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Anthem Blue Cross : Behavioral Health Provider Resources

Behavioral Health Provider Resources

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.  
Our Behavioral Health Provider Relations team is available to assist contracted providers with questions about your fee schedule, contract (Agreement) language or requirements as specified in the Anthem Blue Cross Professional Manual. They can be reached by email  
Update to the Anthem Blue Cross Professional Manual mailed summer 2015 
As you may be aware the Audit section of our 2015 Professional Manual contained language about Anthem’s Pre-Payment Review Program. Anthem mailed an update to this section of the 2015 Professional Manual which reflects an expansion of the Program. The expansion part of the program will be effective November 1, 2015. “Click here” for a description of the expanded program. 
Contracted California providers who have questions about this expansion, may send email inquiries to:  
Network Relations:
Behavioral Health Provider Relations:
Note: The above email addresses are reserved for Contracted providers. If you are not an Anthem participating provider, please call the phone number on the back of the member’s ID card for service. Thank you. 
Behavioral Health Network Update (Newsletter)
Availity Web Portal
Online eligibility, benefits, claims status and authorization for services that require pre-authorization are available exclusively at Please register and begin to access this information using the Availity Web Portal
Practice Update

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.

Practice Profile

Update self-reported areas of expertise.

Pre-authorization Request

Complete when pre-authorization is needed for outpatient professional services.

ABA - Adaptive Behavior Assessment Request Form

Pre-authorization is required for ABA assessment codes.

ABA - Treatment Plan Request Form Autism Spectrum Disorders

Complete for pre-authorization of outpatient ABA services.

Behavioral Health Consent to Exchange

Exchange behavioral health information with other healthcare providers.

Individual Authorization Form

Release of PHI and clinical information from Provider to Company.

Coordination of Care Form and Letter Templates

Communicate information with other treating healthcare providers.

Claims Re-Process/Inquiry Request

Submit for routine follow up and reconsideration of rejected or returned claims to avoid as duplicate.

Provider Dispute Request Form

Submit for reconsideration of a previous billing determination.

Facility Service Inventory Form

Update contracted Facility service types i.e., substance abuse RTC for adults. Note: Not applicable to Professional providers.

Eating Disorder Facility Profile

Share eating disorder clinical program information with Anthem. Note: Not applicable to Professional providers.

Resources and Support 
Request Participation to be a Network Provider
Anthem BlueCross Department Contacts Listing
Provider Network Education
Electronic Data Interchange(EDI)
Availity Web Portal
Plans, Programs and Benefits 
Applied Behavior Analysis(ABA)
Blue Card Program Provider Manual
Behavioral Health Medi-Cal
Policies, Guidelines and Tool Kits 
Behavioral Health Clinical Practice Guidelines
Behavioral Health Clinical UM Guidelines
Behavioral Health Follow Up Program (FUAH)
Provider Tool Kits
Communications and Updates  
Network Update (Newsletter)
Network eUPDATEs
Health Insurance Exchange Information
Health Care Reform Updates and Notifications
ICD-10 Updates
Contact Us 
California Behavioral Health Provider Relations: 
TaxForm1099: or phone at 888-246-4893.  

® Anthem is a registered trademark. ® The Blue Cross name and symbol are registered marks of the Blue Cross Association © 2011 Anthem Blue Cross.

Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association.