Ereferrals bcbsm - BCN Referral and Clinical Review Program - e-Referral

 
Physicians and professionals: 1-800-344-8525. Hospitals or facilities: 1-800-249-5103. Vision and hearing providers: 1-800-482-4047. Federal Employee Program providers and facilities: 1-800-840-4505. While our automated response system is available to any provider who needs it, we strongly encourage providers to log in or learn how to get an .... Mcdonald's sausage patty nutrition info

Lines of business: Blue Cross Blue Shield of Michigan and Blue Care Network ...Physicians and professionals: 1-800-344-8525. Hospitals or facilities: 1-800-249-5103. Vision and hearing providers: 1-800-482-4047. Federal Employee Program providers and facilities: 1-800-840-4505. While our automated response system is available to any provider who needs it, we strongly encourage providers to log in or learn how to get an ... Oct 10, 2023 · Authorization Requirements & Criteria page at ereferrals.bcbsm.com. Acute and Post-acute care facilities — Non-Michigan (without access to Availity) (Acute Inpatient Hospital, Inpatient Rehab, Skilled Nursing, Long Term Acute Care Hospitals) Blue Cross Precertification Services are available 24 hours per day, 7 days a week to receiveWe would like to show you a description here but the site won't allow us.Here's what's changing for global referrals submitted for BCN HMO (commercial) members on or after March 13, 2020: For referrals with end dates in 2020, the end date will automatically be extended to Dec. 31, 2020. For referrals with end dates after Dec. 31, 2020, the end date specified in the e-referral system will apply. This applies to ...e-referral Provider Search feature — Within the e-referral tool, you can search by provider name or national provider identifier. When you have a member selected and then go to select a provider, the system will indicate if the provider is "in" or "out" of network for that member. For more information, see: e-referral User Guide ( PDF) Online ...On Oct. 15, 2023, Blue Cross Blue Shield of Michigan and Blue Care Network will update questionnaires in the e-referral system. We’ll also update the corresponding …Online provider search — bcbsm.com has an online provider search that allows you to look for affiliated providers by first selecting the member's Blue Cross or BCN product and then viewing the network choices by type of care and location. More detailed searches are possible by clicking on More Search Options. Once you have located the ...benefit for Blue Cross Blue Shield of Michigan and Blue Care Network commercial members. Michigan prescribers . To submit prior authorization requests electronically, first register for Availity ® Essentials, our provider portal; refer to the . Register for web tools. page at bcbsm.com for details. Then: 1. Log in to availity.com*. 2. Click ...by calling 1-844-377-1278 (BCN) or 1-800-728-8008 (Blue Cross) or by logging in to the . Carelon ProviderPortal. See the Medical oncology prior authorization list for Blue Cross and BCN commercial members for a comprehensive list of drugs managed by Carelon, and groups included in the programBlue Cross/BCN Provider Communications Created Date: 20221102132219Z ...ereferrals.bcbsm.com website and in our provider newsletters. For dates of service on or after April 1, 2021, we're designating certain medications as preferred products. This change will affect most Blue Cross Blue Shield of Michigan commercial, all Medicare Plus Blue. SM, all Blue Care Network commercial and all BCN Advantage. SM. members.Click Maintain User under your account in the top navigation or My Account. Dashboard and locate the user’s account. Click the name of the user. Click Revoke User. Select the organization (s) from which you want to revoke the user. If the user belongs to a single organization, that organization is selected by default.Click Secure Provider Resources (Blue Cross and BCN) on the Resources tab. Click Coronavirus on the Member Care tab. This page provides Blue Cross Blue Shield of Michigan's prior authorization requirements, including information that applies to: Blue Cross commercial and Medicare Plus Blue. Blue Cross commercial only. you use BCN's e-referral system • If additional visits needed, practitioner completes the revised Outpatient Treatment Authorization form • Visits are authorized based upon: - the number of sessions requested - progress being made toward established goals - use of evidence-based treatment - an appropriate projected therapy end dateBlue Cross Blue Shield of Michigan and Blue Care Network offer care management programs and support services to members. These programs vary based on member