BCBS North Dakota
Provider Portal Demo – Ordering Provider
January 2014
Provider Portal -Table of Contents
• Provider Portal – Manage Physician List
• Provider Portal – Manage Group List
• Provider Portal – Manage User Profile
• Provider Portal – Reference Desk
• Provider Portal – Message Center & Help Tips
• Provider Portal – New Home Page Enhancement
• Provider Portal – Order Entry
• Provider Portal – Check Order Status
• Provider Portal – Access Your Reports
*Please note that for demonstration purposes the samples included will reflect
falsified member and provider data.
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Provider Portal - Access
Registered Providers can log onto
AIM Specialty Health’s
ProviderPortal at
www.aimspecialtyhealth.com/goweb
Select health plan from drop down
list: BCBSND
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Provider Portal – Manage Physician List
From the home page, click on “Manage Your Physician List”
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Provider Portal – Manage Physician List
The registered physician groups will be displayed. Click “Edit” to
manage preferred list.
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Provider Portal - Manage Physician List
Entire list of included physicians is on the left, simply click on
checkbox and “add” or “remove” to create a preferred list on the right.
Save changes.
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Provider Portal - Manage Group List
Click on “manage group list” to add new physician groups.
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Provider Portal - Manage Group List
Select your state from drop down menu. Enter EIN (TIN) and Click
“Next”.
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Provider Portal - Manage Group List
All available physicians will be listed on the left. Create a preferred list on
the right. Save Changes. If only one physician, no need to create a
preferred list.
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Provider Portal – Manage Your User Profile
Click on house icon to return to home page at any time. From the home
page, click on “Manage Your User Profile”
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Provider Portal – Manage Your User Profile
There are several tabs that can be accessed to view and/or edit user
information.
BCBSND
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Provider Portal – Reference Desk
From the home page, click on “Reference Desk”
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Provider Portal – Reference Desk
This area provides access to AIM Diagnostic Imaging Clinical Guidelines, Tutorials,
Forms, Advanced Help and Diagnostic Imaging CPT Codes that are applicable to
BCBSND.
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Provider Portal – Message Center & Help Tips
Message Center provides information on AIM’s normal maintenance hours. Any
abnormal down time would also display here, with messaging appearing a
couple weeks in advance.
Help Tips
are available
on every
page by
clicking on
the “?” bar
(toggle to
close).
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Provider Portal – New Home Page Enhancement
Now, providers will begin their requests by entering the date of service and searching for the
member using the member’s name and date of birth.
Simplified login screen
•
•
•
•
Order Type has been removed
Health Plan has been removed
Search for the member to begin a request
Providers can locate members in all 50 states
Date of service = date of request or later for imaging;
other clinical lines allow retro
A Side-by-Side Comparison
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Provider Portal – Order Entry
From the Home Page “Start Your Order Request Here”, user can
search using two qualifying pieces of member information: ID,
Name and/or DOB
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Provider Portal – Order Entry
If member is not found, messaging will display:
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Provider Portal – Order Entry
If member is found, member search results are displayed for
selection. Click on member name and Select Order Type.
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Provider Portal – Order Entry
Member exam history will be displayed. Click Next to begin new
order entry.
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Provider Portal – Order Entry
Select Ordering Provider (preferred list will display but Full list is
available).
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Provider Portal – Order Entry
Select estimated or actual prospective date of service. Then select
Exam type from drop down menu.
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Provider Portal – Order Entry
Then select Exam Description from drop down menu. The “can’t find
your exam?” links user to the available exam list.
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Provider Portal – Order Entry
Define With, Without or With and Without Contrast, or select Unknown.
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Provider Portal – Order Entry
Applicable clinical paths will display. Select appropriate diagnosis or
select “Diagnosis Unknown” to proceed.
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Provider Portal – Order Entry
For demonstration purposes we have selected CT Head/Brain,
Unknown Contrast, Head Trauma (see details displayed). Next select if
diagnosis is “Suspected” or “Confirmed”.
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Provider Portal – Order Entry
Following “Suspected” pathway, select from the options displayed.
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Provider Portal – Order Entry
For “Abnormal findings” provide additional info as applicable.
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Provider Portal – Order Entry
Selected symptoms will display along with Exam Information entered. It
is possible to enter additional exams if necessary. Click Next.
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Provider Portal – Order Entry
Select servicing site. If desired site is not displayed, click on “Find a
Facility”.
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Provider Portal – Order Entry
Enter Facility Name, City and State – or – Group NPI to search.
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Provider Portal – Order Entry
Select In Network site.
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Provider Portal – Order Entry
Order
Request
Preview will
display.
Select
“Submit
This
Request” to
continue.
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Provider Portal – Order Entry
If exam meets
criteria, Order
Request is
completed. Order ID
and valid dates are
displayed. Summary
can be printed.
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Provider Portal – Order Entry
Hovering on Exam
CPT Group
“Head/Brain – CT”
will display a quick
view of the CPT
codes included.
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Provider Portal – Order Entry
Clicking on Exam CPT Group “Head/Brain will open separate
display of applicable CPT codes. Return to Summary.
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Provider Portal – Order Entry
If exam does not meet criteria, additional review is required. Enter direct
contact info and additional clinical information. To expedite the review,
contact AIM at the number provided on the screen.
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Provider Portal – Order Entry
Order Request
Summary will
display with
Request Status
“In Progress”.
AIM staff will
review
additional info
and either
complete case
or call out to
request
additional info
and/or Peer to
Peer review.
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Provider Portal – Check Order Status
From the Home Page, user can search using two qualifying
pieces of member information: ID, Name and/or DOB
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Provider Portal – Check Order Status
If member is found, member search results are displayed for the
selection. Click on member name.
BCBSND
BCBSND
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Provider Portal – Check Order Status
Member Exam history is displayed with Order/Status. Select
Order # to view summary.
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Provider Portal – Check Order Status
User can also search by entering the Order # itself. Click “Find This
Order”.
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Provider Portal – Check Order Status
Once Order# is
selected, Order
Request Summary
page is displayed
and is available to
print.
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Provider Portal – Access Your Reports
Click on Access Your Reports tab for a summary view of Orders within
7-90 days with status choices: All, Completed, Non-Authorized,
Incomplete, In Progress, Closed.
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