![]() ![]() AIM’s ProviderPortal offers self-service, smart clinical algorithms and in many instances real-time determinations.Medical records for pre or post-service reviews are not necessary unless specifically requested by AIM.Medical records may or may not be needed for pre or post service reviews using the AIM portal due to the smart clinical algorithms within the portal.īenefits of the AIM ProviderPortal for Pre & Post-Service Reviews Do not submit medical records to Blue Cross and Blue Shield of Oklahoma (BCBSOK) for prior authorization or post-service reviews for the care categories managed by AIM. 1, 2021 use the AIM ProviderPortal to request preauthorization and respond to post-service review requests by AIM. BCBSIL makes no endorsement, representations or warranties regarding any products or services provided by third party vendors such as AIM or Availity.Effective Jan. Availity provides administrative services to BCBSIL. Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. ![]() If you have any questions, call the number on the member's ID card.ĪIM Specialty Health (AIM) is an independent company that has contracted with BCBSIL to provide utilization management services for members with coverage through BCBSIL. 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. Refer to the Availity Eligibility and Benefits User Guide for help with determining prior authorization requirements and utilization management vendors, if applicable, before providing care and services to our non-HMO members.Ĭhecking eligibility and/or benefit information and/or obtaining prior authorization is not a guarantee of payment. *The single sign-on information above applies only to prior authorization requests handled by AIM. The process for submitting prior authorization requests to BCBSIL or through other utilization management vendors hasn’t changed.
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