![]() ![]() ![]() Uncover why Anthem 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. If you have any questions about the products or services provided by such vendors, you should contact the vendor(s) directly. Find out what works well at Anthem Aim Specialty Health from the people who know best. 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. 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. 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. AIM Specialty Health denied coverage stating that my routine health care service provided at Health Southeastern was not in the system and was. 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. The above codes are designated “Removed from update release. More Information: Refer to the updated Commercial Outpatient Medical Surgical Prior Authorization Code List in the Utilization Management section. AIM Specialty Health (AIM), a wholly owned subsidiary of Elevance Health, manages PA programs across several clinical areas to ensure patients receive drugs. RPR 1 TORN LIGM&/CAPSL KNE COLTRL&CRUCIATE REPAIR PRIMARY TORN LIGM&/CAPSULE KNEE CRUCIAT RPR PRIMARY TORN LIGM&/CAPSULE KNEE COLLATERAL The Court finds that Relator has not sufficiently pleaded an FCA violation. MANJ W/ANES SHOULDER JOINT W/FIXATION APPARATUS 2019) Court Description: MEMORANDUM Opinion and Order. 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 ![]()
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