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Importance of Submitting Continued Stay Reviews in Cohere Health
BlueCross BlueShield of South Carolina·SC · Critical Care·Prior Authorization
Effective date
Mar 25, 2026
We identified it
Aug 11, 2026
Summary
South Carolina Blues has updated its Continued Stay Review (CSR) submission process in Cohere Health, requiring staff to select the 'start continuation' button BEFORE uploading clinical documentation. Failure to use this button prevents proper system flagging, delays responses, and can result in request rejection. This applies to inpatient hospitals, rehabilitation facilities, long-term acute care, and skilled nursing facilities with a 7-day submission deadline.
Action Required
Immediately: All staff responsible for submitting Continued Stay Reviews in Cohere Health must be trained on the mandatory process: (1) SELECT the 'start continuation' button FIRST, (2) THEN upload and complete all required clinical documentation. Billing team must update internal workflows and submission checklists to reflect this required sequence. Create a reminder notice for all inpatient, rehabilitation, long-term acute care, and skilled nursing facility submission staff. Communicate consequences: requests without the continuation button will not be flagged as CSRs, will not be visible to the payer, will experience processing delays, and may require unnecessary escalations. Recommend all staff review the available tip sheet article in the Learning Center. Verify compliance within 1 week.