Musculoskeletal Services
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- Blue Cross commercial
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TurningPoint Healthcare Solutions LLC manages prior authorizations for:
- Orthopedic procedures
- Spinal procedures
This requirement applies to:
- Blue Cross Blue Shield of Michigan commercial fully insured groups, select self-funded groups and members with individual coverage*
Notes: - This excludes MESSA members.
- This includes UAW Retiree Medical Benefits Trust non-Medicare members
- Medicare Plus Blue℠ members
- Blue Care Network commercial members
- BCN Advantage℠ members
How to submit prior authorization requests
To learn how to submit requests, see our Getting Started page.
Submit requests before providing services.
Utilization Management Criteria
Visit our Utilization Management Criteria page.
*To determine whether you need to submit prior authorization requests for Blue Cross commercial members, see the document titled Determining prior authorization requirements
for members
.
TurningPoint Healthcare Solutions LLC is an independent company that manages prior authorizations for musculoskeletal surgical and related procedures for Blue Cross Blue Shield of Michigan and Blue Care Network.
Frequently accessed documents
Additional resources
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