Procedures Managed by AIM for Blue Cross

Providers must obtain authorization from AIM Specialty Health® for the following services:

  • Cardiology services - Medicare Plus BlueSM PPO
  • High-tech radiology
  • In-lab sleep management
  • Proton beam therapy
  • Echocardiogram services
  • Medical oncology - UAW Retiree Medical Benefits Trust non-Medicare members (effective Jan. 1, 2019) and Medicare Plus Blue members (effective Jan. 1, 2020)
  • Radiation oncology - UAW Retiree Medical Benefits Trust non-Medicare members

This requirement applies to services performed in the following settings:

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

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

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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