coverage and may be administered by Blue Cross or BCN staff or by contracted vendors. Care management programs provide patient support by identifying patients with health risks*eviCore healthcare is an independent company that contracts with Blue Cross Blue Shield of Michigan and Blue Care Network to manage authorizations for select services. For more information, go to our ereferrals.bcbsm.com website. Posted: March 2022 Line of business: Blue Cross Blue Shield of Michigan Carelon Clinical Appropriateness Guidelines for Musculoskeletal are developed through a rigorous process integrating evidence-based literature with expert physician review. Guidelines for joint surgery, spine surgery, and interventional pain management are included below. The guidelines do not address coverage, benefit or …Go to ereferrals.bcbsm.com. 2. Click . Blue Cross. Provider alert . Blue Cross commercial Category: Pharmacy . Publication start date: Dec. 10, 2021 Publication end date: March 31, 2022 . 4 . 3. Click Medical Benefit Drugs . 4. Scroll to the Blue Cross commercial column. 5. Review the information in the "How to submit authorization requests ...Blue Cross Blue Shield of Michigan commercial March 2023 2 . Settings or scenarios . Prior authorization isn't required for services managed by Carelon in the following settings or scenarios: • Inpatient setting • When Blue Cross coverage is secondary — for example, when Blue Cross commercial coverage is secondary to MedicareBlue Cross Blue Shield of Michigan and BCN Care Network provide utilization management programs. These programs vary based on member coverage and may be administered by Blue Cross or BCN staff or by contracted vendors. Utilization management programs focus on ensuring that patients get the right care at the rightPAIN MANAGEMENT EPIDURAL STEROID INJECTIONS AUTHORIZATION REQUEST FORM Utilization management toll-free phone: 1-833-217-9670 Utilization management local phone: 313-908-6040• Facilities interested in applying as a BCN-approved autism evaluation center (AAEC) should submit a letter of intent. Providers whose letters of intent are accepted will be asked to complete a formal application. Additional information is available on BCN's Autism page at . ereferrals.bcbsm.com > BCN > Autism.Blue Care Network commercial and BCN AdvantageSM March 2023 1 . This document explains what providers need to do to request a peer-to-peer review with a Blue Cross Blue Shield of Michigan or Blue Care Network medical director about services for which aprior authorization request has been denied by Blue Cross or BCN.Blue Cross Blue Shield of Michigan and Blue Care Network offer care management programs and support services to members. These programs vary based on member coverage and may be administered by Blue Cross or BCN staff or by contracted vendors. Care management programs provide patient support by identifying patients with health risksAttention! Your ePaper is waiting for publication! By publishing your document, the content will be optimally indexed by Google via AI and sorted into the right category for over 500 million ePaper readers on YUMPU.Blue Cross Blue Shield of Michigan implemented InterQual acute care, rehabilitation, long-term acute care and skilled nursing criteria effective Aug. 2, 2021. On this date, the modifications outlined below took effect and all previous modifications and InterQual criteria were replaced with these guidelines. All prior authorization requests must beBlue Cross Blue Shield of Michigan implemented InterQual acute care, rehabilitation, long-term acute care and skilled nursing criteria effective Aug. 2, 2021. On this date, the modifications outlined below took effect and all previous modifications and InterQual criteria were replaced with these guidelines. All prior authorization requests must befor pediatric and adult Blue Care Network commercial and BCN Advantage members. We also updated the corresponding preview questionnaire on the . ereferrals.bcbsm.com. 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 managementBan lãnh đạo Bệnh viện. ĐIỆN THOẠI: (84-258) 3854 213. HOTLINE NGÀNH Y TẾ: 1900-9095. EMAIL: [email protected]. HOTLINE BỆNH VIỆN. 0965 311 515.BCN commercial : Fax to 1-866-534-9994 anytime. Behavioral health services : Medicare Plus Blue . Call 1-888-803-4960 anytime. BCN commercial . Call 1-800-482-5982 anytime, for services managed by BCN. BCN Advantage . Call 1-800-431-1059 anytime. Monthly e-referral maintenance (outage) scheduleBlue Cross and BCN utilization management medical drug list for Blue Cross commercial and BCN commercial members. We'll update this list prior to the effective change of the change. You can access this list and other information about requesting prior authorization on the following pages of the ereferrals.bcbsm.com website:Updated Medicare local coverage determination for facet joint injections for Medicare Plus Blue SM and BCN Advantage SM members, starting April 25, 2021. For dates of service on or after April 25, 2021, the updated Medicare local coverage determination for facet joint interventions for pain management (L38841) applies.