Advanced Imaging

  • Prior authorization is required for certain procedures and services. Contracted providers are financially liable for providing services that are medically unnecessary.

    Pre-approval is based on member benefits and eligibility at the time of service. It prospectively determines medical necessity, treatment appropriateness and setting via nationally recognized guidelines.

    AIM Specialty Health (AIM) manages imaging services for Premera. Providers must make pre-approval requests through AIM for members on plans that require it.

    The following imaging services are subject to review:

    • Computerized tomography (CT)
    • Magnetic resonance imaging, angiography (MRI/MRA)
    • Nuclear cardiology
    • Echocardiography (ECHO)
    • Positive emission tomography (PET)

    View the 2016 AIM CPT Code List to see which codes require review. 

      To request an order number, register with AIM and submit your request online or call AIM at 866-666-0776.

      An order number isn't required for: 

      • Emergency room services
      • Inpatient hospitalization
      • Outpatient surgeries (hospitals and freestanding surgery centers)
      • 23-hour observations

      Diagnostic imaging services providers are strongly encouraged to verify that the pre-approval has been received before scheduling and performing diagnostic imaging exams. In addition, imaging 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 questions, please call AIM at 866-666-0776.

      AIM provider resources

      Reference info and checklist 

      Diagnostic imaging clinical guidelines 

      Clinical information checklist 

      Order entry tip sheet 

      AIM Specialty Health is an independent company providing advanced imaging services to Premera Blue Cross and Premera Blue Cross Blue Shield of Alaska providers.