AIM Specialty Health®

AIM Specialty Health®, a separate company, is a nationally recognized leader delivering specialty benefits management on behalf of Anthem for certain health plan members. Determine if prior authorization is needed for a Georgia Anthem member by visiting the “Medical Policy and Clinical UM Guidelines” page on our provider website or by calling the prior authorization phone number printed on the back of the member’s ID card. To submit your request for any of the services below, contact AIM online via AIM’s website at aimspecialtyhealth.com/goweb. From the drop-down menu, select GA. You may also call AIM toll-free at 866-714-1103, Monday–Friday, 8:00 a.m.–6:00 p.m. ET

 

AIM provides benefits management for the programs listed below:

  • Imaging level of care
  • Genetic testing
  • Diagnostic imaging management
  • Cardiovascular services
  • Radiation therapy services
  • Rehabilitative services
  • Outpatient sleep testing and therapy services
  • Cancer care quality program
  • Musculoskeletal (for fully insured)
  • Upper gastrointestinal endoscopy in adults, and site of care for certain surgical services


For more details on these programs, please visit the AIM website. Clicking the previous links will direct you to sites created and/or maintained by another, separate entity (“external site”). Upon linking, you are subject to the terms of use, privacy, copyright and security policies of the external sites. We provide these links solely for your information and convenience. We encourage you to review the privacy practices of the external sites. The information contained on the external sites should not be interpreted as medical advice or treatment provided by us.

 

Eligibility and benefits

Verify eligibility and benefits on anthem.com/provider or by logging onto Availity.com. From the Patient Registration tab, run an Eligibility and Benefits Inquiry. Service preapproval is based on member’s benefit plan/eligibility at the time the service is reviewed/approved. Benefit plans vary widely and are subject to change based on the contract effective dates. The provider is responsible for verification of member eligibility and covered benefits. Except in the case of an emergency, failure to obtain preapproval prior to rendering the designated services listed below will result in denial of reimbursement.

 

 

Add to preapproval

LAB.00043

Immune Biomarker Tests for Cancer

 

0216U

Add 07/01/2022

LAB.00045

Selected Tests for the Evaluation and Management of Infertility

89329, 89330, 0253U, 0255U 86357

Add 07/01/2022

RAD.00067

Quantitative Ultrasound for Tissue Characterization

0689T, 0690T

Add 07/01/2022

SURG.00160

Implanted Port Delivery Systems to Treat Ocular Disease

67028

Add 7/01/2022

SURG.00154

Microsurgical Procedures for the Prevention or Treatment of Lymphedema

15756, 49906

Add 7/01/2022

LAB.00015

Detection of Circulating Tumor Cells

0317U

Add 4/1/2022 (New Code)

GENE.00023

Gene Expression Profiling of Melanomas

0314U

Add 4/1/2022 (New Code)

GENE.00049

Circulating Tumor DNA Panel Testing (Liquid Biopsy)

0306U, 0307U

Add 4/1/2022 (New Code)

LAB.00036

Multiplex Autoantigen Microarray Testing for Systemic Lupus Erythematosus

0312U

Add 4/1/2022 (New Code)

 

1371-0422-PN-GA



Featured In:
April 2022 Anthem Provider News - Georgia