aim speciality health authorization phone number

#Aim speciality health authorization phone number update
#Aim speciality health authorization phone number code

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 speciality health authorization phone number 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.

If you have questions, your Provider Service Representative is happy to help.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.

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

#Aim speciality health authorization phone number update

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.PacificSource partners with AIM to administer prior authorizations for nonemergency advanced diagnostic imaging services and genetic testing performed in an outpatient setting. Clinical Policies & Practice GuidelinesĮffective March 1, 2023, AIM Specialty Health ® is changing its name to Carelon Medical Benefits Management.Medicaid Behavioral Health Directed Payments.