Provider data update

HealthKeepers, Inc. partners with AIM Specialty Health_®* (AIM), a leading specialty benefits management company that provides services for radiology, cardiology, genetic testing, oncology, musculoskeletal, rehabilitation, sleep management, and additional specialty areas. We require that Anthem HealthKeepers Plus provider demographic information (group or practice name, additional providers added to the group/practice, location) is current and accurate to eliminate provider and member abrasion.

 

In the event the provider's demographic information has not been updated in the Anthem HealthKeepers Plus system, the data will also be missing from the provider data that goes to AIM. Therefore, providers may not be able to locate the requested record in AIM's system. While the provider's information can be manually entered to build a case, the record will appear to be out-of-network, and the case will adjudicate accordingly.

 

Anthem HealthKeepers Plus provider data updates flow to AIM via the provider data extract, but the data flow does not work in the reverse back to HealthKeepers, Inc. It is important that providers make the following changes or updates with HealthKeepers, Inc., not AIM:

 

• Group or practice name

 

• Tax Identification Number (TIN)

 

• National Provider Identifier (NPI)

 

• Address (add/remove location(s), corrections)

 

• Phone numbers

 

• Fax numbers

 

• Any additional changes

 

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

 

* AIM Specialty Health is an independent company providing some utilization review services on behalf of HealthKeepers, Inc.

 

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