BCBSIL makes no endorsement, representations or warranties regarding any products or services provided by third party vendors such as AIM or Availity. Availity provides administrative services to BCBSIL. Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. If you have any questions, call the number on the member's ID card.ĪIM Specialty Health (AIM) is an independent company that has contracted with BCBSIL to provide utilization management services for members with coverage through BCBSIL. Benefits will be determined once a claim is received and will be based upon, among other things, the member’s eligibility and the terms of the member’s certificate of coverage, including, but not limited to, exclusions and limitations applicable on the date services were rendered. Refer to the Availity Eligibility and Benefits User Guide for help with determining prior authorization requirements and utilization management vendors, if applicable, before providing care and services to our non-HMO members.Ĭhecking eligibility and/or benefit information and/or obtaining prior authorization is not a guarantee of payment. *The single sign-on information above applies only to prior authorization requests handled by AIM. The process for submitting prior authorization requests to BCBSIL or through other utilization management vendors hasn’t changed. You’ll be redirected to the AIM provider portal to start and submit the prior authorization request.Select your provider organization and provider type, then click Submit.On the Authorization page, select the AIM (BCBSIL) link in the Additional Authorizations and Referrals section.Select Patient Registration from the navigation menu and choose Authorizations & Referrals.Exceptions for 1) prescription drug fertility treatments, 2) dosages in excess of the plan’s quantity limits, 3) step therapy, and 4) drugs. CST) to request approval for a prescription drug that requires a prior authorization. How to Access AIM from the Availity Portal* Pharmacy prior authorization: Please contact CVS Caremark at 87 (Monday Friday from 8 a.m. If prior authorization through AIM Specialty Health (AIM) is required for a requested service, you can use the new single sign-on access to AIM from the Availity portal. For our non-HMO members, the Availity Eligibility and Benefits Inquiry allows you to quickly confirm prior authorization requirements, along with contact information for utilization management vendors, if applicable. Checking patient eligibility and benefits via Availity or your preferred web vendor is an imperative first step to confirm coverage and prior authorization requirements before rendering services for Blue Cross and Blue Shield of Illinois (BCBSIL) members.
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