![]() For requests that require additional consideration, our team of nurses and physicians are available to consult with your practice.Carelon-Managed Procedures (formerly AIM) Most online requests are approved at intake in five minutes or less. An online application, provider portal processes your requests in real time, providing you with a central location to obtain authorizations required by your patients’ health plans. Our pioneering provider portal technology is the fastest, easiest way to submit your request. You can register and update your site of care in Opti Net, an online tool available in the Carelon provider portal. Register Your Site and Update Your Provider Type in Opti Net ® For simplicity, we will hereafter use, “site of care”. *In some plans “level of care” or another term such as “setting” or “place of service” may be the term used in benefit plans, provider contracts or other materials instead of or in addition to “site of service” and in some plans, these terms may be used interchangeably. We will also identify alternate free-standing imaging locations and provide those to the physician when the authorization is requested and reviewed. ![]() Based on the information you provide, we will review both the requested advanced imaging scan for clinical appropriateness and the site of care against health plan clinical criteria. There may be circumstances in which a patient’s clinical situation requires that he or she receive an MRI or CT scan in a hospital facility. Imaging Clinical Site of Care is an expanded program in which we review clinical criteria to determine if an imaging service requires a hospital-based outpatient setting, which offers a higher intensity of service resources, or if a free-standing imaging center is a clinically appropriate and available alternative. Using the patient’s clinical information that you submit, we conduct a clinical appropriateness review of your advanced imaging request against our evidence-based clinical guidelines or your patient’s health plan medical policy. * Echocardiography may also be included in the scope of the Cardiology Solution Our Site of Care review process
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