State & FederalHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 1, 2021

Enhanced Ambulatory Patient Group platform update

Please note, this communication applies to Anthem HealthKeepers Plus offered by HealthKeepers, Inc.

 

Effective June 1, 2021, HealthKeepers, Inc. will convert the Enhanced Ambulatory Patient Group (EAPG) platform we use to calculate payment for outpatient facility claims from 3M™ to Optum.* Given that the Optum platform uses 3M’s software, you should not see any changes to your outpatient facility payments.


If you have any questions about this communication, call Provider Services at 1‑800‑901‑0020, Anthem CCC Plus Provider Services at 1‑855‑323‑4687 or your Provider Relations representative.


* Optum is an independent company providing assessment and reporting services on behalf of HealthKeepers, Inc.

 

AVA-NU-0363-21