Enhanced Ambulatory Patient Groupings (EAPG)

Wellmark Blue Cross and Blue Shield reimburses most outpatient facility services using Enhanced Ambulatory Patient Groupings (EAPG) payment methodology.

 

The EAPG payment impacts outpatient services submitted by the following Wellmark contracting providers:

  • hospitals
  • ambulatory surgery centers
  • renal dialysis centers
  • freestanding substance abuse facilities
  • skilled nursing facilities

Additional resources about the EAPG methodology, including educational webinars, frequently asked questions, and other supporting information, are available to participating facility providers at the secured Treo website. To establish or renew access to the secured Treo website, complete the Treo website access request available below.

 

Treo Access

EAPG Patient Education

Wellmark.com


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