AIM Specialty Health

After March 1st, 2023, Harvard Pilgrim commercial and Medicare Advantage members who request genetic/genomic testing or other medical necessity prior authorizations from Carelon Medical Benefits Management will change to Carelon Medical Benefits Management as their utilization review services provider; this change only impacts their name but will have no ramifications on provider relationships.

What is AIM?

Since 1989, AIM Specialty Health has managed clinical information and prior authorizations for over 42 health plans with 32 million members, offering specialty care management programs focused on clinically appropriate yet cost-effective treatment options. AIM’s services span radiology, genetic testing, sleep medicine, oncology, musculoskeletal issues, and ophthalmology, including comprehensive provider engagement strategies and member/provider workflow solutions.

AIM actively engages consumers through its Specialty CareShopperSM program, which promotes high-value providers by identifying low-cost alternatives for medically necessary services. Many national employers use this approach to support members in selecting their providers through “reference pricing” benefit designs or other innovative incentive programs.

On March 1, 2023, AIM Specialty Health will change to Carelon Medical Benefits Management under a gradual transition process with regular content update cycles to facilitate this change. All documents and websites referencing AIM will use Carelon as their name instead of AIM for future reference.

AIM was previously known as American Imaging Management and is based in Chicago. Their team consists of passionate individuals committed to providing an excellent customer experience. AIM practices the highest transparency, flexibility, innovation, and teamwork levels in all its endeavors. AIM welcomes new talent into its expanding team with 100% remote job positions across various areas.

Appian was chosen as AIM’s proprietary technology platform due to its agile, low-code development framework that enabled quick application development and deployment. By adopting Appian, AIM could streamline operations while increasing data visibility within its system.

AIM is a healthcare company

AIM Specialty Health is a healthcare company that handles clinical information and prior authorizations for some of the largest payers in the US. AIM focuses on providing accurate, timely, and relevant information to members while working towards providing appropriate, safe, and cost-effective care through its clinical management programs; such programs include diagnostic imaging, sleep medicine, musculoskeletal care, and genetic testing – AIM has recently expanded their offerings by adding sleep apnea management as well as telemedicine for specific conditions.

Aim has long been supporting the healthcare industry with innovative technological solutions, providing better outcomes for members and providers. AIM CareShopperSM, its flagship solution, offers proactive outreach service that allows members to find high-quality yet low-cost provider options near them for specific health services they may need – several large national employers have even adopted it as part of reference pricing benefits designs or other incentive programs.

Beginning March 1, 2023, AIM will change its name to Carelon Medical Benefits Management Inc. This change should not impact how AIM interacts with health plans or providers; however, its logo and branding will eventually reflect this transition. All documents referencing AIM will ultimately reflect its new moniker.

Established in 1989, AIM is based in Chicago, Illinois, and offers market-based clinical solutions, member engagement strategies, and provider workflow solutions to health plans, physician groups, hospitals, other health care organizations, and self-insured employers across multiple markets. Their platform delivers significant cost savings to these groups.

AIM’s platform features an intelligent clinical rules engine, providing significant cost-cutting opportunities to healthcare systems, payers, and employers. Users can make real-time decisions regarding which care option best meets patient needs while monitoring provider performance and providing feedback.

AIM is a provider

Aim Specialty Health provides specialty utilization review and clinical management services to primary healthcare payers throughout the US, using its sophisticated medical management platform to deliver appropriate, safe, and affordable care. Their technology has resulted in cost savings across various clinical domains such as radiology, cardiology, oncology, genetic testing, sleep medicine, and musculoskeletal care – they’re even leaders in using data analytics to enhance health outcomes and performance, earning numerous awards for their innovative technology!

AIM is a member-focused company dedicated to offering its members an enjoyable health and wellness experience while helping them manage their health and wellness. Through customized solutions that engage members to assess their needs and identify cost savings opportunities, AIM also assists members in navigating through a complex healthcare system and connecting with appropriate care at just the right time.

The AIM Provider Portal is an online tool that enables healthcare providers to submit prior authorization requests and access patient-related data quickly and conveniently. Designed for ease of use and with real-time responses, this user-friendly portal also makes submitting claims and viewing payment status simple. If you need assistance resetting or logging into the portal at any point, their support team is on hand 24/7/365!

Beginning March 1st, 2023, AIM Specialty Health will change to Carelon Medical Benefits Management. This name transition will impact documents and website pages referencing AIM; phone numbers remain the same, while references within recorded scripts will gradually be modified through content update cycles.

AIM Specialty Health is a leading provider of specialty utilization management for large healthcare payers throughout the US. Their sophisticated medical management platforms deliver significant cost savings across clinical areas such as radiology, cardiology, oncology, and specialty drugs – helping clients provide exceptional value to their members. Their innovative and flexible technology allows clients to deliver outstanding value while adhering to AIM’s core values of teamwork, responsiveness, and service excellence while offering 100% remote jobs and treating employees with respect.

AIM is a payer

Aim Specialty Health is an industry-leading specialty benefits management organization, handling clinical information and prior authorization requests for some of the biggest payers in the US. AIM Specialty Health’s offerings span diagnostic imaging, musculoskeletal therapy and sleep management services, and specialty drugs – its goal is to promote safe, cost-effective healthcare services. Established in 1989 with over 50 offices nationwide. At its headquarters in Chicago, Illinois, CareLink employees are dedicated to helping patients and providers access appropriate care for complex tests and treatments. Furthermore, CareLink strives to offer flexible yet supportive working conditions that support the professional growth of its associates while upholding its promise to service excellence.

Starting March 1, 2023, AIM Specialty Health will change to Carelon Medical Benefits Management Inc and maintain business as usual. Over time and according to regularly scheduled content update cycles, all documents and websites currently referencing AIM will reflect this transition; there will be no impact on prior authorization reviews nor changes to provider contact information or process.

AIM Specialty Health has expanded beyond clinical management programs by creating its specialty shopper program. This proactive outreach tool helps members select high-quality and cost-effective providers through personalized provider lists explicitly tailored for them; additionally, it offers information about pricing and availability for various procedures and services in their locality. Employers nationwide who wish to support employee provider selection with innovative incentive programs may also take advantage of this service.

Incoming call center numbers will remain the same. At the same time, references to AIM in recorded scripts will be altered accordingly and automatically redirected to Carelon Medical Benefits Management services via provider portal links formerly accessible via AIM. Furthermore, accessing BCBSTX utilization management services via AIM was no longer accessible as of September 8, 2014.