We recently discovered that some claims for services under the following programs are processing without the required pre-service clinical review through AIM Specialty Health® (AIM®), a separate company:


  • Sleep management
  • Radiation oncology
  • Radiology benefit management (RBM)
  • Cardiology


Effective July 1, 2018, our claims systems will be updated to correct this issue. Claims for sleep management, radiation oncology, RBM, and cardiology services continue to require precertification through AIM. For a list of the codes that require pre-service clinical review visit the AIM ProviderPortal℠.


As a reminder, please submit pre-service clinical review requests to AIM in one of the following ways:



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June 2018 Maine newsletter