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Musculoskeletal Preauthorization Procedure for Essential Plan Members Effective August 1

Audience: Physicians, Hospitals

We advise you that effective August 1, 2020, preauthorization requests for musculoskeletal procedures pertaining to Essential Plan members must be submitted directly to the Health Plan. Musculoskeletal-related requests for Commercial and Medicare Advantage business should continue to be submitted to eviCore Healthcare.

Our online CareAdvance Provider® tool is the fastest, most efficient means for requesting preauthorization. Refer to our online training materials at Provider.ExcellusBCBS.com or contact your Provider Relations representative if you need assistance. Other important information, including an updated preauthorization phone number, is available by clicking on the Requesting Preauthorizations tab.

We also encourage you to review the most up-to-date list of musculoskeletal services that require preauthorization at Provider.ExcellusBCBS.com. Click on the Medical Services & Provider Administered Drugs tab.
 
If you have questions regarding this bulletin, please contact your Provider Relations representative.

 
 
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