Important information for providers ordering genetic testing

BCBSGa transitioned the medical necessity review of all genetic testing services to AIM Specialty Health_® (AIM), a separate company, beginning with dates of service on an after July 1, 2017. This program applies to local BCBSGa fully insured members. Medical necessity reviews take place as a prior authorization. To reduce administrative delays, it is critical for ordering physicians to submit genetic testing prior authorization requests to AIM. Please note, this program does not apply to the following plans: Medicare, Medicaid, FEP®, Labor & Trust, National Accounts, and Local ASO. Additionally, BCBSGa HMO/POS members obtaining services with a capitated lab do not apply for prior authorization for this program.