Sleep Management Program Reminder (DO NOT EXPIRE OR REMOVE - THIS IS THE PLACEHOLDER ARTICLE FOR THE DISPLAY PAGE)

Return to Provider News

Musculoskeletal Preauthorization Program Update

We would like to provide you with information regarding our Musculoskeletal Preauthorization Program through eviCore healthcare, which became effective with dates of service on or after February 1, 2019, for commercial, Medicare Advantage and Essential Plan lines of business when the member benefit requires preauthorization. EviCore healthcare is an independent company contracted to provide utilization management services for Excellus BlueCross BlueShield.

Additional arthroscopy procedures impacting hip and knee surgeries will be added to the preauthorization program effective with dates of service on or after August 1, 2019. Please see the reverse of this notice for a list of the additional arthroscopy codes and corresponding descriptions.

A complete list of CPT codes for services requiring preauthorization will be available in the Referrals and Authorizations section of our website prior to August 1 and will include the newly added codes shaded in gray.

Please share this important information with all practice locations. If you have questions, contact your Provider Relations representative.

Additional arthroscopy codes chart

 

 
 
Related News
Overlapping and Contiguous Counties FAQs

Medicare Advantage Changes Effective January 1, 2020

New Membership Effective October 1 for Livingston County

Preauthorization Reminder for Children’s Behavioral Health Services Carved into Medicaid Managed Care

New Electronic Preauthorization Tool Coming Soon

Category

Excellus

News

Benefits & Eligibility