Skip to main content
Shop Plans Learn more about our coverage options including health, Medicare, dental and vision options for you, your family or your employees. Get Started Individual & Family Medicare Employer Vision Dental International Travel Find Care FAQ Blog Members Stay on top of your health care with helpful member resources. Members Home Medicare Health Dental Vision Find Care Member Knowledge Center Member Forms Medicare Forms Library Make a Payment Federal Employees Student Blue Healthy Blue Providers Access tools, policies and the latest information to help you care for our members. Providers Home Network Participation Networks & Programs Claims, Appeals & Inquiries Prior Authorization Services & CPT codes Prescription Drug Search Policies, Guidelines & Codes Provider News Provider FAQ Contact Us Employers Learn about our coverage options for small and large employers, and access tools and resources for your group. Employers Home Shop Employer Plans Employer Portal Support Member Forms & Resources Find Care Blog Agents Access the tools you need: rate quotes, applications, forms, the latest industry news, marketing materials and more. Agents Home Agent Services Check Eligibility Find Care Member Forms & Resources Medicare Forms Library
Contact Us
Log In
I am ... Please select A member A provider An employer An agent
Log in to Agent Services
Log in to Employer Services Register for Employer Services I'm registered but need portal access
Username Forgot username? Continue to Log In Register for Blue Connect Need help? Learn how to log in.
Log in to Blue e Register for Blue e Log in to Dental Blue
Back
Blue Cross and Blue Shield of North Carolina to Add Additional Codes to the Enhanced Cardiology Review Program Effective Apr. 1, 2023 February 23, 2023 Claims & Coding

On Nov. 1, 2022, Blue Cross and Blue Shield of North Carolina (Blue Cross NC) announced a new collaboration with AIM Specialty Health (AIM) (known as Carelon Medical Benefits Management, effective Mar. 1, 2023) to offer a new Enhanced Cardiology Review program. 

Effective Apr. 1, 2023, additional procedures requiring medical necessity review will be added to the Enhanced Cardiology program for Fully Insured Commercial Members only, offered through AIM (Carelon). For most services, the review will take place prior to rendering the service, but where needed, post-service review will be accommodated. Providers are strongly encouraged to verify that an authorization has been obtained before scheduling or in some cases after performing any elective cardiovascular service.

Beginning Mar. 13, 2023, providers should contact AIM (Carelon) for authorization of services on or after Apr. 1, 2023, for the following procedures: 

Percutaneous Coronary Intervention (PCI), such as coronary stents and balloon angioplasty * 

  • Arterial Duplex * 
  • Peripheral Revascularization * 
  • Implantable Cardioverter – Defibrillators  
  • Cardiac Resynchronization Therapy 
  • Permanent Pacemakers    

* If a post services authorization becomes necessary for the following modalities: Arterial duplex, Peripheral revascularization and Percutaneous coronary intervention, the provider will need to initiate the request through AIM (Carelon) within 10 business days of the date of service. 

To place an order request, you can submit prior authorization requests to AIM (Carelon) using one of the following methods:    

Online     

Get fast, convenient online service via the AIM (Carelon) ProviderPortal (registration required). ProviderPortal is available 24 hrs/day, 7 days/week. Go to Provider Portal to begin.     

By phone    

  • Call AIM Specialty Health (Carelon) toll-free at 866-455-8414    
  • Hours: Monday – Friday 8:00 – 5:00 PM (EDT)   

If you have other colleagues in your practice who will be submitting prior authorization requests, we encourage you to share this notice with them. 

Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. Learn more about our non-discrimination policy and no-cost services available to you.

Information in other languages: Español   中文   Tiếng Việt   한국어   Français   العَرَبِيَّة   Hmoob   ру́сский   Tagalog   ગુજરાતી   ភាសាខ្មែរ   Deutsch   हिन्दी   ລາວ   日本語

© 2025 Blue Cross and Blue Shield of North Carolina. ®, SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. All other marks and names are property of their respective owners. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association.