December 14, 2020
Effective Jan. 1, 2021 use the AIM ProviderPortal to request preauthorization and respond to post-service review requests by AIM. 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. 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.
Benefits of the AIM ProviderPortal for Pre & Post-Service Reviews
- Medical records for pre or post-service reviews are not necessary unless specifically requested by AIM.
- AIM’s ProviderPortal offers self-service, smart clinical algorithms and in many instances real-time determinations
- Check prior authorization status
- Increase payment certainty
- Faster pre-service decision turnaround times than post service reviews
Check Eligibility and Benefits: To identify if a service requires preauthorization for our members, check eligibility and benefits through Availity® or your preferred vendor.
AIM Specialty Health (AIM) is an operating subsidiary of Anthem, Inc., an independent specialty medical benefits management company that provides utilization management services for BCBSOK.
Availity is a trademark of Availity, L.L.C., a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSOK.
The vendors are solely responsible for the products or services they offer. If you have any questions regarding any of the products or services they offer, you should contact the vendor(s) directly.
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Blue Cross and Blue Shield of Oklahoma, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association.