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  • Preauthorization/ Rqi Request Fax Form If Urgent Request Please Call Aim Please Complete All

Get Preauthorization/ Rqi Request Fax Form If Urgent Request Please Call Aim Please Complete All

PREAUTHORIZATION/ RQI REQUEST FAX FORM If Urgent request please call AIM Please complete ALL information requested on this form, incomplete forms will be returned to sender. Instructions: TO: AMERICAN.

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Questions & Answers

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Based on feedback from providers, AIM has updated their provider portal allowing users to see the order ID on all their authorization requests, not just approvals. An order ID is a unique tracking number used to request, search, and view the status of a submitted authorization throughout the lifecycle of a case.

In March 2023, AIM Specialty Health®* will transition to Carelon Medical Benefits Management Inc. This transition is a name change only, and there will be no process changes. The new name will not impact the way AIM works with health plans and providers.

Here's how it works Edit your aim prior auth form online. Type text, add images, blackout confidential details, add comments, highlights and more. Sign it in a few clicks. Draw your signature, type it, upload its image, or use your mobile device as a signature pad. Share your form with others.

If a procedure is not approved by AIM, is there an option to appeal the decision? Yes, providers may appeal through normal appeal procedures, as directed in the denial letter. If AIM makes the decision to deny the request at the end of the conversation, the ordering physician should appeal directly to the health plan.

(800) 252-2021.

In the new year, providers can start submitting authorizations via phone and fax at the numbers listed below. Fax authorization request forms to (888) 337-2174.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232