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ereferrals.bcbsm.com
Maindomain:bcbsm.com
Title:e-Referral - Home
Description:-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
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ereferrals.bcbsm.com |
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12.176.249.78 |
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BCBS of Mi |
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United States |
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Detroit |
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42.344871520996 |
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-83.008117675781 |
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HOME BCN BLUE CROSS Full Site BCN Blue Cross Need Help? Access & Training Provider Search Sign Up or Change a User Training Tools Additional Resources Blue Distinction Centers News Archive Quick Guides bcbsm.com Home Outage alert This website will be unavailable from 10 p.m. on Saturday, Jan. 12 until 6 a.m. on Sunday, Jan. 13 while we make upgrades to our web system. We apologize for the inconvenience. -- Behavioral Health changes for Medicare Plus Blue SM PPO Blue Cross ® Physician Choice PPO — A new name Online self-paced training modules now available Welcome to ereferrals.bcbsm.com e-referral site wins communications awards Blue Cross BCN Show All May 2020 e-referral system out of service for maintenance overnight May 16-17 April 2020 Some Blue Care Network transitional care fax numbers discontinued starting June 1 Recommendations for submitting authorization requests for medical oncology drugs to AIM Updated: Palforzia ™ and Tepezza ™ will have authorization and site-of-care requirements for commercial members effective March and May 2020 Updated: We're adding site-of-care requirements for Lemtrada and Tysabri for commercial members, starting May 1 Hospitals must notify naviHealth before transferring Medicare Advantage members to SNFs We're experiencing issues with processing some Supartz FX ™ (sodium hyaluronate) claims for BCN Advantage SM members Updated: Changes to authorization durations for elective and non-urgent procedures, including PT, OT and ST, during the COVID-19 pandemic CHANGE: TurningPoint will manage musculoskeletal procedure authorizations with dates of service on or after July 1, 2020, for certain members e-referral system out of service for maintenance overnight April 18-19 What to do about e-referral error message Sarclisa ® will require prior authorization starting May 15 for BCN HMO SM , Medicare Plus Blue SM PPO and BCN Advantage SM members How to submit inpatient authorization requests to Blue Cross and BCN during the April 10 holiday closure and the e referral weekend software upgrade How to submit a plan notification for acute care hospital facility admissions and request for post-acute care admissions Clinical review requirements suspended through May 31 for all admissions to acute care hospitals and for transfers to skilled nursing facilities March 2020 We'll pay only inpatient facility claims for Zulresso TM starting July 1, for Blue Cross' PPO members Use e-referral system while Blue Cross and BCN offices are closed on Tuesday, March 24 We’re adding site-of-care requirements for Adakveo ® and Givlaari ® for Blue Cross' PPO members starting April 1 e-referral system out of service for maintenance overnight March 21-22 Use e-referral system while Blue Cross and BCN offices are closed on March 20 and 23 Authorization requirements eased for COVID-19-related services In April, we're making changes to coverage for infliximab biosimilar products for Medicare Advantage members naviHealth is taking measures to keep Medicare Advantage members safe in response to COVID-19 Medicare Part B medical specialty drug prior authorization list is changing in June No software upgrade on March 8-9 for e-referral system February 2020 Professional providers and facilities can now register for training on TurningPoint's clinical model and more Medicare Part B medical specialty drug prior authorization list is changing in April e-referral system may be slow or problematic after data center move Interventional pain management services for *64451 and *64625 require authorization starting May 1 for all Blue Cross and BCN members e-referral system out of service for maintenance three times in February 2020 January 2020 Submit requests for swallow services to BCN, not to eviCore healthcare Updated e-referral system questionnaires will be released for BCN and Medicare Plus Blue SM PPO on Feb. 2, 2020 Reblozyl ® will have authorization and site-of-care requirements for commercial members effective February and April 2020 Authorization requirements are changing for home health, TPN and IDPN services for BCN members We're removing zoledronic acid drugs from the Medicare Part B medical specialty drug prior authorization list in March Attend a training session on changes to the Practitioner Performance Summary and utilization management categories for physical therapy providers Musculoskeletal surgical procedures will require authorization by TurningPoint for Medicare Plus Blue SM PPO and BCN members Radiation therapy services for A9590 require authorization starting April 1 for all Blue Cross and BCN members Avsola ™ and Givlaari ™ will have authorization and site of care requirements for commercial members effective February and March 2020 How to submit inpatient authorization requests to Blue Cross during upcoming holiday closure How to submit inpatient authorization requests to BCN during upcoming holiday closure e-referral system out of service for maintenance Jan. 18-19 December 2019 We're adding two medical drugs to the site-of-care program for Blue Cross and Blue Care Network commercial members starting April 1, 2020 Updated — Medicare Part B medical specialty drug authorization: Clarification regarding Prolia and Xgeva Additional medical benefit specialty drugs will have authorization and site of care requirements for Blue Cross’ PPO and BCN HMO SM members in January and February 2020 e-referral system out of service for maintenance Dec. 21-22 Medicare Part B medical specialty drug prior authorization list is changing in March We've resolved issues with processing SNF claims for Medicare Advantage members e-referral system unavailable from 8 to 10 a.m. Saturday, Dec. 7 How to submit inpatient authorization requests to BCN during upcoming holiday closures How to submit inpatient authorization requests to Blue Cross during upcoming holiday closures How to handle authorization requests for physical, occupational and speech therapy continuing into 2020 Reminder: Michigan board-certified behavior analysts must be licensed starting Jan. 7, 2020, to be reimbursed by BCN and Blue Cross November 2019 We're adding two medical drugs to the PPO commercial site of care requirements starting in January Provider appeal time frame extended for Blue Cross' PPO admissions Additional medical benefit specialty drugs will require prior authorization for Blue Cross' PPO and BCN HMO SM members How to submit inpatient authorization requests to Blue Cross during upcoming holiday closures How to submit inpatient authorization requests to BCN during upcoming holiday closures Register for a webinar about hyaluronic acid products for knee injections e-referral system out of service for maintenance Nov. 16-17 We're aligning peer-to-peer review request processes for acute non-behavioral health non-elective inpatient admissions Tell us what you think about our utilization management services October 2019 Medicare Part B medical specialty drug prior authorization list is changing in February For Blue Cross' PPO (commercial) and BCN HMO SM (commercial) members, ketoprofen 25 mg will require authorization and have new quantity limits BCN to deny claims for unauthorized outpatient toxicology laboratory services by non-JVHL laboratories starting Jan. 1, 2020 Starting Nov. 1, changes in authorizing human organ transplants for BCN members e-referral system out of service for maintenance Oct. 19-20 The oncology management program will include Medicare Advantage plans starting Jan. 1, 2020 September 2019 Starting Jan. 1, 2020, we'll cover select hyaluronic acid products For Medicare Plus Blue SM PPO, the Specialty Medication Prior Authorization Program is expanding to include all sites of care except inpatient Effective immediately, plan notification is no longer required for endometrial ablation and excisional breast biopsy procedures for BCN members Effective Jan. 1, 2020, Eylea ® and Lucentis ® will require authorization for Blue Cross' PPO (commercial) members Starting ...
ereferrals.bcbsm.com Whois
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"name": "Blue Cross Blue Shield of Michigan",
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