Speed up review process for AIM prior authorization requests

To make the process of submitting prior authorization requests to AIM Specialty Health^® as speedy and efficient as possible, we’re offering some important tips to keep in mind. These tips apply to both initial requests and appeals.

What to do

• Gather all pertinent information about the procedure and the patient’s condition before submitting the request.

Example: For requests that involve oncology services, include information on tumor testing results, tumor staging and previous therapy.

• Submit the request with a complete set of clinical information that supports the rationale for the treatment of care you’re planning.

Here’s why: This will move the clinical review process along faster.

• Provide a phone number where the provider can be reached for a peer-to-peer discussion.

Here’s why: This will help AIM get answers to clinical questions so they can determine the medical necessity of the proposed services.

Note: AIM physicians are available for peer-to-peer discussions at any time during AIM’s business hours. 

Submit authorization requests electronically

We encourage you to submit authorization requests to AIM through our provider portal. To do this:

1. Log in to availity.com.**
2. On the Availity^® menu bar, click on Payer Spaces and then click on the BCBSM and BCN logo.
3. On the Applications tab, click on the AIM Provider Portal tile.

Note: If you need to request access to our provider portal, follow the instructions on the Register for web tools webpage on bcbsm.com/providers.

As an alternative, you can call the AIM Contact Center at 1-844-377-1278.

Where to find information about AIM requirements

For more information about the services that AIM manages for us, including procedure codes, and for more details on how to submit prior authorization requests to AIM, refer to these webpages at ereferrals.bcbsm.com:

• Blue Cross AIM-Managed Procedures
• BCN AIM-Managed Procedures
• Blue Cross Medical Benefit Drugs
• BCN Medical Benefit Drugs

AIM Specialty Health is an independent company that contracts with Blue Cross Blue Shield of Michigan and Blue Care Network to manage authorizations for select services.

Availity is an independent company that contracts with Blue Cross Blue Shield of Michigan and Blue Care Network to offer provider portal services.

**Blue Cross Blue Shield of Michigan and Blue Care Network don’t own or control this website.