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Behavioral Health Resource Solutionby The Vanguard Solution

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Behavioral Health Payer Directory

Insurance payer directory for behavioral health providers with credentialing guides, prior authorization contacts, VOB numbers, and billing tips.

Behavioral Health Insurance & Payer Directory

Credentialing guides, prior authorization contacts, VOB phone numbers, and billing tips for every major insurance payer in behavioral health.

46 payer guides

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Insurance Operations

Operational guides for working with behavioral health payers — credentialing, portal workflows, state-by-state billing, and code references.

Credentialing Guide

Payer Portals

Billing Guides

Billing Codes

Looking for a specific payer? Browse the directory below.

Showing 46 of 46 payer guides · filtered by

Content disclaimer: This content is for general information only and is not professional medical, clinical, legal, financial, billing, employment, or compliance advice. Requirements change frequently; verify details with qualified reviewers or contact for guidance specific to your situation.

  • National Commercial
  • Regional Commercial
  • BCBS
  • MBHO
  • Medicaid MCO
  • Medicare Advantage
  • EAP
  • Government

National Commercial Payers (5)

Major national insurance carriers with behavioral health coverage.

Aetna

CVS Health

Aetna, a CVS Health subsidiary, provides behavioral health coverage to millions through commercial, Medicare, and Medicaid plans.

  • Guide
  • National Commercial

Anthem

Elevance Health

Anthem is the largest BCBS licensee in the U.S., operating under Elevance Health with behavioral health managed by Carelon.

  • Guide
  • National Commercial

Cigna

The Cigna Group

Cigna is a major national insurer with behavioral health managed through Evernorth, serving commercial, Medicare, and Medicaid members.

  • Guide
  • National Commercial

Humana

Humana Inc.

Guide for behavioral health providers working with Humana, covering credentialing, prior authorization, VOB, and claims billing for treatment facilities.

  • Guide
  • National Commercial

UnitedHealthcare

UnitedHealth Group

UnitedHealthcare is the largest U.S. commercial insurer, covering 50M+ members with behavioral health managed through Optum.

Regional Commercial Payers (2)

Regional and state-level insurance carriers.

  • Regional Commercial
  • HN

Health Net

Centene Corporation

Health Net is Centene's California-based commercial and Medicare Advantage plan, covering millions of members across commercial, MediCal, and MA lines.

  • Guide
  • Regional Commercial

Kaiser Permanente

Provider guide for Kaiser Permanente covering the integrated care model, external contracting, and authorization processes.

Blue Cross Blue Shield Plans (13)

BCBS plans and affiliates with behavioral health benefits.

  • Blue Cross Blue Shield
  • AB

Anthem BCBS of New York

Elevance Health

Anthem BCBS of New York (formerly Empire BCBS) is Elevance Health's NY licensee, covering millions through commercial, Medicare Advantage, and Medicaid plans.

  • Guide
  • Blue Cross Blue Shield
  • BO

BCBS of Massachusetts

Independent BCBS licensee (nonprofit)

BCBS of Massachusetts is the state's largest health insurer, a nonprofit licensee serving members through commercial, Medicare Advantage, and Medicaid plans.

  • Guide
  • Blue Cross Blue Shield
  • BO

BCBS of Michigan

Independent BCBS licensee (nonprofit mutual)

Blue Cross Blue Shield of Michigan is MI's largest health insurer, a nonprofit mutual serving members through commercial, Medicare, and Medicaid plans.

  • Guide
  • Blue Cross Blue Shield
  • BO

BCBS of Tennessee

Independent BCBS licensee (nonprofit mutual)

BlueCross BlueShield of Tennessee is TN's largest health insurer, a nonprofit BCBS licensee serving members through commercial, Medicare, and Medicaid plans.

  • Guide
  • Blue Cross Blue Shield

Blue Cross Blue Shield

BCBS is a federation of 33 independent health insurers covering approximately 115 million members as of 2025 across all 50 states.

  • Guide
  • Blue Cross Blue Shield

CareFirst BlueCross BlueShield

Independent not-for-profit; owned by its members

CareFirst BCBS provider guide for behavioral health — credentialing, VOB, prior auth, billing across MD, DC, and Northern Virginia (mid-Atlantic BCBS licensee).

