Reminder: eviCore to handle BCN initial and follow-up authorization requests for PT, OT and ST starting later in 2018
Later this year, providers will submit initial authorization requests for physical, occupational and speech therapy, or for physical medicine services by chiropractors, through eviCore healthcare’s provider portal. They’ll no longer use the e-referral system or call Blue Care Network. At the same time, requests to authorize follow-up services will also be submitted through the eviCore provider portal instead of through the Landmark Healthcare portal. This change will apply to requests for BCN HMOSM (commercial) and BCN AdvantageSM members and to the following providers: • Facilities • Therapists performing physical, occupational and speech therapy • Chiropractors performing physical medicine services • Referring physicians • Podiatrists In addition, BCN is working with eviCore to implement the corePathSM authorization model for these requests for BCN HMO (commercial) and BCN Advantage members. corePath will streamline the authorization process and make it easier for providers to submit authorization requests. It’s the same model that was implemented for Blue Cross Medicare Plus BlueSM PPO authorization requests starting Jan. 1, 2018. More details about these changes will be provided in the coming months.