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 operates Blue Cross Blue Shield plans in 14 states and is the second-largest health insurer in the United States by membership.
Everything you need to know about contracting with Anthem Blue Cross Blue Shield for behavioral health services
Coverage details & levels of care
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
Current network needs and priority areas for facility contracting with Anthem BCBS
Current Network Needs
Expanding behavioral health network, particularly for SUD facilities
High-demand service areas and locations
Available Incentives
Enhanced rates available for facilities in underserved areas
Anthem Blue Cross Blue Shield provides coverage in 14 states across the United States
14 states nationwide
Corporate Headquarters
Indianapolis, Indiana
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
500+
Facilities Contracted
45
Days Avg. Timeline
98%
Success Rate
50
States Covered