Beginning with dates of review on and after November 1, 2018, the following updates will apply to AIM level of care Musculoskeletal Surgery Clinical Appropriateness Guidelines:                                                                                                                        

 

  • Addition of criteria for observation in surgical settings, ambulatory surgical centers, and hospital outpatient departments
  • Addition of staff, equipment, and resource capabilities in outpatient surgery
  • Modifications to the inpatient admission criteria

 

Ordering and servicing providers may submit pre-service clinical review requests to AIM in one of the following ways:

 

  • Access AIM’s ProviderPortalSM directly at providerportal.com. Online access is available 24/7 to process orders in real-time, and is the fastest and most convenient way to request authorization.
  • Access AIM via the Availity Web Portal at availity.com
  • Call the AIM Contact Center toll-free number: 866-714-1107, Monday – Friday, 8:00 a.m. – 5:00 p.m.

 

For questions related to guidelines, please contact AIM via email at aim.guidelines@aimspecialtyhealth.com. Additionally, you may access and download a copy of the current guidelines here.



Featured In:
August 2018 Anthem New Hampshire Provider Newsletter