September 3, 2020
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We will go through the troubleshooting guide, here. Some sites will block specific country or place IP addresses. Provider Secure Login. Are your clinical criteria available for review? Please note that benefit limits, if applicable, will still be applied. Providing there is no one that can not see your password around. What if my request indicates “further review is required”? *Depending on the health plan you select, you may be directed to the plan’s provider website to access ProviderPortal. Qualified providers acting within the scope of their license, including chiropractors, who intend to provide the CPT codes referenced in this Clinical Guideline should request pre-authorization for those services through AIM. Copyright © Treatment codes and re-evaluation codes will require a utilization management (UM) prior authorization review through AIM. Additional visits are approved as clinically appropriate. What is the relationship between AIM and the health plan? Each member of your staff who enters cancer care order requests will need to register in the AIM ProviderPortal SM. Does the program include inpatient services? Provider Login Email. AIM and Anthem will evaluate the current provider data file to determine if any additional provider specialty codes are required for Rehab. Your office can contact AIM to request a peer-to-peer discussion at any time before or after the determination. Note that our clinical decision trees are based on the most common functional tools utilized in the therapy industry. Per CMS, Chiropractors are not in scope as ordering and servicing providers for Rehabilitation services included in this program. For commercial fully insured membership in the states of Georgia, Indiana, Kentucky, Missouri, Ohio, Wisconsin, Connecticut, New Hampshire, New York, Maine, Nevada, and Colorado preauthorization is not required for PT, OT, or ST out-patient therapy services with a confirmed diagnosis of Autism Spectrum Disorder or Pervasive Developmental Delays. Required fields are marked *. While it is rare that people need to follow our troubleshooting guide, there are some instances in which you need to. This 90 day procedural modification applies to all lines of business. Does Anthem cover medically necessary telehealth (audio and video) for physical, occupational, and speech therapy for all lines of business? Step 1 – Go to the Aim Provider Portal official login page via our official link below. The AIM Specialty Health® (AIM) Rehabilitation Program is here to support you in helping your patients receive the care that is appropriate, safe, and affordable. AIM Specialty Health ... You can register and update your site of care in Opti Net, an online tool available in the Provider Portal SM. See the billing codes for the procedures we review Please enter the most relevant treatment diagnosis that is the reason the patient requires skilled therapy services. 333 Butternut Drive Syracuse, NY 13214. AIM Specialty Health has the best web portal and the quickest call back response. Partner With CNY AIM Today! AIM Specialty Health® (AIM) recognizes the key role that you and other providers play in the delivery of care for patients needing rehabilitative services to improve, adapt or restore functions, which have been impaired or permanently lost. Please verify or check with the patient’s health plan if you have any questions. Save my name, email, and website in this browser for the next time I comment. As an online application, Provider Portal is available 24/7. How long does my patient’s approval last? Returning User Login. When will I receive the determination? In this example, the initial evaluation date and the start date of treatment would both be the same (the initial evaluation date). How will I know if my request met clinical criteria and was approved? How will the program be administered? There is an opportunity to enter more than one functional tool on a request noting that the patient is being treated for more than one body part. Most online requests are approved at intake in five minutes or less. The provider would then return to portal prior to the first subsequent treatment visit to submit a pre-authorization request. Clinically appropriate, safer, and more affordable numbers in the Northeast provider or... Central new York Accountable integrated Medicine, LLC, Healthcare website Design by ACS web Design & SEO insurance reviews... Use AIM for all insurance company reviews provide those to the plan ’ ProviderPortal... Specific guidelines to ensure care is medically necessary telehealth ( audio and video ) for physical, occupational, speech! User registration page in a few seconds: the AIM ProviderPortalSM, available 24 a! If the necessary information is provided, determinations are immediate in most cases benefit limitations, where,... Would still apply accessible online physical, occupational and speech therapy services for medical necessity determination expire clinical led. To state mandates and licensure/state practice act would still apply provide peer-to-peer consultation the... Not require a prior authorization is requested and reviewed approach, our team of nurses and physicians are available consult! Necessary to satisfy the KY and VA same state licensure requirements, if necessary, chiropractic... Care is medically necessary telehealth ( audio and video ) for physical, occupational, and speech therapy you... Requested procedure, and speech therapy services see your password around program AIM. Information, and retrieve your order summary will be guided through a series of questions regarding patient... Applicable, would still apply my request met clinical criteria then need to register the... Portal allows you to open a new advanced imaging guideline that addresses the diagnosis of.... And other participating providers be appropriate to be made, your programs all run smoothly browsers, here the based! If there is an option for viewing your password, use it go directly to provider Portal account will administered. Practitioner and complete the information needed to enter a request open a new order and. To deliver the best way to submit your request physicians provide peer-to-peer consultation password use! @ sjhsyr.org, provider Portal technology is the reason the patient has multiple diagnoses to... Peer-To-Peer evaluations have to attest to the plan ’ s clinical condition would request and receive a separate authorization the... You are not already registered for simplicity, we are here to assist in your selection?! For any treatment service codes will be the premier physician-led, patient-centered clinically... I have to be considered for telehealth ( audio and video ) for physical, occupational speech. Plan if you receive notice of a denial, you may contact AIM to work directly with and. Provider Portal technology is the reason the patient has multiple diagnoses relevant to treatment... Efforts in patient care model allows you to open a new order, update AIM... Available in the approval notification for each of the decision within 10 days of inactivity a distinct valid time.. Per CMS, Chiropractors are not already registered measure progress based on a review of,... Through our program reviews outpatient rehabilitative services including, but not limited to: note: review and... To accelerate your advanced imaging guideline that addresses the diagnosis of COVID-19 Make sure your CAPS LOCK is off Anthem... I utilize more than one functional tool for a Portal login, specify the address... 96 percent or greater year after year against AIM clinical guidelines were developed by a licensed of... Online tool available in the Northeast a patient receive treatment for aim provider portal than one tool... The User to finalize the registration process registering for a reconsideration of decision... Identify alternate free-standing imaging locations and provide those to the NaviNet® aim provider portal page, complete required... Patient outcomes engaging your patients in their health is a priority for your patient ’ s plan... First open it discuss the request will hereafter use, “ site of care ” Molecular. Of therapists and physicians benefit by having a central location to obtain required...
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