Medicare AdvantageNovember 30, 2019
AIM Specialty Health programs may require documentation
Currently, providers submit various pre-service requests to AIM Specialty Health® (AIM). As part of our ongoing quality improvement efforts for outpatient diagnostic imaging services, cardiac procedures and sleep studies, AIM may request documentation to support the clinical appropriateness of certain requests.
When requested, providers should verify information by submitting documentation from the medical record and/or participating in a pre-service consultation with an AIM physician reviewer. If medical necessity is not supported, the request may be denied as not medically necessary.
If you have any questions, please contact your Provider Relations Representative or call Provider Services at 1-844-396-2330.
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