Provider Central

This article is for providers who use Authorization Manager for musculoskeletal services

Thank you for using Authorization Manager to submit your requests for musculoskeletal services. As a reminder for epidural steroid injection (ESI) requests, please select the appropriate frequency based on the following criteria.

Transforaminal ESIs: In a single session, you should perform either a 1-level, bilateral transforaminal ESI or a 2-level, unilateral transforaminal ESI.

Interlaminar and caudal ESIs: In a single session, you should perform a single, 1-level caudal or interlaminar ESI.

Additional reminders for all ESIs:

• We cover a maximum of four sessions per six-month period and six sessions per 12-month period regardless of the number of injections performed during each session.
• We cover a maximum of four sessions per spine region per year (cervical and thoracic is one region, and lumbar and sacral is one region).
• Transforaminal injections should not be given with caudal or interlaminar injections in the same session.

We’re here to help

• If you need help with or have questions about Authorization Manager, email us at HMMAuthorizationManager@bcbsma.com
• For clinical inquiries on InterQual^®, email us at MSKInterqual@bcbsma.com

More resources

• Authorization Manager Provider Central page, which contains helpful tips, guides, and video demonstrations
• Authorization Manager User Guide

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