![]() For most medical benefit drugs, including CAR-T cell therapy drugs, submit requests through NovoLogix ®. Learn about submitting requests through NovoLogix and through other methods on Blue Cross Medical Benefit Drugs or on BCN Medical Benefit Drugs.Learn about submitting requests electronically and through other methods on Blue Cross Pharmacy Benefit Drugs or on BCN Pharmacy Benefit Drugs. For pharmacy benefit drugs, submit requests through CoverMyMeds.Submitting prior authorization requestsįor drugs that require prior authorization, providers should submit requests as follows: We require providers to request prior authorization for certain medicines, such as specialty drugs, to ensure certain clinical criteria are met. Through effective program communication and education, we are ready to engage you and your office staff in managing the complexities associated with physical therapy, occupational therapy and speech therapy services.To help make sure Blue Cross Blue Shield of Michigan and Blue Care Network members receive the most appropriate and cost-effective therapy, we require providers to take additional steps before certain drugs are eligible for reimbursement. The AIM Specialty Health® (AIM) rehabilitation program is designed to help you provide appropriate, safe and affordable care for your patients. Our robust medical needs verification process is fully compliant with regulatory and accrediting bodies, providing you and your healthcare professionals with a superior experience. Our powerful expert services platform offers evidence-based clinical solutions that span the specialized clinical categories that a health plan focuses on. In partnership with health insurers, we are fully committed to achieving their goals – and yours – to improve health outcomes and reduce costs. Patient safety, appropriateness, and affordability are our top priorities. By partnering with physicians, AIM improves the quality of health care and manages the costs of some of today’s complex tests and treatments. Premera Blue Cross and Premera Blue Cross Blue Shield providers in Alaska benefit from the services provided by AIM Specialty Health. AIM, through its Prior Notification Radiology Quality Initiative (RQI) program, provides training and clinical proficiency testing for high-tech outpatient diagnostic imaging services to select Blue Choice PPOSM members. We promote the most appropriate use of specialized care services through the application of universally accepted clinical guidelines, delivered through an innovative platform of technologies and services. Our mission is to ensure that healthcare services are more clinically appropriate, safer and more accessible. select outpatient services.ĪIM Specialty Health is a leading benefits administration company with more than 25 years of experience and a growing presence in radiology, cardiology, genetic testing, oncology, musculoskeletal management, sleep management and other specialties. AIM is a healthcare benefits company that works with leading insurers to improve the quality of healthcare and manage the costs of today’s most prevalent and complex tests and treatments and help promote appropriate, safe and affordable products. ![]()
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