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#Aim speciality health logo how to
#Aim speciality health logo plus

You can access the Carelon ProviderPortal:

For Medicare Advantage members, submit requests using any of the methods below.

Alternate submission methods (phone) are allowed in the case of temporary technological problems, such as power or internet outages.

For commercial members, Michigan’s prior authorization law* requires health care providers to submit prior authorization requests electronically.

Submit authorization requests to Carelon as follows:

#Aim speciality health logo how to

How to submit prior authorization requests When these services are performed in an observation, emergency or inpatient care setting, they don't require authorization. Prior authorization requirements apply to services performed in the following settings: These requirements don’t apply to the UAW Retiree Health Care Trust (group number 70605) or the UAW International Union (group number 71714).įor more information, see the Summary of utilization management programs for Michigan providers (PDF).For Blue Cross commercial members, see the Carelon exclusion list for Blue Cross Blue Shield of Michigan Commercial (PDF) to learn about the health plan, groups, and settings and scenarios for which prior authorization isn't required.Radiation oncology - UAW Retiree Medical Benefits Trust non-Medicare members.To determine which groups have opted in and the date on which they opted in, see the Carelon medical oncology prior authorization program opt-in list for Blue Cross commercial self-funded groups (PDF). Select Blue Cross commercial self-funded groups, including UAW Retiree Medical Benefits Trust.Blue Cross commercial fully insured members, including MESSA members.Medical oncology - This applies to the following:.High-tech radiology - This includes procedures for Michigan Blue Cross and Blue Shield Federal Employee Program ® members.This includes cardiac implantable devices and services.

#Aim speciality health logo plus

Cardiology services - Medicare Plus Blue SM.Providers must obtain authorization from Carelon Medical Benefits Management (formerly AIM Specialty Health ®) for the following services: Provides OptiNet, the industry’s first web-based diagnostic imaging network management tool, to help health plans manage their imaging provider networks using cost and quality metrics, and there are many of the same awards Aim Provider Portal has won over the years.Carelon-Managed Procedures (formerly AIM) Recertification from NCQA and accreditation from URAC in 2006.

Received more than 1 million prior authorization requests through the ProviderPortal in 2006.

Opens a second operations center in Westchester, Illinois, to complement its operations center in Deerfield, Illinois. Introduces Imasis, the industry’s first fully customizable and fully functioning web-based call center application. This is in addition to the URAC accreditation that they received in 1998. It grew to over 5 million members in 2004 and obtained initial NCQA certification.

One can view all the solutions provided by the AIM providers portal at the official portal. Specialty health solutions provided by AIM include surgical solutions, cardiology solutions, genetic testing solutions, medical oncology solutions, musculoskeletal solutions, sleep solutions, and radiology solutions. The AIM provider platform, featuring a sophisticated clinical rules engine developed by Applied Pathways (a subsidiary of AIM), delivers significant cost of care savings across a broad set of clinical domains, including radiology, cardiology, oncology, specialty drugs, sleep medicine, musculoskeletal care, rehabilitation, surgical procedures, and genetic testing. The AIM health plan serves more than 68 million members in 50 states, the District of Columbia, and US territories, ensuring they receive optimal health care through evidence-based clinical guidelines and real-time decision support. Get a response in real-time 24/7 to your advanced imaging requests with ProviderPortalSM.ĪIM Specialty Health delivers specialty healthcare in an appropriate, safe, and affordable manner. If you have a busy practice like yours, you need to provide quality, appropriate care efficiently. The AIM Provider Portal allows you to access AIM Specialty Health quickly and easily.