  • Guide
  • Blue Cross Blue Shield

Florida Blue

GuideWell Mutual Holding Corporation

Florida Blue provider guide for behavioral health — credentialing, VOB, prior auth, billing. Florida BCBS licensee (GuideWell) across commercial and MA plans.

  • Guide
  • Blue Cross Blue Shield

HCSC

(independent mutual legal reserve company)

HCSC is the fourth-largest US health insurer and operates Blue Cross Blue Shield plans across five states, serving approximately 27 million members.

  • Guide
  • Blue Cross Blue Shield

Highmark

Highmark Health

Highmark BCBS provider guide for behavioral health — credentialing, VOB, prior auth, billing across PA, DE, WV, and NY (Highmark Health network).

  • Guide
  • Blue Cross Blue Shield

Horizon BCBS of New Jersey

Independent not-for-profit health service corporation

Horizon BCBS NJ provider guide for behavioral health — credentialing, VOB, prior auth, billing via Horizon Behavioral Health (NJ's largest BCBS insurer).

  • Guide
  • Blue Cross Blue Shield
  • IB

Independence Blue Cross

Independence Health Group

Independence Blue Cross is SE Pennsylvania's dominant BCBS insurer, covering the 5-county Philadelphia region through commercial, Medicare, and Medicaid plans.

  • Guide
  • Blue Cross Blue Shield
  • PB

Premera Blue Cross

Independent BCBS licensee (nonprofit)

Premera Blue Cross is the largest independent BCBS licensee in the Pacific Northwest, serving WA and AK via commercial, Medicare, and Medicaid plans.

  • Guide
  • Blue Cross Blue Shield

Regence

Cambia Health Solutions

Regence is a Cambia Health Solutions BCBS licensee covering ID, OR, UT, and portions of WA — serving members through commercial, Medicare, and Medicaid plans.

Managed Behavioral Health Organizations (6)

Specialty behavioral health carve-out organizations.

  • Managed Behavioral Health
  • BH

Beacon Health Options

Elevance Health (via Carelon Behavioral Health)

Beacon Health Options merged into Carelon Behavioral Health in 2023. Active providers must now use Carelon. Legacy reference page for Beacon searches.

  • Guide
  • Managed Behavioral Health

Carelon Behavioral Health

Elevance Health (formerly Anthem)

Provider guide for Carelon Behavioral Health, the managed behavioral health organization under Elevance Health serving Anthem members.

  • Guide
  • Managed Behavioral Health
  • EB

Evernorth Behavioral Health

The Cigna Group

Evernorth Behavioral Health is The Cigna Group's BH arm, managing mental health and SUD benefits for Cigna commercial and employer-sponsored plans nationally.

  • Guide
  • Managed Behavioral Health

Lucet

Blue KC and Blue Cross and Blue Shield of Kansas (joint venture)

Lucet (formerly New Directions Behavioral Health) is a national MBHO and behavioral health carve-out manager, jointly owned by Blue KC and BCBS of Kansas.

  • Guide
  • Managed Behavioral Health

Magellan Health

Centene Corporation

Magellan Health provider guide for behavioral health — Centene-owned MBHO administering commercial, Medicaid, and federal BH benefits nationwide.

  • Guide
  • Managed Behavioral Health

Optum Behavioral Health

UnitedHealth Group / Optum

Provider guide for Optum Behavioral Health, the managed behavioral health organization administering UnitedHealthcare benefits.

Medicaid Managed Care Organizations (9)

State Medicaid managed care plans with behavioral health coverage.

AmeriHealth Caritas

AmeriHealth Caritas Family of Companies (jointly owned by Independence Health Group and Blue Cross Blue Shield of Michigan)

AmeriHealth Caritas Medicaid MCO provider guide for behavioral health — credentialing, VOB, prior authorization, billing across its multi-state footprint.

  • Guide
  • Medicaid MCO

CareSource

(independent not-for-profit health plan)

CareSource Medicaid MCO provider guide for behavioral health — credentialing, VOB, prior authorization, billing across its multi-state footprint.

  • Guide
  • Medicaid MCO

Centene / WellCare

Centene Corporation

Provider guide for Centene Corporation and its subsidiaries including WellCare, Ambetter, and state Medicaid managed care plans.

