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April 2022
TurningPoint authorizations for musculoskeletal surgical and related procedures are valid for 6 monthsPrior authorization requests approved by TurningPoint Healthcare Solutions LLC on or after Jan. 1, 2022, are valid for six months from the planned date of service for all outpatient musculoskeletal procedures, including pain management procedures. For example, if TurningPoint approves an authorization request for a service planned for June 1, the approval will be valid from June 1 through Nov. 30. If the surgery is performed during that time period, the authorization will match the claim without any changes to the authorization. We updated the following documents to reflect this change:
Note: Prior authorization requests that were approved on or before Dec. 31, 2021, are valid for 30 days from the planned date of service. TurningPoint Healthcare Solutions LLC is an independent company that manages authorizations for musculoskeletal surgical and related procedures for Blue Cross Blue Shield of Michigan and Blue Care Network. |
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