Please be aware that the level of care medical necessity review of upper and lower endoscopy procedures that was previously announced in the March 2020 edition of Anthem Blue Cross and Blue Shield (Anthem) Provider News will be effective August 1, 2020.


Starting July 20, 2020, ordering providers may submit to AIM prior authorization requests for the hospital outpatient site of care for these procedures for dates of service on or after August 1, 2020.


Anthem invites you to take advantage of an informational webinar that will introduce you to the level of care review of upper and lower endoscopy procedures and the capabilities of the AIM ProviderPortalSM. Visit the AIM Surgical Procedures microsite to register for an upcoming training session.



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July 2020 Anthem Provider News - Wisconsin