5/6/2023 0 Comments Aim speciality health![]() ![]() Step 1 – Confirm if Pre-notification is RequiredĪlways check eligibility and benefits first, via the Availity ® Provider Portal or your preferred web vendor, prior to rendering care and services. In general, there are three steps providers should follow. When and how should RQI pre-notification requests be submitted? Failure to obtain an RQI number alone will not impact claims payment. However, if you don’t obtain an RQI number before providing advanced imaging services and the services are subsequently deemed not medically necessary, claims payment will be impacted.Rendering providers use AIM to confirm an RQI was obtained, if required, prior to rendering services.The RQI pre-notification process is required to help support member safety, accessibility/care coordination and cost effectiveness.By phone – Contact the AIM Call Center at 86.Online – Log on to the AIM Provider Portal.The ordering provider may obtain the RQI in either of the following ways: Obtaining an RQI number through AIM is required, prior to ordering non-emergent advanced imaging services (CT/CTA scans, MRI/MRA scans, Nuclear Cardiology studies, PET scans) for some BCBSIL members. Radiology Quality Initiative (RQI) Pre-notification ProgramĪIM Specialty Health ® (AIM) administers the RQI Program for BCBSIL. Pre-notification requirements specific members/services can be found by checking Eligibility and Benefits (see Step 1 below).Pre-notification through a vendor may be required for advanced imaging, as outlined below.Pre-notification through BCBSIL may be required for maternal delivery and some dialysis services,.Pre-notification may be required for some members/services, as specified by the member’s benefit plan. For example: Generally, pre-notification is the process by which Blue Cross and Blue Shield of Illinois (BCBSIL) is typically alerted before a member undergoes a course of care such as a hospital admission or a complex diagnostic test. ![]()
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