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Blue Cross Blue Shield · Indianapolis, Indiana
Facility Credentialing & Carelon Network Participation
Anthem, Inc. (now Elevance Health) is one of the largest Blue Cross Blue Shield licensees, serving over 47 million members across multiple states. They offer comprehensive behavioral health benefits through their extensive network and integrated care models, managed through Carelon Behavioral Health.
Anthem Blue Cross Blue Shield payer facts
Market context
Anthem operates Blue Cross Blue Shield plans in 14 states and is the second-largest health insurer in the United States by membership.
Payer guide
Anthem provides comprehensive behavioral health coverage through Carelon Behavioral Health (formerly Beacon Health Options), with a focus on integrated care, prevention, and evidence-based treatment approaches across all their Blue Cross Blue Shield plans.
Behavioral Health Manager
Carelon Behavioral Health
All treatment settings accepted by Anthem BCBS
What sets Anthem BCBS apart
Required credentials for network participation
Prior Authorization
Medical Necessity Criteria
InterQual Behavioral Health Criteria; ASAM criteria for substance use disorders
Payment and billing information
Network opportunities
Expanding behavioral health network, particularly for SUD facilities
Enhanced rates available for facilities in underserved areas
High-demand service areas and locations
Coverage area
14 states nationwide
Corporate Headquarters
Indianapolis, Indiana
Continue learning
Provider guide
Learn what insurance credentialing is, why it matters, and how to navigate the process to get in-network.
Read moreProvider guide
A practical step-by-step guide for healthcare providers who want to join insurance panels.
Read moreProvider guide
Navigate behavioral health carve-outs and credentialing requirements for major payers.
Read moreProvider guide
Learn how payer contracts work and how to negotiate better reimbursement rates.
Read moreExpert contracting support
Our team specializes in Anthem Blue Cross Blue Shield contracting for behavioral health facilities. We'll help you secure competitive rates and streamline your credentialing process.
Achieve significantly better reimbursement through expert negotiation
Reduce credentialing timeline from months to weeks
CAQH, state licensing, and accreditation guidance
Your personal contracting specialist throughout the process