Anthem HealthKeepers Plus / Offered by Healthkeepers, Inc.

Virginia Providers

Reimbursement Policies

Our goal is to assist physicians, facilities and other healthcare providers with accurate claim submissions. HealthKeepers, Inc.’s policies outline the basis for reimbursement of covered services under a member’s Anthem HealthKeepers Plus benefit plan. Keep in mind that a determination of coverage does not necessarily ensure reimbursement.

These policies may be superseded by state, federal or Centers for Medicare & Medicaid Services (CMS) requirements. Providers and facilities are required to use industry standard codes for claim submissions. Services should be billed with Current Procedure Terminology (CPT®) codes, Healthcare Common Procedure Coding System (HCPCS) codes and/or revenue codes. The billed code(s) should be fully supported in the medical record and/or office notes. Industry practices are constantly changing, and we reserve the right to review and revise policies periodically.

Provider tools & resources

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We look forward to working with you to provide quality service for our members.