Starting Aug. 29, updated questionnaires to open in the e-referral system
On Aug. 29, 2021, we'll update the following questionnaires in the e-referral system:
- Orthognathic surgery — For adult and pediatric BCN commercial and BCN AdvantageSM members
- Vascular embolization or occlusion of hepatic tumors (TACE/RFA) — For adult Medicare Plus BlueSM, BCN commercial and BCN Advantage members. This questionnaire will start opening for procedure code *75894. (It already opens for procedure codes *37242 and *37243.)
We'll also update the corresponding preview questionnaires on this 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.
Preview questionnaires
You can access preview questionnaires on this website to see the questions youl'l need to answer in the e-referral system. This can help you prepare your answers ahead of time.
To find the preview questionnaires:
- For BCN: Click BCN and then click Authorization Requirements & Criteria. Scroll down and look under the “Authorization criteria and preview questionnaires” heading.
- For Medicare Plus Blue: Click Blue Cross and then click Authorization Requirements & Criteria. In the "Medicare Plus Blue members" section, look under the “Authorization criteria and preview questionnaires - Medicare Plus Blue” heading.
Authorization criteria and medical policies
The pertinent authorization criteria and medical policies are also available on the Authorization Requirements & Criteria page.
Posted: August 2021
Lines of business: Blue Cross Blue Shield of Michigan and Blue Care Network