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 BHNetworks@anthem.com
| Reminder – Send us your business email so you won’t miss a thing! Beginning September 2015, postcard notifications will no longer be mailed when our online newsletter, Behavioral Health Network Update is available on anthem.com/ca. Notifications of our online newsletter will only be sent by email moving forward. |
Providing your business email is optional however, it must be on file with us to receive your online newsletter reminder. We will not distribute or use your email for any other purposes other than communicating with you.
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| Rendering NPI|
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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.
Online eligibility, benefits, claims status and authorization for services that require pre-authorization are 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.
Update contracted Facility service types i.e., substance abuse RTC for adults. Note: Not applicable to Professional providers.
Share eating disorder clinical program information with Anthem. Note: Not applicable to Professional providers.
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.