#AIM SPECIALTY HEALTH PRIOR AUTH FORM CODE#

Post-service review requests should also be submitted directly to AIM via the ProviderPortal.Use the AIM ProviderPortal to request prior authorization (pre-service).If medical records are needed, AIM will request them via the ProviderPortal.Do not submit medical records to BCBSOK for care categories managed by AIM.Tips for using the AIM ProviderPortal for Pre & Post-Service Reviews 11, 2021, AIM Specialty Health ® (AIM), rather than BCBSOK, will manage prior authorization requests and post service medical necessity reviews for drugs in the Pharmacy Medical Oncology care category for some BCBSOK members. Availity provides administrative services to BCBSTX.What’s Changing: Blue Cross and Blue Shield of Oklahoma (BCBSOK) is changing prior authorization requirements that may apply to some commercial members. If you have any questions, you may contact your Network Management Representative.ĪIM Specialty Health (AIM) is an operating subsidiary of Anthem, Inc., an independent specialty medical benefits management company that provides utilization management services for BCBSTX.Īvaility is a trademark of Availity, L.L.C., a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Look for future news and updates on upcoming training and FAQs that will provide all of the important information you need regarding AIM.

If benefit prior authorization is required, services performed without benefit prior authorization or that do not meet medical necessity criteria may be denied for payment and the rendering provider may not seek reimbursement from the member.

By Phone – Call the AIM Contact Center at 1-80 Monday through Friday, 6 a.m.

Online – Submit requests via the AIM ProviderPortal 24/7.

Submit prior authorization requests to AIM. If you are already registered with AIM, you do not need to register again.

By Phone – Call the AIM Contact Center at 1-80 Monday through Friday, 6 a.m.

#AIM SPECIALTY HEALTH PRIOR AUTH FORM CODE#

Learn whether prior authorization is required for a procedure code and who to contact.Find out if the patient and services require prior authorization or a RQI prenotification.Determine if you’re in-network for your patient.Use Availity ®or your preferred vendor or call the number on the back of the ID card to: You can find code lists for the services that require prior authorization on our provider website.Ĭheck which members and services need prior authorization **The AIM Radiology Quality Initiative program (RQI) for Blue Choice PPO members will continue for members that do not require an advanced imaging prior authorization. * Exception are updates for new, replaced or removed procedure codes that may occur to comply with American Medical Association or Centers for Medicare & Medicaid Services or other industry-standard entities. The care categories and procedure codes that currently require prior authorization will stay the same* as the previous vendor: (Note: There are no changes to the vendors for BCBSTX Government Programs (Medicare Advantage and Medicaid plans). Blue High Performance Network SM (New plan effective Jan.Blue Premier SM and Blue Premier Access SM.

Blue Essentials SM and Blue Essentials Access SM.The utilization management vendor that manages certain outpatient prior authorizations for some members in the plans listed below will be AIM Specialty Health ® (AIM) effective Jan.

Aim specialty health prior auth form