Payer expertise

Payer Relationships We Manage.

Navigating complex payer relationships takes experience.

Behavioral healthcare providers rarely work with a single payer. Every payer relationship brings its own authorization requirements, reimbursement methodologies, medical necessity criteria, and appeals process. Centerline helps providers navigate that complexity with the experience and consistency needed to support strong financial performance.

Who we work with

Navigating Complex Payer Relationships Takes Experience.

We work across every line that shows up in a behavioral healthcare payer mix.

Commercial InsurersRegional Health PlansThird-Party Administrators (TPAs)Medicaid Fee-for-ServiceMedicaid Managed Care Organizations (MCOs)MedicareTRICAREWorkers’ Compensation
Plans we work most often

National and Regional Payer Coverage.

The specific plans that make up most behavioral healthcare payer mixes, each with its own utilization-review process, authorization requirements and appeal pathways.

01

Aetna

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

View Payer Detail 02

Cigna / Evernorth

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

View Payer Detail 03

Unitedhealthcare / Optum

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

View Payer Detail 04

Anthem / Elevance

Anthem and Elevance Health behavioral healthcare plans across multiple states: prior authorization and appeals.

View Payer Detail 05

Blue Cross Blue Shield

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

View Payer Detail 06

Kaiser Permanente

Kaiser member behavioral healthcare: authorization, single-case agreements and out-of-network coordination where applicable.

View Payer Detail 07

Magellan Health

Magellan-managed behavioral healthcare benefits: clinical review, authorization and denial management.

View Payer Detail 08

Carelon / Beacon

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

View Payer Detail 09

TRICARE

TRICARE prior authorization and level-of-care requirements for active-duty, retired and family beneficiaries.

View Payer Detail

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 healthcare 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. Working behavioral healthcare across the country means we've handled 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: years 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.

Schedule a Consultation