Issue resolved: Medical oncology drug claims were denying in error even with authorization from AIM
Our systems have been incorrectly denying some medical oncology drug claims for lack of authorization. These claims were denied despite providers having obtained prior authorization, as required, through AIM Specialty Health®.
We've identified and resolved an issue that was preventing authorizations from automatically transferring from the AIM system into the Blue Cross and BCN e-referral system. As a result:
The problem was affecting medical oncology drug claims for:
If you have questions, call the Pharmacy Help Desk at 1-800-437-3803.
We apologize for the problems caused by this issue and we thank you for your patience while we resolved it.
Posted: April 2021
Lines of business: Blue Cross Blue Shield of Michigan and Blue Care Network