Comprehensive guide to contracting with major insurance payers for behavioral health facilities. Access detailed information on credentialing requirements, reimbursement structures, and network opportunities.
17+
Major Payers
50
States Covered
243M+
Lives Covered
100%
Telehealth Coverage
VBC
Value Contracts
Major insurance companies with nationwide presence and extensive behavioral health networks. These payers typically offer the highest patient volume and most comprehensive coverage.
(UHC)
(Aetna)
(Cigna)
(Centene)
(Humana)
BCBS licensees operating independently across different states with strong regional presence and comprehensive behavioral health coverage.
(Anthem BCBS)
(BCBS TX)
(Florida Blue)
(Regence)
Health systems that combine insurance coverage with direct care delivery, often offering unique contracting opportunities and integrated care models.
(KP)
(HealthPartners)
Insurance companies with strong presence in specific geographic regions, often with competitive rates and local market expertise.
(Molina)
(CareSource)
(Medica)
(Oscar)
Specialized insurance programs serving military members, veterans, and their families with specific credentialing and contracting requirements.
(TRICARE East)
(TRICARE West)
Major payers are expanding behavioral health networks, particularly for:
Increasing shift toward performance-based contracts:
Average timeframes for facility contracting:
Common facility credentialing requirements:
Our team specializes in helping behavioral health facilities navigate the complex insurance contracting landscape. We'p you get credentialed with major payers and negotiate competitive reimbursement rates.
Full-Service Support
End-to-end contracting management
Rate Optimization
Strategic negotiation expertise
Multi-Payer Strategy
Comprehensive network development
Compliance Assurance
Stay current with requirements
Start with the largest national carriers (UnitedHealthcare, Anthem BCBS, Aetna) and your state's Medicaid MCOs. These typically represent 60-70% of potential patient volume.
Most payers complete credentialing in 45-60 days, with full contracting taking 60-120 days. Having all documents ready can significantly speed up the process.
Most major payers now cover virtual PHP/IOP programs, though requirements vary. Check each payer's specific telehealth policies for platform and licensing requirements.
SCAs are one-time contracts for out-of-network providers to treat specific patients using in-network benefits. Most payers offer SCAs when network gaps exist.