Aim Specialty Health Provider
Aim is a specialty health benefits company that works with leading insurers to improve health care quality and manage costs for todays most complex and prevalent tests and treatments, helping to promote care that is appropriate, safe and affordable. As the leading specialty benefits management partner for todays health care organizations, we help improve the quality of care and reduce costs for todays most complex tests and treatments.
Aim specialty health (aim) to perform utilization management.
Aim specialty health provider. Anthem blue cross and blue shield medicaid (anthem) partners with aim specialty health * (aim), a leading specialty benefits management company that provides services for radiology, cardiology, genetic Welcome to the aim specialty health provider resources for blue cross and blue shield plans of illinois, montana, new mexico, oklahoma and texas starting january 1, 2021, aim specialty health (aim) will process prior authorizations for some blue cross and blue shield commercial members in illinois, montana, new mexico, oklahoma and texas. Use the providerportal sm to accelerate your advanced imaging requests and get a response in real time 24/7.
Name and office phone number or ordering physician Aim specialty health (aim) overview. Aim specialty health (aim) manages prior authorization for select services for premera blue cross.
At aim specialty health (aim), its our mission to promote appropriate, safe, and affordable health care. Let truework help you complete employment and income verifications faster. Contracted providers are financially liable for providing services that are medically unnecessary.
Aim inform is the integrated solution that simplifies how providers manage the quality and the cost of care.embedded into the emrs that clinicians use every day, aim inform enables completion of health plan prior authorizations for outpatient advanced imaging and compliance with the cms appropriate use criteria program from a single source. The ordering provider should contact aim the next business day or within 48 hours and ask for an urgent/emergent review. Aim specialty health we use an independent company, aim specialty health, to develop or consult on clinical criteria for the following services.
Provider portal sm allows convenient, online access to specialty benefits management programs administered by aim specialty health on behalf of health plan clients. Once you register, you'll receive a password within 24 hours. 1, 2020, we will be using aim specialty health to process prior authorization and post review support for some members on our blue choice ppo sm and blue essentials sm networks.
Just go to manage my groups and choose the tab add a health plan. Verify aim specialty health employees. Q if an emergency room physician refers a patient for a diagnostic imaging test at a later
Contracted providers are financially liable for providing services that are medically unnecessary. As the leading specialty benefits management partner for payers, we help improve the quality of care and reduce costs for today's most complex tests and treatments in radiology, cardiology, oncology, specialty drugs, and sleep. Please have the following information ready when calling the aim specialty health utilization management staff:
Aim specialty health (aim) manages prior authorization for select services for lifewise health plan of oregon. Beginning july 1, 2020, the following codes will require prior authorization with anthem blue cross and blue shield (anthem) rather than with aim. Jul 1, 2020 state & federal / medicare.
The process is simple, automated, and most employees are verified within 24 hours. Prior authorization is required for certain procedures and services. Follow the instructions outlined by aim specialty health;
Anthem previously communicated that aim specialty health * (aim) would transition the clinical criteria for medical necessity review of certain rehabilitative services to aim rehabilitative service clinical appropriateness. Prior authorization is required for certain procedures and services. We found that english is the preferred language on aim specialty health pages.
Aim specialty health provider resources and tutorials. The aim program is for educational and quality of care purposes and is not a formal prior authorization program. (t2u and t2s) on the.
Provider portal is available 24/7 to request clinical review of test and treatment requests. Provider data update this communication applies to the medicaid programs in kentucky. A fast, easy way to access aim specialty health in a busy practice like yours, you need to deliver quality, appropriate care efficiently to your patients.
At aim specialty health (aim), our mission is to promote appropriate, safe, and affordable health care services. Registration is easy via the providerportal by aim specialty health (aim). Nov 1, 2020 state & federal / medicaid.
How do i access providerportal? Aim is a specialty health benefits company that works with leading insurers to improve health care quality and manage costs for todays most complex and prevalent tests and treatments, helping to promote care that is appropriate, safe and affordable. This communication applies to the medicaid and medicare advantage programs for anthem blue cross and blue shield (anthem).
Aim specialty health (aim) overview. Page 3 of 3 anthem blue cross is the trade name of blue cross of california. Providers must make prior authorization requests through aim for members on plans that.
Please note prior authorization is not required if the service is performed in the emergency department. For additional information and aim portal registration instructions, please refer to aims website, www.aimspecialtyhealth.com. Contracted providers are financially liable for providing services that are medically unnecessary.
Aim specialty health (aim) currently performs utilization management review for bilevel positive airway pressure (bipap) equipment and all associated supplies. for technical questions, contact aim web customer service. What you need to know:
Aim specialty health (aim) manages prior authorization for lifewise select services. Aim provider resources once directed to aims portal, there are many provider resources and tutorials to assist you. Aim also conducts the medical necessity review for these services.
Aim specialty health is a separate company providing utilization review services on behalf of anthem blue cross and blue shield. Prior authorization is required for certain procedures and services. Aim inform | aim specialty health.
