Provider portal aim specialty health12/5/2023 ![]() ![]() Through outreach or during the image ordering process, Radiology Solution directs providers to high-quality, reasonably priced imaging facilities, thereby reducing unnecessary testing and associated costs. Independent solutions from AIM Speciality Health are created to deliver evidence-based care in a single clinical field, such medical oncology or cardiology.Ī benefits management software called Cardiology Solution aids in ensuring clinically appropriate and affordable care health plan for members with heart disease. The most complicated and expensive specialties are addressed by the comprehensive personalized health plan solutions offered by AIM Provider Portal Clinical Solutions. With this cloud based platform, healthcare professionals can manage their patient records, claim submission, view the payment information and other vital infolike prior authorization requests just with the provider portal. Up until this point, AIMs provider portal services have been utilized by 70 million providers and patients in more than 50 states. The URAC accreditation and NCQA certification assure that AIM Provider Portal constantly prioritizes patient safety. The portal gives patients access to greater care coordination, improved patient-provider communication via web portal, and more individualised treatment alternatives. The AIM speciality health portal offers a wide choice of specialised services, cost-effective clinical paths, and best practises in medical management to healthcare professionals. How to Reset AIMs Provider Portal Password?īoth healthcare providers and patients can benefit from using the AIM Provider Portal to a great extent. ![]() How to Login to AIM Speciality Provider Portal?.Medical Benefits of AIM Provider Portal.Carelon resources for providersĬarelon Medical Benefits Management is an independent company providing select services to Premera Blue Cross and Premera Blue Cross Blue Shield of Alaska providers. If you have questions, call Carelon at 86. In addition, servicing providers must submit ordering/referring provider information, per guidelines from theĬenters for Medicare and Medicaid Services (CMS), in boxes 17 and 17b on CMS-1500 forms. Servicing providers are strongly encouraged to verify that the prior authorization has been received before scheduling and performing services. Prior authorization isn't required for the following: To request a prior authorization, register with Carelon and then submit your request online or by phone at 86. Imaging (CT scan, echocardiography, MRI, MRA, nuclear cardiology, PET scan)Ĭode list to see which codes require review.Ĭarelon Clinical Appropriateness Guidelines.The following services are subject to review by Carelon: It determines medical necessity, treatment appropriateness, and setting via nationally recognized guidelines. Prior authorization is based on member benefits and eligibility at the time of service. Providers must make prior authorization requests through Carelon for members on plans that require it. Prior authorization is required for certain procedures and services.Ĭontracted providers are financially liable for providing services that are medically unnecessary. Medical Benefits Management (formerly AIM) manages prior authorization for select services for Premera Blue Cross. AIM Specialty Health is officially changing its name to Carelon Medical Benefits Management on March 1, 2023. ![]()
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