Specialist reviewing payer authorization paperwork
Payer expertise

Every payer speaks a different language.

Centerline works commercial behavioral-health claims across the major national and regional payers — with deep familiarity with each one's utilization-review process, authorization requirements and appeal pathways. That fluency is what protects your authorizations and your revenue.

Who we bill

National and regional payer coverage.

Behavioral health facilities rarely bill just one plan. We work across the payers that make up your mix — commercial, managed-care and government lines alike.

01

Aetna

Commercial and Aetna behavioral-health plans — precertification for higher levels of care, concurrent review and peer-to-peer appeals.

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02

Cigna / Evernorth

Cigna Behavioral Health and Evernorth managed-care lines — level-of-care authorization and medical-necessity review.

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03

UnitedHealthcare / Optum

UnitedHealthcare commercial plans administered through Optum Behavioral Health — authorization and concurrent review.

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04

Anthem / Elevance

Anthem and Elevance Health behavioral-health plans across multiple states — prior authorization and appeals.

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05

Blue Cross Blue Shield

Independent Blue Cross and Blue Shield plans nationwide, including BlueCard out-of-area claims and host/home-plan coordination.

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06

Kaiser Permanente

Kaiser member behavioral-health care — authorization, single-case agreements and out-of-network coordination where applicable.

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07

Magellan Health

Magellan-managed behavioral-health benefits — clinical review, authorization and denial management.

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08

Carelon / Beacon

Carelon Behavioral Health (formerly Beacon Health Options) managed-care lines — utilization review and appeals.

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09

TRICARE & regional plans

TRICARE and regional and local commercial plans specific to your market — verified and worked to your payer mix.

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Payer names are referenced for identification only. Centerline is an independent revenue-cycle partner and is not affiliated with or endorsed by any payer listed.

Questions

Working across payers, answered.

Do you bill out-of-network as well as in-network?
Yes. Many behavioral health facilities carry a mix of in- and out-of-network relationships, and out-of-network claims demand their own strategy — benefit verification, usual-and-customary expectations, and disciplined appeals. We work both, and we tell you honestly what a given payer and plan is likely to reimburse.
Can you pursue single-case agreements?
When a patient needs a level of care an out-of-network payer doesn't readily cover, a single-case agreement can be negotiated to authorize and reimburse that episode. We identify those opportunities during verification and pursue them where the clinical picture supports it.
Our payer mix is unusual. Can you still help?
Almost certainly. Thirty years billing behavioral health across the country means we've worked national carriers, regional Blues plans, managed-care intermediaries and government lines. During a free billing review we confirm the specifics for your exact mix.
Do you have a special relationship with these payers?
No — and we're careful not to imply one. What we have is fluency: three decades of experience with how each payer runs utilization review, what documentation their reviewers expect, and how their appeal pathways work. That knowledge is what moves authorizations and claims.
Free billing review

Tell us your payer mix.

Share the plans you bill most and we'll walk through exactly how we'd handle authorizations, claims and appeals for each — no cost, no obligation.

Call 800-828-5133 Request a callback