Beginning with dates of review on and after November 1, 2018, the following updates will apply to AIM Level of Care Musculoskeletal Surgery Clinical Appropriateness Guidelines:                                                                                                                        

  • Addition of criteria for observation in surgical settings, ambulatory surgical centers, and hospital outpatient departments
  • Addition of staff, equipment, and resource capabilities in outpatient surgery
  • Modifications to the inpatient admission criteria

 

Ordering and servicing providers may submit prior authorization requests to AIM in one of the following ways:

  • Access AIM ProviderPortalSM directly at providerportal.com. Online access is available 24/7 to process orders in real-time and is the fastest and most convenient way to request authorization.
  • Access AIM via the Availity Web Portal at availity.com
  • Call the AIM Contact Center toll-free number: 1-877-430-2288, Monday–Friday, 8:00 a.m.–6:00 p.m. ET.

 

For questions related to guidelines, please contact AIM via email at aim.guidelines@aimspecialtyhealth.com. Additionally, you may access and download a copy of the current guidelines here.



Featured In:
August 2018 Empire Provider Newsletter