  • Guide
  • Medicaid MCO

Healthfirst

Provider-sponsored nonprofit (founded by NYC hospital systems)

Provider guide for Healthfirst NY — Medicaid managed care, HARP, and Medicare Advantage credentialing, VOB, authorization, and billing for behavioral health.

  • Guide
  • Medicaid MCO
  • KF

Keystone First

AmeriHealth Caritas

Keystone First Medicaid MCO provider guide for southeastern PA — credentialing, prior authorization, VOB, and behavioral health billing (AmeriHealth Caritas).

  • Guide
  • Medicaid MCO
  • LC

L.A. Care Health Plan

Public nonprofit HMO (governed by a public board; independent of commercial insurers)

Provider guide for L.A. Care Health Plan Medi-Cal MCO in Los Angeles County — credentialing, VOB, prior authorization, and billing for behavioral health.

  • Guide
  • Medicaid MCO
  • MH

Meridian Health Plan

Centene Corporation

Provider guide for Meridian Health Plan Medicaid MCO in Michigan and Illinois — credentialing, prior authorization, VOB, and billing for behavioral health.

  • Guide
  • Medicaid MCO

Molina Healthcare

Provider guide for Molina Healthcare Medicaid plans covering credentialing, authorization, VOB, and billing across 19 states.

  • Guide
  • Medicaid MCO
  • SH

Sunshine Health

Centene Corporation

Provider guide for Sunshine Health Florida Medicaid MCO — credentialing, prior authorization, VOB, and behavioral health billing for Florida treatment centers.

Medicare Advantage Plans (2)

Medicare Advantage plans offering behavioral health benefits.

  • Medicare Advantage
  • DH

Devoted Health

Devoted Health, Inc. (private, VC-backed)

Devoted Health is a tech-enabled Medicare Advantage startup in ~15 states. Provider guide for behavioral health credentialing, prior auth, and billing.

  • Guide
  • Medicare Advantage
  • SH

SCAN Health Plan

SCAN Group (nonprofit)

SCAN Health Plan is a nonprofit Medicare Advantage organization serving CA, AZ, NV, NM, and TX. Provider guide for behavioral health credentialing and billing.

Employee Assistance Programs (5)

EAP providers that cover behavioral health services.

ComPsych

ComPsych Corporation (privately held)

ComPsych provider guide for behavioral health — EAP assessment, short-term counseling, authorization, care-navigation, and billing context.

  • Guide
  • Employee Assistance

Lyra Health

Lyra Health, Inc. (VC-backed, private)

Lyra Health provider guide for behavioral health — enterprise EAP platform for Fortune 500 employers offering short-term therapy, coaching, and medication.

  • Guide
  • Employee Assistance
  • MH

Modern Health

Spring Care, Inc. (VC-backed, private)

Modern Health is an employer-sponsored digital EAP and behavioral health benefit platform offering short-term therapy, coaching, and self-guided content.

  • Guide
  • Employee Assistance
  • OE

Optum EAP

UnitedHealth Group / Optum

Optum EAP, branded as Live and Work Well, is UnitedHealth Group's employer-sponsored EAP — distinct from Optum Behavioral Health's medical-benefit network.

  • Guide
  • Employee Assistance

Spring Health

Spring Care, Inc. (VC-backed, private)

Spring Health provider guide for behavioral health — digital-first EAP with matching, short-term therapy, Care Navigator handoffs, and billing context.

Government Programs (4)

Government-administered behavioral health coverage programs.

Medicaid

Behavioral health provider guide to Medicaid covering federal/state structure, managed care, IMD exclusion, 1115 waivers, and enrollment.

  • Guide
  • Government

Medicare (Original / FFS)

Centers for Medicare & Medicaid Services (CMS)

Original Medicare fee-for-service guide for behavioral health providers covering Part A and Part B, MACs, PECOS enrollment, OTP benefit, and claims.

  • Guide
  • Government

TRICARE

US Department of Defense — Defense Health Agency (DHA)

TRICARE behavioral health provider guide — military/DHA regional contractors, Prime and Select plans, credentialing, authorization, and claims.

  • Guide
  • Government

VA Community Care Network

US Department of Veterans Affairs

VA Community Care Network provider guide for behavioral health — Optum and TriWest regions, referrals, authorization, and claims for Veteran care.

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Official sources

1,281 words · reviewed 2026-04-19
Behavioral Health Payer Directory — The Behavioral Health Resource Solution