![]() ![]() Availity provides administrative services to BCBSTX. 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. This includes cardiac implantable devices and services, for dates of service on or after Jan. If you are already registered with AIM, you do not need to register again. Carelon-Managed Procedures (formerly AIM) Providers must obtain authorization from Carelon Medical Benefits Management (formerly AIM Specialty Health ®) for the following services: Cardiology services - Medicare Plus Blue SM. Salaries, reviews, and more - all posted by employees working at AIM Specialty Health. By Phone – Call the AIM Contact Center at 1-80 Monday through Friday, 6 a.m. See what employees say its like to work at AIM Specialty Health.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). For 100 years Saft has been specializing in advanced-technology battery solutions for industry, in space, at sea, in the air and on land in remote and harsh. 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. ![]() BCBSMT makes no endorsement, representations or warranties regarding third party vendors and the products and services they offer.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. You will continue to follow your normal processes, use the same phone numbers and web addresses, including the AIM ProviderPortal, that you currently use for utilization management with BCBSMT.Ĭarelon Medical Benefits Management (formerly AIM Specialty Health) is an independent company that has contracted with BCBSMT to provide utilization management services for members with coverage through BCBSMT. ![]() You will notice this name change: Carelon Medical Benefits Management (formerly known as AIM Specialty Health). What’s New: AIM Specialty Health ® (AIM) has changed its name to Carelon Medical Benefits Management (Carelon) effective March 1, 2023.įollowing this change, Blue Cross and Blue Shield of Montana (BCBSMT) will be making updates on our website to our utilization management page and related resources. ![]()
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