Locate authorization teams and submission faxes. Medical, pharmacy and delegated reviews can follow different routes.
prior authorization
TurningPoint — Blue Cross Blue Shield of Michigan / Blue Care Network commercial and Medicare Advantage — MSK surgery and pain management authorizations
8 a.m. – 8 p.m. Eastern, Monday – Friday (on-call clinicians after hours for emergent requests)
Product, plan and location
commercial · medicare advantage Michigan
Mailing address
Not researched for this route
Phone intake for BCBSM/BCN orthopedic, spinal and pain management procedure authorizations (local alternate 313-908-6040). Web intake via Availity or myturningpoint-healthcare.com is required for commercial members. Fax forms by procedure type list the fax number at the top of each form. Medicare Plus Blue/BCN Advantage pain management does not require PA for dates of service on or after May 1, 2025. TurningPoint does not process claims (submit claims to BCBSM/BCN).
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
fax prior auth
TurningPoint — Blue Cross Blue Shield of Michigan / Blue Care Network — post-service change request fax
Official page read
Phone
No phone listed for this route
Fax
313-879-5509
Published hours
Not published in this record
Product, plan and location
commercial · medicare advantage Michigan
Mailing address
Not researched for this route
Fax for the BCBSM/BCN TurningPoint Musculoskeletal services postservice change request form (when the performed procedure differs from what was authorized, before the claim is submitted). Form also lists the UM phone 1-833-217-9670.
TurningPoint utilization management toll-free phone and toll-free fax for Priority Health (Michigan) cardiac and musculoskeletal surgical procedure authorizations (local phone 313-221-5553, local fax 313-261-7199). Portal: myturningpoint-healthcare.com. Level 1 appeals for Medicaid and commercial members go to TurningPoint by fax 313-261-7199 or phone 313-221-5553 per the 2026 Priority Health guide.
TurningPoint toll-free phone and toll-free fax for CareSource West Virginia Marketplace members' cardiac and musculoskeletal surgical procedures (local phone 304-603-4673, local fax 304-553-7061). Use CareSource's procedure code lookup tool to confirm whether TurningPoint authorization applies.
Health Net California provider library contact for TurningPoint, which handles cardiovascular and ear, nose and throat (ENT) prior authorization for Health Net commercial lines of business (page updated 08/07/2024). Training questions: 866-422-0800.
TurningPoint fax intake for Home State Health (Medicaid), Ambetter from Home State Health and Allwell (Medicare/D-SNP) musculoskeletal surgical prior authorization requests or additional clinicals. Phone requests go through the Home State Health plan numbers listed in the FAQ (not a TurningPoint direct line). Portal: myturningpoint-healthcare.com.
TurningPoint telephonic intake (toll-free; local 501-263-8850) and fax intake for musculoskeletal surgical prior authorization for Arkansas Total Care (Medicaid) and Arkansas Health & Wellness members. The notices were issued for the program's 2020 launch and remain posted on both plans' sites; confirm with the plan if in doubt.
TurningPoint telephonic intake (toll-free; local 614-407-3447) and facsimile intake for Buckeye Health Plan musculoskeletal surgical procedures (joint, spine, sports medicine). Portal: myturningpoint-healthcare.com.
TurningPoint telephonic intake (toll-free; local 785-727-2483) and facsimile intake for Sunflower Health Plan KanCare (Medicaid), Ambetter (Marketplace) and Allwell (Medicare) musculoskeletal surgical procedures; program effective May 13, 2020.
8 a.m. – 5 p.m. each normal business day (on-call medical professionals 24/7 for after-hours needs)
Product, plan and location
Confirm the exact product or service New York
Mailing address
Not researched for this route
TurningPoint telephonic intake (toll-free; local 347-396-3591) and fax intake for Fidelis Care ear, nose and throat surgical procedure prior authorizations. Portal: myturningpoint-healthcare.com.
TurningPoint telephonic intake (toll-free; local 603-783-5638) and fax intake for the Ambetter from NH Healthy Families Cardiac Surgical Quality and Safety Management Program, effective for dates of service on or after Sept. 1, 2025.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
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Locate authorization teams and submission faxes. Medical, pharmacy and delegated reviews can follow different routes.
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