of Michigan Nonprofit corporations and independent licensees of …, September 2023. Changes to preferred drug designations under the medical benefit for most commercial members, starting Jan. 1 (PDF) Management of outpatient diabetes supplies for additional members starting Jan. 1 (PDF) Some diabetes drugs to require prior authorization for Blue Cross and BCN members, starting Jan. 1 (PDF) , • BCN clinical program information, including behavioral health, outpatient therapy, radiology and sleep studies • Sample BCN questionnaires to help you prepare authorization requests for select procedures • Quick guides All visitors can access the resources at ereferrals.bcbsm.com, but you must have a login and password to get to the secured, Aug 30, 2023 · ereferrals.bcbsm.com. Note: The information in these tables is for summary purposes only. For Blue Cross commercial members, not all services in the categories listed require authorization for every employer group. The lists of groups identified as excluded from specific authorization requirements are not all-, Through our provider portal: Log in to our provider portal ( availity.com *). Click Payer Spaces on the menu bar and then click the BCBSM and BCN logo. Click the eviCore Provider Portal tile on the Applications tab. By logging in directly to the eviCore provider portal at evicore.com *. You can also call eviCore at 1-855-774-1317., eviCore-Managed Procedures. For Blue Cross commercial and Medicare Plus Blue members, providers must obtain authorization from eviCore healthcare ® for outpatient radiation oncology. Refer to the resources below for more information: Procedure codes that require authorization by eviCore healthcare (PDF) — List of procedure codes eviCore reviews., • ereferrals.bcbsm.com: For referral and authorization requirements, select BCN and then Healthy Blue Choices POS. Provider Inquiry Physicians/professionals: 1-800-344-8525 Hospitals/facilities: 1-800-249-5103 When you receive health care services • You can see any doctor, without a referral from your primary care provider. But you'll pay ...