**NOC Codes indicates the following: J3490, J3590, J9999, and C9399 *ereferrals.bcbsm.com. website. *For self-funded plans, the employer assumes the risk for claims costs and pays a fee for administrative services provided by Blue Cross or BCN. **Clicking this link means that you're leaving the Blue Cross Blue Shield of Michigan and Blue Care Network website. While we recommend this site,Member with BCN coverage who is a Blue Cross employee Phone: 1-888-265-4703 Fax: 1-844-318-5145 Calls are serviced only during business hours (Monday through Friday — except holidays — from 8:30 a.m. to 5 p.m.). Member with BCN HMO or BCN Advantage coverage who is not a Blue Cross employee Call the appropriate Provider Inquiry number:POSTSERVICE CHANGE REQUEST FORM Utilization management toll-free phone: 1-833-217-9670 Utilization management local phone: 313-908-6040 Utilization management fax: 313-879-5509©1996-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 insurance in Michigan. Aug 1, 2023 · Access this document via ereferrals.bcbsm.com to ensure you’re viewing the most up-to-date information. Chiropractic services For chiropractic manipulations and physical medicine services by chiropractors Revised August 2023 : See also: Care management and utilization management programs: Overview for providers 2Learn how to request prior authorization for services for Medicare Plus Blue SM PPO and BCN Advantage SM members. Find links to specific services, documents, and resources for non-Michigan providers.For BCN members: For DME and P&O, contact Northwood, Inc., at 1-800-393-6432. For diabetes supplies, contact J&B Medical Supply at 1-888-896-6233. For Blue Cross commercial members: For information about DME and diabetes supplies, contact Provider Inquiry at 1-800-249-5103 to determine benefits.To access the forms: Log in to our provider portal ( availity.com *). Click Payer Spaces on the menu bar and then click the BCBSM and BCN logo. Click the Resources tab. Click Secure Provider Resources (Blue Cross and BCN). Click the Forms menu and make the appropriate selection. BCN AdvantageSM. Skilled nursing facilities and home health ...Important Information About Medicare Plans ©1996-2021 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.Benátky nad Jizerou is a town on the Jizera river in the Central Bohemia - Region of the Czech Republic, between the cities Stará Boleslav and Mladá Bolesla...April 2023. Updated Experimental and investigational services questionnaire in the e-referral system starting May 1 (PDF) Starting June 1, submit prior authorization requests for ABA services through e-referral (PDF) Quartet Care Navigation Platform: FAQ for behavioral health providers is available (PDF) Updated questionnaires in the e-referral ...Quick Guides. e-referral Quick Guide ( PDF) - A brief overview of what you need to know to start using the e-referral tool. Care management and utilization management programs: Overview for providers ( PDF) - Overview of care management programs for members and utilization management programs for providers. BCN Provider Inquiry Contact ...Currently, both eviCore's electronic system and BCN's e-referral system show the same number of units authorized by eviCore. Beginning Aug. 18, 2016, in some instances, you may see 250 units authorized in BCN's e-referral system for each service approved by eviCore. ... Additional information is available at ereferrals.bcbsm.com. Click BCN ...Autism services : Billing guideline s and procedu re codes For Blue Cross commercial and Blue Care Network commercial Revised May 2023 . 1 . This document outlines activities, codes and rates for autism services, along with information about billing and documentation.Procedure codes for which providers must request prior authorization For Blue Cross commercial, Medicare Plus BlueSM, BCN commercial and BCN AdvantageSM v.2023.4 1 . Blue Cross Blue Shield of Michigan and Blue Care Network require health care providers to obtain approval before providing certain services.Click Maintain User under your account in the top navigation or My Account. Dashboard and locate the user’s account. Click the name of the user. Click Revoke User. Select the organization (s) from which you want to revoke the user. If the user belongs to a single organization, that organization is selected by default. member, agree to participate in the Case Management Program offered by Blue Cross Blue Shield of Michigan. I understand that this means: 1. My case manager may contact me and/or my care team to discuss my health care needs. My care team includes my authorized representative and healthcare providers (hospital staff, doctors, therapist, etc.). 