Aim specialty health prior auth form10/12/2023 ![]() Prior authorization through Carelon, eviCore, and more Medical services Provider-administered infusion drugs request.Durable medical equipment (DME) request.Check our code list for required supporting documentation. To change an existing request, use the following forms, include the reference number, and fax to 80. Fax or change a prior authorization request ![]() Respond to requests within 1-2 days, but it can take up to 5 days. Ordering/servicing providers or facilities listed on the request (by NPI) can sign in to Availity to check request status through Availity's Auth/Referral Inquiry tool or dashboard. You'll also find the code check tool in Availity in the Premera Payer Space in Resources or through Authorizations & Referrals > Additional Authorizations and Referrals. The code check tool doesn't provide member-specific information.įor links to Individual plan, FEP, or Medicare Advantage prior authorization secure tools, view the prior authorization resources page. If the request is denied, we’ll mail a detailed letter to you and the member.įor general code information, use our code check tool. You can check the status of your request through the Auth/Referral Inquiry tool or dashboard. The Availity prior authorization tool considers the member's eligibility,Ĭoordination of benefits, and whether the member’s plan requires authorization or not. If you have any questions about the products or services provided by such vendors, you should contact the vendor(s) directly.Sign in to Availity to submit prior authorizations. New to Availity? Register and get training. ![]() ![]() BCBSNM 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, please call the number on the member’s ID card.ĪIM Specialty Health is an independent medical benefits management company that provides utilization management services for BCBSNM. 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. Refer to the Eligibility and Benefits User Guide for assistance with determining prior authorization requirements in the Availity portal.Ĭhecking eligibility and/or benefit information is not a guarantee of payment. The process of submitting prior authorization requests to Blue Cross and Blue Shield of New Mexico (BCBSNM) or through other vendors has not changed. *The above information applies only to prior authorization requests handled by AIM.
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