​​​​Precertification requests for enhanced utilization management services for AmeriHealth Administrators

July 12, 2022

​Effective July 1, 2022, AmeriHealth Administrators has delegated precertification for certain utilization management (UM) services to AIM Specialty Health® (AIM) and eviCore healthcare (eviCore). Providers must request precertification for members in the Enhanced Utilization Program for applicable UM services by contacting the respective vendor directly:

  • AIM: 1-833-305-1810
  • eviCore: 1-800-918-8924

AIM

Providers should seek precertification from AIM for:

  • cardiology covered modalities
  • high-technology radiology
  • musculoskeletal
    • spine surgery
    • interventional pain management
    • joint surgery
  • sleep studies, continuous positive airway pressure titration studies, and continuous positive airway pressure (CPAP) devices

eviCore

Providers should seek precertification from eviCore for:

  • certain genetic/genomic tests (i.e., nucleic acid testing) and certain molecular analyses
  • radiation therapy

For additional information and impacted policies, please read the article from April 7, 2022.

For questions related to benefits and services in our utilization programs requiring authorization, please contact Provider Services at 1-844-352-1706.​