Nov. 25, 2020
What’s changing?
Last month in News and Updates we told you the utilization management vendor that processes preauthorizations for some of our commercial members is changing. Starting Jan. 1, 2021, preauthorization requests for commercial Blue Cross and Blue Shield of Montana (BCBSMT) members that are currently required to be submitted through eviCore healthcare will require preauthorization through AIM Specialty Health® (AIM).
This update below includes additional information: including key dates to consider as we transition care for some members between eviCore and AIM; new contact information for AIM and hours of operation; and reminders on upcoming training dates.
Consider these Key Dates and Scenarios During the Transition of Care between eviCore and AIM
- AIM’s ProviderPortal will be open for you to begin submitting prior authorization requests on Dec. 21, 2020, for dates of service on or after Jan. 1, 2021.
- Do not submit prior authorization requests to eviCore for dates of service on or after Jan. 1, 2021.
- Continue to submit prior authorization requests to eviCore through Dec. 31, 2020, for dates of service before or on Dec. 31, 2020.
Join Us for A Webinar to Learn More
It’s important to attend an online training session if you need in-depth information on how to use the AIM ProviderPortal. Click here to view and register for training sessions.
If benefit preauthorization is required, services performed without benefit preauthorization may be denied for payment and the rendering provider may not seek reimbursement from the member.
Learn more about preauthorization with BCBSMT on our website, including code lists for services that require preauthorization. Remember code lists are updated periodically.
Always check eligibility and benefits first to confirm membership, coverage, determine if you are in-network for the member’s policy and whether preauthorization is required through our Availity® 
system or your preferred vendor. This step will help you confirm coverage and other important details, such as preauthorization requirements and delegated vendors, if applicable.
How can you prepare?
Make sure you have an account with AIM. To create an account:
- Online - Access AIM ProviderPortal , or
- By Phone – Call the AIM Contact Center at 844-377-1285 Monday through Friday, 7 a.m. to 7 p.m. MST
If you are already registered with AIM you do not need to register again.
How to submit a preauthorization request through AIM starting Jan. 1, 2021
Submit preauthorization requests to AIM in one of the following ways:
- Online – Submit requests via the AIM ProviderPortal 24/7.
- By Phone – Call the AIM Contact Center at 844-377-1285 Monday through Friday, 7 a.m. to 7 p.m. MST
Why it matters
If benefit preauthorization is required, services performed without benefit preauthorization may be denied for payment and the rendering provider may not seek reimbursement from the member.
Which members and services need preauthorization?
Use Availity® or your preferred vendor to:
- Check eligibility and benefits
- Determine if you’re in-network for your patient
- Find out if the patient and services require preauthorization
- Learn whether preauthorization is required for a specific procedure code
Look for future news and updates on upcoming training and FAQs that will provide all the important information you need to successfully transition to AIM.
AIM Specialty Health (AIM) is an operating subsidiary of Anthem, Inc., an independent specialty medical benefits management company that provides utilization management services for BCBSMT.
By clicking this link, you will go to a new website/app (“site”). This new site may be offered by a vendor or an independent third party. The site may also contain non-Medicare related information. In addition, some sites may require you to agree to their terms of use and privacy policy.
eviCore is a trademark of eviCore healthcare, LLC, formerly known as CareCore, an independent company that provides utilization review for select health care services on behalf of BCBSMT.
Availity is a trademark of Availity, L.L.C., a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSMT.
Blue Cross and Blue Shield of Montana, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association.