Our extensive provider network includes psychiatrists, psychologists, social workers, psychiatric mental health nurse practitioners, psychiatric nurses, marriage and family therapists and professional clinical counselors. The facility network includes hospital inpatient units, residential treatment centers, partial hospitalization programs, and intensive outpatient services and programs.
Member benefits will vary based on Plan and Product, therefore it’s important that eligibility, benefits and authorization requirements are verified before starting treatment.
On May 11, 2015 a summary notice
was mailed regarding updated guidelines and polices effective for service dates on and after August 15, 2015
. The effective date complies with a 90-day notification requirement. It is important that you view the Anthem Blue Cross Medical Policies and Clinical UM Guidelines
in their entirety for other updates.
Our Behavioral Health Provider Relations team can assist you with questions about your fee schedule, contract (Agreement) language or requirements as specified in the Anthem Blue Cross Professional Provider Manual
. They can be reached by email BHNetworks@anthem.com
For 1099 Tax Forms
contact our Tax Department by email: email@example.com
Based on Network need and on-going mandates, until further notice, Anthem is only accepting requests from practitioners who provide medication management services, including psychiatric mental health nurse practitioners.
Online eligibility, benefits and claims status will now be available exclusively at www.availity.com
. Please register and begin to access this information using the Availity Web Portal
Request tax identification number, address, phone or fax, and open/closed practice changes.
Required when requesting a tax identification number change with a Practice Update.
Update self-reported areas of expertise.
Complete when pre-authorization is needed for outpatient professional services.
Pre-authorization is required for ABA assessment codes.
Complete for pre-authorization of outpatient ABA services.
Exchange behavioral health information with other healthcare providers.
Release of PHI and clinical information from Provider to Company.
Communicate information with other treating healthcare providers.
Submit for routine follow up and reconsideration of rejected or returned claims to avoid as duplicate.
Submit for reconsideration of a previous billing determination.
Resources and Support
Plans, Programs and Benefits
Policies, Guidelines and Tool Kits
Communications and Updates
California Behavioral Health Provider Relations: BHNetworks@anthem.com
or phone at 888-246-4893.