Medicare AdvantageOctober 1, 2018
Genetic testing prior authorization by ordering physician helps ensure accurate lab payment
Beginning January 1, 2024, Empire became Anthem. This article, published under the former brand, now applies to Anthem.
The AIM Genetic Testing program requires ordering providers to request medical necessity review of all genetic testing services for individual Medicare Advantage members. Requesting this prior authorization will help ensure that the lab receives timely and accurate payment for these services.
Please submit genetic testing prior authorization requests to AIM through one of the following ways:
- Access AIM 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 at 800-714-0040, Monday–Friday, 7 a.m.–7p.m. CT.
For further questions regarding prior authorization requirements, please contact the Provider Services number on the back of your patient’s ID card.
PUBLICATIONS: October 2018 Empire Provider Newsletter
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