Procedures Managed by AIM for BCN

Providers must obtain authorization from AIM Specialty Health® for:

  • Select cardiology and radiology services with dates of service on or after Oct. 1, 2018, for BCN HMOSM and BCN AdvantageSM members
  • Medical oncology and supportive care drugs for BCN HMO members (effective Aug. 1, 2019) and for BCN Advantage members (effective Jan. 1, 2020)

The cardiology and radiology services requirement applies to services performed in the following settings:

  • Freestanding diagnostic facilities
  • Outpatient hospital settings
  • Ambulatory surgery centers
  • Physician offices

When cardiology and radiology services are performed in an observation, emergency or inpatient care setting, they do not require authorization.

More information on the medical oncology and supportive care drugs requirement is available in the May-June 2019 issue of BCN Provider News on page 26.

How to submit authorization requests

Submit authorization requests using one of the following methods:

Requests should be submitted before the services are provided.

Resources

Refer to the resources below for more information:

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