As previously communicated, effective March 1, 2018, AmeriHealth will require 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
Starting February 19, 2018, ordering or performing providers can submit precertification requests to AIM for interventional pain management services scheduled for dates of service on or after March 1, 2018. Precertification requests can be submitted through AIM's ProviderPortalSM, available through AIM's website, or through the NaviNet<sup® web portal by selecting Authorizations from the 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 refer to the previous communication, Announcing the expansion of the AmeriHealth Musculoskeletal Utilization Management Program to include services for interventional pain management, for more detailed information about the AmeriHealth policy for this utilization management program.
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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