2.To access the forms: Log in to our provider portal ( availity.com *). Click Payer Spaces on the menu bar and then click the BCBSM and BCN logo. Click the Resources tab. Click Secure Provider Resources (Blue Cross and BCN). Click the Forms menu and make the appropriate selection. BCN AdvantageSM. Skilled nursing facilities and home health ... Drugs (bcbsm.com) document for additional details . PPO . HMO . Preferred product information . J7665 Aridol Capsule Mannitol J1944/J1943 . Aristada . aripiprazole lauroxil J1652 Arixtra, Fondaparinux Fondaparinux Sodium J9261 Arranon, Nelarabine Nelarabine J9017 Arsenic, Trisenox Arsenic Trioxide ...Blue Cross Blue Shield of Michigan and Blue Care Network offer care management programs to members. We also provide utilization management programs. These programs vary based on member coverage and may be administered by Blue Cross or BCN staff or by contracted vendors. • Care management programs provide patient support by identifying ...Need help? If you need help registering for Availity Essentials, call Availity Client Services at 1-800-AVAILITY (282-4548). Assistance is available 8 a.m. to 8 p.m. Eastern time Monday through Friday, excluding holidays. Were you looking for information on web-DENIS or Provider Secured Services? Availity Essentials replaced them as our ...Physicians and professionals: 1-800-344-8525. Hospitals or facilities: 1-800-249-5103. Vision and hearing providers: 1-800-482-4047. Federal Employee Program providers and facilities: 1-800-840-4505. While our automated response system is available to any provider who needs it, we strongly encourage providers to log in or learn how to get an ...You can access all of your cases by searching for them with the reference number or the member's contract number. Blue Cross and BCN will continue to make enhancements to the e-referral system to make it easier to use. Watch for future web-DENIS messages and news items on the ereferrals.bcbsm.com website announcing upcoming updates.Blue Care Network commercial and BCN AdvantageSM April 2023 2 . What is Quartet? Quartet is an independent company contracted by Blue Cross Blue Shield of Michigan and Blue Care Network to help increase the speed with which fully insured adult members (18 and older) can access behavioral health services. Quartet can connectBlue Cross Commercial Forms. Use the appropriate Medication Authorization Request Form below to request prior authorization for a medication that's covered under a member's medical benefits and administered in an outpatient location. Providers located outside of Michigan who don't have access to the NovoLogix ® online tool must request ...Musculoskeletal Services. . Musculoskeletal Services. Providers must obtain authorization from TurningPoint Healthcare Solutions LLC for: Orthopedic procedures. Pain management procedures. Spinal procedures. This requirement applies to: Blue Cross commercial fully insured groups, select self-funded groups and members with individual coverage*. BCN commercial and BCN AdvantageSM requests. January 2021 . 1. Check the category that applies to your request: For non-behavioral health facility inpatient admissions: Check one (below), then complete the form and fax it to 1-866-373-9468 or email it to . [email protected]. Note: Effective Jan. 4, 2021, peer-to-peer review requests will notprocedure codes that require review and can be accessed at ereferrals.bcbsm.com > Clinical Review & Criteria Charts > BlueCaid Referral and Clinical Review Program. The primary care physician, specialist or other provider of service may obtain clinical review by contactingBelow are links to documents detailing Blue Care Network's authorization and referral requirements for services managed by BCN, including lists of procedures that require authorization and authorization criteria and preview questionnaires for various procedures. These apply to services other than drugs covered under the medical benefit.Procedure codes for which providers must request prior authorization For Blue Cross commercial, Medicare Plus BlueSM, BCN commercial and BCN AdvantageSM v.2023.4 1 . Blue Cross Blue Shield of Michigan and Blue Care Network require health care providers to obtain approval before providing certain services.Changes to ereferrals.bcbsm.com Blue Cross commercial, Medicare Plus BlueSM, BCN commercial and BCN AdvantageSM Date posted: October. 