Using it can help physicians make better health decisions before services are rendered, minimizing disruption for employees and members. By aligning care with medical evidence, the AIM provider portal improves quality and reduces costs associated with unwarranted deviations from best practices. 40 percent of the Fortune 50 companies use AIM’s clinical solutions to manage their tests and treatments, driving the trend in health spending and utilization upward. With health care costs on the rise, these organizations want to ensure their health care dollars are spent wisely to ensure clinically appropriate, high-quality care.ĪIM’s clinical solutions are delivered through health plans to employers and labor organizations. Labor organizations and employers are increasingly seeking strategies to optimize their health benefits. AIM’s highly qualified team contributes to the superior management of government health programs by extending your internal resources. Governmental Solution: The government unit at AIM assists health plans in navigating the maze of Medicare and Medicaid compliance requirements and ensuring evidence-based, affordable care for their beneficiaries. Any clinical treatment should be read and accepted before starting.

Solutions By AIM Provider PortalĬlinical Solution: AIM specialty health offers surgical solutions, cardiology solutions, genetic testing solutions, medical oncology solutions, musculoskeletal solutions, sleep solutions, and radiology solutions.Ĭlinical Guidelines can be found on the official website of AIM Specialty Health under the Resources section. AIMs solutions combine evidence-based medicine, proprietary technologies, and superior customer service with helping payers, employers, providers, and members make better health care decisions. Get a response in real-time 24/7 to your advanced imaging requests with AIM Provider Portal.ĪIM Speciality specializes in the most complex tests and treatments, such as chemotherapy, joint replacements, and BRCA genetic testing. If you have a busy practice like yours, you need to provide quality, appropriate care efficiently. In some cases, step therapy requirements may require members to first try over-the-counter products.The AIM provider portal allows you to access AIM Specialty Health quickly and easily. Step therapy requires that the member has tried an alternative therapy first, or that the prescriber has clinically documented why the member cannot take the alternative therapy. For oncology and supportive care medical benefits drugs, submit requests to Carelon Medical Benefits Management (formerly known as AIM Specialty Health ®). Learn about submitting requests to Carelon electronically and through other methods on Blue Cross Medical Benefit Drugs or on BCN Medical Benefit Drugs.For most medical benefit drugs, including CAR-T cell therapy drugs, submit requests through NovoLogix ®. Learn about submitting requests through NovoLogix and through other methods on Blue Cross Medical Benefit Drugs or on BCN Medical Benefit Drugs.Learn about submitting requests electronically and through other methods on Blue Cross Pharmacy Benefit Drugs or on BCN Pharmacy Benefit Drugs. For pharmacy benefit drugs, submit requests through CoverMyMeds.Submitting prior authorization requestsįor drugs that require prior authorization, providers should submit requests as follows: We require providers to request prior authorization for certain medicines, such as specialty drugs, to ensure certain clinical criteria are met. To help make sure Blue Cross Blue Shield of Michigan and Blue Care Network members receive the most appropriate and cost-effective therapy, we require providers to take additional steps before certain drugs are eligible for reimbursement.

Aim specialty health appeals