Products & ProgramsCommercialMay 30, 2018

Update to claim processing for services requiring AIM prior authorization

Beginning January 1, 2024, Empire became Anthem. This article, published under the former brand, now applies to Anthem.

Empire recently discovered that some claims with services under the following programs are processing without the required prior authorization through AIM Specialty Health® (AIM), a separate company:

  • Sleep Management
  • Radiology Oncology
  • Radiology Benefit Management (RBM)
  • Cardiology

 

Effective July 1, 2018, our claims systems will be updated to correct this issue.

 

Claims for Sleep Management, Radiology Oncology, Radiology Benefit Management (RBM), and Cardiology services continue to require prior authorization through AIM. For a list of the codes that require prior authorization, visit the AIM ProviderPortal℠.

 

As a reminder, please submit prior authorization requests to AIM in one of the following ways:

  • Access AIM ProviderPortal℠ 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: 877-430-2288, Monday–Friday, 8:00 a.m.–6:00 p.m. ET.

PUBLICATIONS: June 2018 Empire Provider Newsletter