Aim specialty prior authorization forms

    • [DOC File]Anthem Blue Cross Blue Shield: Health Insurance, Medicare ...

      https://info.5y1.org/aim-specialty-prior-authorization-forms_1_bb28e5.html

      Prior Authorization Guidelines 49. ... Encounter Facilitation Forms or other similar encounter or risk adjustment data in a timely manner to Anthem, Plan or designee upon request. ... AIM Specialty Health® (AIM) – link to precertification requests and inquiries through AIM.

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    • www11.anthem.com

      Please note that the initial evaluation does not require prior authorization. You may contact the OrthoNet call center at 888-788-0807. Services Requiring Prior Authorization by AIM Specialty Health SM. Prior authorization is required through AIM for the following non-emergent outpatient services for members of most of our commercial plans and ...

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    • [DOC File]Section I All Provider Manuals - …

      https://info.5y1.org/aim-specialty-prior-authorization-forms_1_59a3a5.html

      B. Prior authorization for private duty nursing, hearing aids and hearing aid repair, extension of benefits for home health beneficiaries age twenty-one (21) and older, extension of benefits for personal care for beneficiaries age twenty-one (21) and older, medical supplies, and incontinence products;

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    • [DOC File]Anthem Blue Cross Blue Shield: Health Insurance, Medicare ...

      https://info.5y1.org/aim-specialty-prior-authorization-forms_1_2b0a23.html

      Ordering and servicing Providers may submit prior authorization requests to AIM in 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.

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    • [DOC File]Medical Management

      https://info.5y1.org/aim-specialty-prior-authorization-forms_1_ed7d52.html

      The Foundation will deny payment for any services requiring authorization that are rendered without prior authorization. All services, whether pre-authorized or not, are subject to post-service claims review for appropriate coding and documentation. Local in-plan providers may directly refer to local in-plan specialists without prior authorization.

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    • [DOC File]Pre-Service Review Request - Premera Blue Cross

      https://info.5y1.org/aim-specialty-prior-authorization-forms_1_540c9f.html

      PRE-SERVICE/ PRIOR AUTHORIZATION REVIEW REQUEST. Request Date: URGENT – Urgent requests must include supporting documentation from the provider’s office, noting that standard timeframes for making a non-urgent determination could: seriously jeopardize the life/health of the patient or the ability to regain maximum function ...

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    • [DOC File]Commonwealth of Massachusetts

      https://info.5y1.org/aim-specialty-prior-authorization-forms_1_868e12.html

      Feb 16, 2018 · The MassHealth agency only reviews requests for prior authorization where prior authorization is required or permitted (see 130 CMR 420.410(B)). The provider must not start a service that requires prior authorization until the provider has requested and received written prior authorization from the MassHealth agency.

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    • [DOC File]SECTION I

      https://info.5y1.org/aim-specialty-prior-authorization-forms_1_b7ac0d.html

      If additional services (e.g., a new work experience or Short-Term Supports) are required, an additional authorization must be provided prior to the beginning of any approved service. Payment of the DOR Student Services Paid Work Experience Service is based on the receipt of the ISP or Deferment Report, the Progress Reports and the invoice.

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