12, 2023 1 …September 2023. Changes to preferred drug designations under the medical benefit for most commercial members, starting Jan. 1 (PDF) Management of outpatient diabetes supplies for additional members starting Jan. 1 (PDF) Some diabetes drugs to require prior authorization for Blue Cross and BCN members, starting Jan. 1 (PDF)Online provider search — bcbsm.com has an online provider search that allows you to look for affiliated providers by first selecting the member's Blue Cross or BCN product and then viewing the network choices by type of care and location. More detailed searches are possible by clicking on More Search Options. Once you have located the ...Online provider search — bcbsm.com has an online provider search that allows you to look for affiliated providers by first selecting the member's Blue Cross or BCN product and then viewing the network choices by type of care and location. More detailed searches are possible by clicking on More Search Options. Once you have located the ...Online Self-paced Learning Modules. We have developed interactive learning modules to help you learn core functionalities and features of the e-referral tool. Please click the title link in the table below to start each module. Module. Audience. BCN. Blue Cross. 1. Accessing e-referral. October 2023. Updated: Blue Cross continues to pay claims during our union represented employee work stoppage at Blue Cross (PDF) Assisted reproductive technology benefit expanded, starting Jan. 1. 2023 (PDF) Vyvgart Hytrulo to have a site-of-care requirement for most commercial members starting Jan. 1 (PDF) Reminder: Changes for in-lab sleep ...Blue Cross Blue Shield of Michigan and Blue Care Network provide utilization management programs. These programs vary based on member coverage and may be administered by Blue Cross or BCN staff or by contracted vendors. Utilization management programs focus on ensuring that patients get the right care at theFor BCN: 1-844-377-1278 For services that do not have approved authorizations, claims may be denied and providers may not bill the member. Where to find additional information For information about finding clinical guidelines and submitting prior authorization requests, refer to these webpages on the ereferrals.bcbsm.com website :Blue Cross Blue Shield of Michigan implemented InterQual acute care, rehabilitation, long-term acute care and skilled nursing criteria effective Aug. 2, 2021. On this date, the modifications outlined below took effect and all previous modifications and InterQual criteria were replaced with these guidelines. All prior authorization requests must beImportant Information About Medicare Plans ©1996-2021 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.authorization from Blue Cross Blue Shield of Michigan for some drugs covered under the medical benefit for Blue Cross and Blue Shield FEP non-Medicare members. Authorization will be required only when members receive the drugs in Michigan. HCPCS . code Brand name Generic name Effective datesAug 30, 2023 · ereferrals.bcbsm.com. Note: The information in these tables is for summary purposes only. For Blue Cross commercial members, not all services in the categories listed require authorization for every employer group. The lists of groups identified as excluded from specific authorization requirements are not all-For BCN commercial members, fax to 1-866-601-4425. For BCN Advantage members, fax to 1-800-459-8027. Call the Blue Cross and BCN Pharmacy Clinical Help Desk at 1-800-437-3803. For BCN commercial members only, mail the request to: BCBSM Clinical Help Desk. For Medicare Plus Blue members, fax to 1-866-601-4428. Call the Blue Cross and BCN Pharmacy Clinical Help Desk at 1-800-437-3803. For Blue Cross commercial members only, mail the request to: BCBSM Clinical Help Desk. P.O. Box 312320. Call the Blue Cross and BCN Pharmacy Clinical Help Desk at 1-800-437-3803. For Blue Cross commercial members only, mail the request to: Blue Cross Blue Shield of Michigan, Pharmacy Services Mail Code 512B 600 E. Lafayette Blvd. Detroit, MI 48226-2998; Alternate methods for submitting prior authorization requests to CarelonAccess this document via ereferrals.bcbsm.com to ensure you're viewing the most up-to-date information. Outpatient PT, OT and ST, and physical medicine ... eviCore healthcare is an independent company that contracts with Blue Cross Blue Shield of Michigan and Blue Care Network to manage authorizations for select services. For more information ...

