Provider Central

Outpatient medical oncology services and supportive care medications as noted in our medical policies:

• Quality Care Cancer Program (Medical Oncology) (099)
• Supportive Care Treatments for Patients with Cancer (105)

Radiation oncology services as noted in our medical policies:

• Quality Care Cancer Program Radiation Oncology Services Policy (937) 
• Quality Care Cancer Program (Radiation Oncology) (938)  

Ordering providers will request authorization with AIM in one of three ways:

1. Through a direct link on this site (no additional registration is required). In the eTools tab, go to AIM Specialty Health. Click the Go Now button.
2. Go directly to the AIM ProviderPortal (registration is required) at www.providerportal.com.
   Note: If you’ve already registered for the AIM ProviderPortal for Blue Cross Blue Shield of Massachusetts or another insurer, you won’t need to register again.
3. Call AIM’s Contact Center at 1-866-745-1783
   • Available Monday through Friday, 8 a.m. – 6 p.m. If you leave a voicemail after these hours, AIM will respond the next business day.

Medical oncology services

Required information:

• Member first, last name and date of birth
• Ordering provider’s first and last name
• Dispensing provider name
• Place of service

Most order request also may require:

• Clinical details
  • Patient height and weight
  • Diagnosis
  • Cancer type
  • Pathology and stage
• Chemotherapy regimen
• Biomarkers and tumor characteristics
• Line of treatment

For order entry worksheets and checklists, click here.

Radiation oncology services

Required information:

• Member first, last name and date of birth
• Ordering provider’s first and last name
• Primary cancer treatment being requested (for example, brachytherapy, IMRT, proton beam, etc.)
• Patient diagnosis
• Name and location of facility where treatment will be administered

Clinical data required:

• Pre-Exam Questions (PEQ):
  • Patient’s height and weight
  • T, N, M status or stage of cancer
• Cancer histology
• Performance status, either Karnofsky or ECOG
• Treatment goal, total dose, and number of fractions
• For some situations, plan comparison with 3D or IMRT is required. This information is available on aimproviders.com/radoncology.

After entering and reviewing your request, you’ll receive a summary. Approved orders will indicate “Authorized” and will include an “Order ID.” You’ll also see a summary of codes and disease information.

To avoid a denied claim, servicing providers should use the AIM ProviderPortal to verify that an authorization is in place before the service is performed.