New e-referral system upgrades

Blue Care Network made improvements to the e-referral system making it easier for you to submit authorization requests. These changes went into effect on July 27, 2020.

Here's what changed:

• We're blocking duplicate referrals to prevent unnecessary pends in the system.
• We're allowing only the member's assigned primary care physician to submit certain requests.
• Specialists can submit authorization requests for services only if there's a global referral on file for the member. Please see Page 19 of the e-referral User Guide for rules when a global referral is required.

These changes were announced in an article on Page 35 of the July-August 2020 BCN Provider News. (PDF)

You can access our e-referral changes webinar recording previously held in July to learn more. To find the on-demand training:

• Log in to Provider Secured Services
• Go to BCN Provider Publications and Resources
• Click on Learning opportunities under Other Resources

The e-referral User Guide (PDF) and eLearning modules have also been updated on the Training Tools page to reflect these changes.

Posted: August 2020
Line of business: Blue Care Network