Policies, Guidelines and Manuals

HealthKeepers, Inc. is committed to supporting you in providing quality care and services to the members in our network. Find information on member benefits, program requirements, Utilization Management (UM) guidelines, clinical practice policies and other resources for providing care to our members.

Provider manual

The Anthem HealthKeepers Plus Provider Manual is your key source for information about covered benefits, case management and UM programs, claims and appeal guidance, authorization requests, and other program requirements.

Clinical practice guidelines

HealthKeepers, Inc. considers Clinical Practice Guidelines (CPGs) an important component of healthcare. We’ve adopted nationally recognized CPGs and encourage providers to use these guidelines to improve members’ health.

Medical policies and clinical UM guidelines

Medical Policies outline the medical necessity requirements of certain services or procedures, including new applications of these services. Clinical UM Guidelines focus on detailed selection criteria, goal length of stay, and location for generally accepted technologies or services.

Medical Policies and Clinical UM Guidelines

Provider tools & resources

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