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Business Profile

Health Care Referral

Carelon Medical Benefits Management

This business is NOT BBB Accredited.

Find BBB Accredited Businesses in Health Care Referral.

Reviews

Customer Review Ratings

1

Average of 8 Customer Reviews

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Review Details

  • shirley b

    Date: 01/23/2024

    i think it is truly a shame that a business like this one ever had a chance to become a business. i was denied an MRI of my hip "because there wasn't enough documented data to justify the cost" . Never mind that i broke my patella had to have reconstructive surgery to put leg back together then physical therapy three weeks on 5 weeks off 3 weeks on 5 weeks off while waiting on authorization. Needless to say i never recovered . *** still hasn't healed and i still have trouble walking, have had 2nd surgery and was totally denied any therapy at all after the second one so now walking is even harder and i fall down often. My dr explained in letters why i need MRI and even pointed out to them the damaged cause by denying my therapy. 5 years now and i am still waiting and still crippled and i wish that BCBS would make their own decisions and not do business with AIM. The procedures ordered by a dr should not even be questioned and if it were to be questioned how is anyone at AiM qualified to question my dr's ******* i have the best orthopediatric dr in the Country and he deserves respect just the same as i do or anyone else being denied medical ***************** from the likes of a company such as AiM and shame on any insurance company for enabling them to stay afloat

  • Lissette F

    Date: 02/28/2023

    I think AIM is ridiculous as well, as I just had a nasty experience on the phone just now, BUT I discovered why an Anthem BCBS CT patient will come up as inactive on AIM's portal: put a 0 after the alpha prefix. Instead of XGT99, search XGT099. You'll be able to pull up the patient's active account. If there's a BCBS MA patient with prefix MTN being seen in CT, just use M, then the rest of the ** number (ex: instead of MTN99, use M99). When in doubt, make the AIM rep search for the member by their name and DOB instead of the ** number.Hope this helps!

  • Kimberly M

    Date: 01/09/2023

    I am not sure who is worse, AIM or Anthem for choosing this company to partner with. As a provider I am appalled at the over 1 hour hold time only to then get disconnected. Anthem says prior authorization is required but AIM says it isnt. Then a 3-way call must be made to override this error! This is not only is ineffective and way too time consuming, but it delays patient care! Unacceptable! Why are they allowed to do this?? Something needs to be done!

  • Mark E

    Date: 12/10/2022

    As a result of this company's input to ********** Anthem PPO insurance my treatment for an injured knee was denied. My doctor made referrals which were deemed unnecessary by AIM. They are responsible for data entry which discontinued my insurance. The AIM doctor overrode the referral for an MRI stating nothing was wrong with my knee. WRONG! After two months of severe pain sleepless nights and watching my knee swell from the ankle to upper thigh, I've just completed an out of network ortho appt. Confirmed injury, torn meniscus. AIM is responsible for the mal treatment and indifference to proper and necessary medical treatment. ********** Anthem denied my medical treatment as well. The medical board is required by law to respond to incidents of this nature. The price of an MRI takes precedence over patients care.

  • ARTHUR M

    Date: 11/07/2022

    Been trying to get a ct scan. Impossible since these people are involved with BCBS in ******. My provider puts in requests because I am in such pain. Takes months to be approved then a very short window in which my hospital can't do then the process starts all over again. At this rate I probably will be dead before I can find out what I have as I see no chance on getting this. Why the h*** do I have insurance? These people need to be put of business

  • Sam F

    Date: 10/31/2022

    Absolutely trash of a company. Zero stars would be better. As a provider they waste so much of our time with a poor interface online (if it even works, usually errors out). Takes forever to get in touch with a human and often they "get disconnected" aka they hang up. I was just informed from a supervisor that it is the providers responsibility to catch any eligibility miscommunication between AIM and BCBS. I kid you not. This company should be shut down!!!!!!

  • Laurie B

    Date: 09/08/2022

    I wish I could leave ZERO stars. We, as providers, are stuck using AIM for BCBS prior auths. It's horrible. Slow to process requests and it always errors out. Then they want you to call and it takes foreverrrrrrr to reach a human. This site should be closed down by the IL Dept of Insurance.

  • Kyla W

    Date: 09/02/2022

    I am beyond words at how awful my experience with company has been. *** tried to get a replacement for my CPAP machine/supplies for the last two months. I have used a cpap for 8+ years. I had my sleep study done as required. It was similar to my first study. The medical equipment provider called me to inform me, my request was denied by AIM. I was in shock how is that possible I asked them? They shared the reason and that I needed a Peer to Peer review in order to address AIMs requirements and I should call AIM. I called the CA office and the person I spoke with stated, I have no record of your request. What, hows that possible? I stated the medial supply company gave me this information. The AIM representative stated sometimes they just say things, called your Doctor **** was not helpful. I called my doctor and they resubmitted the prescription and would let me know next steps. On 09/01/22 I had to call again to check on the resubmitted request and yep it was another awful conversation with no accurate updates at one point the representative stated she did not even see me in the system. At that, I asked for a Manager, I spoke with ****************, and she had all of my history it was a miracle! I asked her if we could get on a conference call with my Doctor to resolve this? The response was that my doctor had requested to cancel the prescription in order to extend the 90 day validation period that AIM had originally used up denying my claim, giving my Doctor, the medical equipment supplier and me the run around. Now heres the super madden deal, because of all this my provider is saying I may have to do another sleep study! At ~5k a study that is ridiculous and all because AIM has done an awful job of handling my prescription. How is it that this company is allowed to do get away with this type of blocking process?

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