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

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Wellmark Blue Cross and Blue Shield is an Independent Licensee of the Blue Cross and Blue Shield Association doing business in Iowa and South Dakota.
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