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Healthcare RCM Glossary

RBM (Radiology Benefit Manager)

RBMs are vendors that manage prior authorization for radiology imaging services on behalf of commercial payers. Major RBMs: AIM (Anthem), eviCore (Cigna), Magellan.

About this term.

RBMs are vendors that manage prior authorization for radiology imaging services on behalf of commercial payers. Major RBMs: AIM (Anthem), eviCore (Cigna), Magellan. This concept connects to ASP-RCM's broader healthcare RCM operating discipline through capability pages on autonomous coding, denial prediction, eligibility verification, prior authorization automation, and HCC risk adjustment, plus specialty service pages spanning hospital, FQHC, behavioral health, ABA, physician group, and 19 other specialty verticals.

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