Nov. 12, 2021
Checking patient eligibility and benefits is an imperative first step to confirm coverage and prior authorization requirements before rendering services. The Availity Eligibility and Benefits Inquiry allows you to quickly confirm prior authorization requirements, along with contact information for the utilization management vendor, if applicable.
If the requested service(s) require prior authorization through AIM Specialty Health, providers can now utilize the new single sign-on access to AIM from the Availity portal.
How to Access AIM from the Availity Portal*
Select Patient Registration from the navigation menu and choose Authorizations & Referrals.
On the Authorization page, select the AIM (BCBSTX) link in the Additional Authorizations and Referrals section.
Select your provider organization and provider type (provider or facility), then click Submit.
Users will be redirected to the AIM portal to start and submit the prior authorization request.
*The above information applies only to prior authorization requests handled by AIM. The process of submitting prior authorization requests to Blue Cross and Blue Shield of Texas (BCBSTX) or through other vendors has not changed.
Refer to the Eligibility and Benefits User Guide for assistance with determining prior authorization requirements in the Availity portal.
Checking eligibility and/or benefit information is not a guarantee of payment. 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 applicable on the date services were rendered. If you have any questions, please call the number on the member’s ID card.
AIM Specialty Health is an independent medical benefits management company that provides utilization management services for BCBSTX. BCBSTX makes no endorsement, representations or warranties regarding any products or services provided by third party vendors such as AIM Specialty Health. If you have any questions about the products or services provided by such vendors, you should contact the vendor(s) directly.