Pain Management Services
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TurningPoint Healthcare Solutions LLC manages prior authorizations for pain management services for:
- 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 — Prior authorization is required only for dates of service on or before April 30, 2025. For dates of service on or after May 1, 2025, prior authorization isn't required.
- Blue Care Network commercial members
- BCN Advantage℠ members — Prior authorization is required only for dates of service on or before April 30, 2025. For dates of service on or after May 1, 2025, prior authorization isn't required.
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 whether procedure codes require prior authorization for a member
.
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
©2025 – Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.