February 2023
Prior Authorization Codes Updated for Commercial Members, Effective April 1
Important Reminder: Always check eligibility and benefits first through the Availity® Provider Portal or your preferred vendor portal, prior to rendering services. This step will confirm prior authorization requirements and utilization management vendors, if applicable.
Changes are:
- April 1, 2023 – addition of Specialty Pharmacy: Site of Care codes to be reviewed by BCBSOK
- April 1, 2023 – addition of a Medical Oncology code to be reviewed by AIM
- April 1, 2023 – replacement of Medical Oncology codes to be reviewed by AIM
Training Reminder:
Contact your Network Representative for additional training on using the AIM Specialty Health ProviderPortal.
More Information: For a revised list of codes, go to our provider website in the prior authorization section.
CPT copyright 2021 American Medical Association (AMA). All rights reserved. CPT is a registered trademark of the AMA.
Checking eligibility and/or benefit information and/or obtaining prior authorization is not a guarantee of payment. Benefits will be determined once a claim is received and will be based upon, among other things, the member’s eligibility and the terms of the member’s certificate of coverage, including, but not limited to, exclusions and limitations applicable on the date services were rendered. If you have any questions, call the number on the member's ID card.
AIM Specialty Health (AIM) is an independent company that has contracted with BCBSOK to provide utilization management services for members with coverage through BCBSOK.
Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSOK.