Anthem recently discovered that some specialty pharmacy claims requiring clinical site of care prior authorization through AIM Specialty Health®, a separate company, are processing despite the outcome of the prior authorization review for site of care or absent a prior authorization review for site of care. Effective June 1, 2019 our claim systems will be updated to correct this issue. It is important that coverage is provided for services in the approved site of care. If you need to request a change to the site of care previously approved please contact AIM at 866-714-1103, Monday–Friday, 8:00 a.m.–6:00 p.m. ET.

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March 2019 Anthem Provider Newsletter - Georgia