AIM Specialty Health (AIM) manages prior authorization for select services for Premera Blue Cross. Prior authorization is required for certain procedures and services. Contracted providers are financially liable for providing services that are medically unnecessary. Providers must make prior authorization requests
through AIM for members on plans that require it.
Prior authorization is based on member benefits and eligibility at the time of service. It determines medical necessity, treatment appropriateness, and setting via nationally recognized guidelines.
The following services are subject to review by AIM:
View the code list to see which codes require review, or log in to use our prior authorization tool.
View the AIM clinical appropriateness guidelines (updated twice yearly).
To request an order number, register with AIM and then submit your request online or by phone:
An order number isn't required for the following:
Servicing providers are strongly encouraged to verify that the prior authorization has been received before scheduling and performing services. In addition, imaging servicing providers must submit ordering/referring provider information, per guidelines
from the Centers for Medicare and Medicaid Services (CMS), in boxes 17 and 17b on CMS-1500 forms.
If you have further questions, call AIM at 866-666-0776.
Advanced imaging reference info and checklist
Advanced imaging clinical information checklist
Advanced imaging order entry tip sheet
Sleep study program
Genetic testing program
AIM Specialty Health is an independent
company providing advanced
imaging select services to LifeWise Health Plan of Washington providers.
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