Benefits will be determined once a claim is received and will be based upon, among other things, the member’s eligibility and the terms of the member’s certificate of coverage, including, but not limited to, exclusions and limitations applicable on the date services were rendered. Refer to the Availity Eligibility and Benefits User Guide for help with determining prior authorization requirements and utilization management vendors, if applicable, before providing care and services to our non-HMO members.Ĭhecking eligibility and/or benefit information and/or obtaining prior authorization is not a guarantee of payment. *The single sign-on information above applies only to prior authorization requests handled by AIM. The process for submitting prior authorization requests to BCBSIL or through other utilization management vendors hasn’t changed.
#PROVIDER PORTAL AIM SPECIALTY HEALTH HOW TO#
How to Access AIM from the Availity Portal* If prior authorization through AIM Specialty Health (AIM) is required for a requested service, you can use the new single sign-on access to AIM from the Availity portal. For our non-HMO members, the Availity Eligibility and Benefits Inquiry allows you to quickly confirm prior authorization requirements, along with contact information for utilization management vendors, if applicable. Guidelines email address: (formerly AIM) sent name change transition notices to all registered Carelon portal users on January 31 and March 2, 2023.Checking patient eligibility and benefits via Availity or your preferred web vendor is an imperative first step to confirm coverage and prior authorization requirements before rendering services for Blue Cross and Blue Shield of Illinois (BCBSIL) members.
#PROVIDER PORTAL AIM SPECIALTY HEALTH UPDATE#
This information will be included in all guideline update communications for health plans and providers. All previous links/emails are automatically redirected to the new ones for Carelon. The guidelines website and email address used by providers to submit questions to the guidelines team have new addresses. The following AIM web pages are changing as well but will have redirects in place for a while, in case you have them bookmarked: The secure portal URL, is not changing.If you have bookmarks saved for AIM, be assured that the current URL for AIM automatically redirects to the Carelon URL.The website for redirect to Carelon as of March 1, 2023.You'll continue to use the same secure portal at Please make note of the following changes: There will be no changes to the way providers submit requests or the contact information to check status. AIM Specialty Health (AIM) changed its name to Carelon Medical Benefits Management on March 1, 2023.
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