Blue Cross Blue Shield of Michigan and Blue Care Network offer care management programs and support services to members. These programs vary based on member coverage and may be administered by Blue Cross or BCN staff or by contracted vendors. Care management programs provide patient support by identifying patients with health risks. Taxsifter okanogan

ereferrals bcbsm

Access this document via ereferrals.bcbsm.com to ensure you're viewing the most up-to-date information. Post-acute care For skilled nursing, rehabilitation and long-term acute care ... Blue Cross Blue Shield of Michigan and Blue Care Network members who have Medicare Advantage plans. Title: Post-acute care: For skilled nursing, rehabilitation ...Blue Care Network commercial and BCN Advantage. SM. Clinical review is required for adult members (age ≥18). The medical necessity criteria are outlined below. CPT codes: *93653, *93654 and *93656. Atrial fibrillation (AF) by ECG . One of the following must be met: 1. Paroxysmal atrial fibrillation and ALL: a. Must have one of the following ...Attention! Your ePaper is waiting for publication! By publishing your document, the content will be optimally indexed by Google via AI and sorted into the right category for over 500 million ePaper readers on YUMPU.Care management and utilization management programs Overview for providers Revised September 2023 Services available for these products (may not apply to all groups or individual members): Blue Cross commercial Medicare Plus Blue BCN commercial BCN Advantage Blue Cross Blue Shield of Michigan and Blue Care Network offer the …the menu bar and then click the BCBSM and BCN logo. You’ll find links to the NovoLogix tools on the Applications tab. Note: If you need to request access to our provider portal, follow the instructions on the ... ereferrals.bcbsm.com website: • Blue Cross Medical Benefit Drugs • BCN Medical Benefit Drugs Authorization isn’t a guarantee ...by calling 1-844-377-1278 (BCN) or 1-800-728-8008 (Blue Cross) or by logging in to the . Carelon ProviderPortal. See the Medical oncology prior authorization list for Blue Cross and BCN commercial members for a comprehensive list of drugs managed by Carelon, and groups included in the programHigh-tech radiology — This includes procedures for Michigan Blue Cross and Blue Shield Federal Employee Program ® members. In-lab sleep management — Blue Cross Commercial. Proton beam therapy. Echocardiogram services. Medical oncology - This applies to the following: Medicare Plus Blue members.BCN Advantage SM members. This information is currently being requested for select BCN commercial prior authorization requests. You can find information about AIM's requirements related to services for Blue Cross commercial members on our ereferrals.bcbsm.com website, on the . Blue Cross AIM-Managed Procedures webpage.ereferrals.bcbsm.com. They are dated May 2022. Blue Cross Blue Shield Blue Care Network @ of Michigan Nonprofit corporations and independent licensees ... Author: Blue Cross Blue Shield of Michigan and Blue Care Network Created Date: 5/24/2022 8:31:08 AM ...Learn how to join the Blue Cross Blue Shield of Michigan and Blue Care Network provider network, access online tools and resources, and find patient eligibility information. Use the e-Referral site to check prior authorization requirements for PPO and HMO plans.• Facilities interested in applying as a BCN-approved autism evaluation center (AAEC) should submit a letter of intent. Providers whose letters of intent are accepted will be asked to complete a formal application. Additional information is available on BCN's Autism page at . ereferrals.bcbsm.com > BCN > Autism.BCN commercial and BCN Advantage members. Blue Cross and BCN utilization management medical drug list for : Blue Cross commercial and BCN commercial Drugs marked “Oncology Management Program” are managed by Carelon (formerly AIM). If you think a code may require authorization but it isn’t listed, call Carelon at 1-844-377-1278 to inquire.and BCN Advantage. SM. members. • See also the 2022 Blue Cross and BCN Local Rules for acute care (modifications of InterQual acute care criteria) for admissions on or after March 1, 2022. 2022 Blue Cross and BCN modifications of InterQual skilled nursing facility criteria • A Blue Cross or BCN medical director reviews all requests for the ...bcbsm.com; Provider Manuals. Our provider manuals offer utilization management information that can be helpful to you and are updated regularly. BCN Provider Manual. In the BCN Provider Manual, you’ll find information about prior authorization and referral requirements that apply to BCN commercial and BCN Advantage members in these …ereferrals.bcbsm.com. website. *Clicking this link means that you're leaving the Blue Cross Blue Shield of Michigan and Blue Care ... we're not responsible for its content. Availity is an independent company that contracts with Blue Cross Blue Shield of Michigan and Blue Care Network to offer provider portal services. Title:Quick Guides. e-referral Quick Guide ( PDF) - A brief overview of what you need to know to start using the e-referral tool. Care management and utilization management programs: Overview for providers ( PDF) - Overview of care management programs for members and utilization management programs for providers. BCN Provider Inquiry Contact ...For BCN commercial, call 1-800-482-5982. For BCN Advantage, call 1-800-431-1059. Additional information. As a reminder, you can access resources related to authorizations and referrals on our ereferrals.bcbsm.com website. Click either Blue Cross or BCN and then use the links in the left navigation to reach information related to specific services.BCN commercial and BCN Advantage members. Blue Cross and BCN utilization management medical drug list for : Blue Cross commercial and BCN commercial Drugs marked “Oncology Management Program” are managed by Carelon (formerly AIM). If you think a code may require authorization but it isn’t listed, call Carelon at 1-844-377-1278 to inquire..

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