As previously communicated, as of March 1, 2018, AmeriHealth requires precertification for interventional pain management services under the Musculoskeletal Utilization Management Program. AmeriHealth has delegated the precertification process for these services to AIM Specialty Health® (AIM).
Submitting requests to AIM
Precertification requests can be submitted through AIM's ProviderPortalSM, available through AIM's website, or through the NaviNet® web portal by selecting Authorizations from the AmeriHealth Workflows menu and then AIM.
Note: When submitting precertification requests for interventional pain management services, you will be prompted to answer additional questions related to the setting of the requested services.
For more information
Please review Medical Policy #00.01.66a: Musculoskeletal Services for the specific AmeriHealth policies and a link to Clinical Appropriateness Guidelines that AIM uses during the precertification process, as well as a listing of procedure codes requiring precertification.
To view this policy, visit our Medical Policy Portal. Select Accept and Go to Medical Policy Online, and then select Commercial from the top of the page and type the policy name or number in the Search field.
Please also review the Musculoskeletal Utilization Management Program: Frequently Asked Questions (FAQ) for additional information. The FAQ can also be found on AmeriHealth NaviNet Plan Central in the Frequently Asked Questions section under Administrative Tools & Resources. Note: The FAQ may be updated if more information becomes available.
If you still have questions after reviewing the FAQ, please send an email to aimumprograms@amerihealth.com.
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