Reminder: Expansion of AIM Musculoskeletal Program effective November 1, 2020

As recently communicated in the August 2020 edition of Anthem Blue Cross and Blue Shield (Anthem)’s Provider News, AIM Specialty Health_® (AIM), a specialty health benefits company, will expand the AIM Musculoskeletal program to perform medical necessity reviews for certain elective surgeries of the small joints for Anthem members effective November 1, 2020. Replacement and revision surgeries for procedures such as total joint of ankle, correction of Hallux Valgus, hammertoe repair are included.

 

The AIM Musculoskeletal Program follows the Anthem Clinical Guidelines that state the services must be delivered by a qualified provider within the scope of their licensure. Qualified providers acting within the scope of their license, including podiatrists, who intend to perform certain elective surgeries of the small joints procedures should request prior authorization for those services through AIM.

 

AIM will begin accepting prior authorization requests on October 26, 2020 for dates of service on and after November 1, 2020. Prior authorization requests may be submitted via the AIM ProviderPortal_SM or by calling 800-554-0580 Monday through Friday.

 

Anthem invites you to take advantage of upcoming training sessions that will introduce you to the program and the robust capabilities of the AIM ProviderPortal_SM. You can register for one of these the one-hour training sessions:

• AIM MSK Small Joint Expansion Training Session 1 on Friday, October 23, 2020, 11 a.m. Central time
• AIM MSK Small Joint Expansion Training Session 2 on Monday, October 26, 2020, 12 p.m. Central time

 

We value your participation in our network and look forward to working with you to help improve the health of our members.

 

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