What’s Changing: Blue Cross and Blue Shield of New Mexico has removed the prior authorization requirement through AIM Specialty Health® effective April 1, 2021 for six “Musculoskeletal” codes for commercial members.
|ARTHRS AID RPR LES/TALAR DOME FX/TIBL PLAFOND FX
|MANJ W/ANES SHOULDER JOINT W/FIXATION APPARATUS
|ARTHRT KNE W/JT EXPL BX/RMVL LOOSE/FB
|RPR PRIMARY TORN LIGM&/CAPSULE KNEE COLLATERAL
|REPAIR PRIMARY TORN LIGM&/CAPSULE KNEE CRUCIAT
|RPR 1 TORN LIGM&/CAPSL KNE COLTRL&CRUCIATE
More Information: Refer to the updated Prior Authorization Lists on the Prior Authorization section of our provider website, These codes will be designated “No PA Required.”
Checking eligibility and/or benefit information 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, any claims received during the interim period and the terms of the member’s certificate of coverage applicable on the date services were rendered
AIM Specialty Health (AIM) is an independent company that has contracted with BCBSNM to provide utilization management services for members with coverage through BCBSNM.