July 23, 2020
As previously announced, effective Sept. 1, 2020, AIM Specialty Health® (AIM) will be administering prior authorization and post-review support for some members for the following outpatient services:
- Advanced Imaging
- Sleep Medicine
- Joint and Spine Surgery
- Pain Management
- Radiation Therapy
- Genetic Testing services
You will be able to identify the impacted members by the three-character prefixes T2U and T2S on the member's ID card.
An overview training will be provided jointly by BCBSTX and AIM staff beginning at the end of July. In addition, based on services that you may provide, AIM will provide specific training by category. It will allow you and your staff to get familiar with the following AIM processes:
- Create and submit prior authorization request, update an existing one, and retrieve your order summary
- Check the status of your requests
- Get tips and shortcuts to navigate the system
Watch for training invitations by email and posted on our Educational Webinar/Workshop Sessions page.
As of Aug. 17, 2020, providers will be able to contact AIM for prior authorization of services scheduled on or after Sept. 1, 2020. Providers are strongly encouraged to verify prior authorization has been obtained before scheduling and performing services using Availity® or your preferred vendor Submitting medical records to AIM is not necessary, unless requested by AIM.
For more information
Please check the BCBSTX News and Updates and Blue Review newsletter for ongoing updates. Make sure we have a current email on file to get the training invitations. If you have any questions, please contact your local Network Representative.