Aim specialty health appeals update#
Aim specialty health appeals code#

BCBSIL makes no endorsement, representations or warranties regarding any products or services provided by third party vendors such as Availity or AIM. Availity provides administrative services to BCBSILAIM Specialty Health (AIM) is an independent company that has contracted with BCBSIL to provide utilization management services for members with coverage through BCBSIL.

If you have any questions, call the number on the member's ID card.Īvaility is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. PacificSource partners with AIM to administer prior authorizations for nonemergency advanced diagnostic imaging services and genetic testing performed in an outpatient setting. Benefits will be determined once a claim is received and will be based upon, among other things, the member’s eligibility and the terms of the member’s certificate of coverage, including, but not limited to, exclusions and limitations applicable on the date services were rendered. Effective March 1, 2023, AIM Specialty Health is changing its name to Carelon Medical Benefits Management. CPT is a registered trademark of the AMA.Ĭhecking eligibility and/or benefit information and/or obtaining prior authorization is not a guarantee of payment. This step will confirm prior authorization requirements and utilization management vendors, if applicable.ĬPT copyright 2020 American Medical Association (AMA). Important Reminder: Always check eligibility and benefits first through the Availity ® Provider Portal or your preferred vendor portal, prior to rendering services.

Aim specialty health appeals update#

The above codes are designated “Removed from update release.

Aim specialty health appeals code#

More Information: Refer to the updated Commercial Outpatient Medical Surgical Prior Authorization Code List in the Utilization Management section. RPR 1 TORN LIGM&/CAPSL KNE COLTRL&CRUCIATE REPAIR PRIMARY TORN LIGM&/CAPSULE KNEE CRUCIAT RPR PRIMARY TORN LIGM&/CAPSULE KNEE COLLATERAL Uncover why AIM Specialty Health is the best company for you.

Compare pay for popular roles and read about the team’s work-life balance. Get the inside scoop on jobs, salaries, top office locations, and CEO insights. MANJ W/ANES SHOULDER JOINT W/FIXATION APPARATUS Find out what works well at AIM Specialty Health from the people who know best. If you have questions, your Provider Service Representative is happy to help.What’s Changing: Blue Cross and Blue Shield of Illinois (BCBSIL) is removing the prior authorization requirement through AIM effective April 1, 2021, for six “Musculoskeletal” codes for commercial non-HMO members.Ĭurrent Procedural Terminology (CPT ®) CodeĪRTHRS AID RPR LES/TALAR DOME FX/TIBL PLAFOND FX

Account management email addresses will migrate from to All emails will automatically redirect.

AIM will email all registered providers 30 days prior to the change, and the date of the change, to remind you to update bookmarks.

AIM’s clinical guidelines site will automatically redirect to the new Carelon web address on March 1, 2023.

The company’s new corporate site will be, and the Carelon logo will replace the AIM logo.

AIM’s inbound phone numbers are not changing.

All providers will continue to have access to the provider portal for submitting authorization requests.

There will be no changes to current processes or the way AIM works with providers.

This transition is a name and branding change only. This report (1) summarizes the Appeals and Grievances Law, (2) discusses how health.

Clinical Policies & Practice GuidelinesĮffective March 1, 2023, AIM Specialty Health ® is changing its name to Carelon Medical Benefits Management.

Medicaid Behavioral Health Directed Payments.