Important information regarding post-service reviews using AIM Specialty Health

BCBSGa uses AIM Specialty Health®(AIM), a separate company, to administer prior authorization clinical reviews for genetic testing services. AIM reviews requests in real time against evidence-based clinical guidelines and BCBSGa medical policy. Effective January 1, 2018 providers will be notified via letter or remit message when claims are submitted without the appropriate prior authorization by AIM. As a result, providers will need to obtain a post-service clinical review for the service via the AIM ProviderPortalSM. This update applies to local fully-insured BCBSGa members, with services medically managed by AIM. It does not apply to BlueCard®, Medicare Advantage, Medicaid, Medicare Supplement, Federal Employee Program® (FEP®), members who are covered under a self-insured (ASO) benefit plan.

Source: https://www11.bcbsga.com