D Collier

Review of Blue Care Network

I am a provider for BCN patients for Physical Ther...

I am a provider for BCN patients for Physical Therapy services. We most recently stopped seeing BCN patients because their obnoxious processes inhibit patients from receiving quality, continuous care, ultimately leading to poorer outcomes for their enrollees. Once a patient is approved at a facility, they may be seen for one visit only. After that the facility is required to send in an evaluation justifying physical therapy services. (One would think that just having an ACL surgery would satisfy this requirement alone). Then one must wait 24-48 hours before receiving a response of whether the patient is approved for physical therapy services. This creates a scheduling nightmare because you cannot schedule a patient until they are approved for PT services. Did I mention the average approval for visits is 4-6 visits? Imagine having an ACL, total joint replacement, rotator cuff repair and you are told you only have 4-6 visits of PT for rehabilitation. Yes, one can request more visits after sending in more paperwork which requires another 2-3 day wait for response. Meanwhile the patient is sitting at home not receiving the physical therapy services they were promised when he/she signed up for his/her insurance plan. The truth needs to be known... BCN's priority is minimizes physical therapy services for their enrollees, not providing continuous care for their members in need.