Payer expertise
Anthem / Elevance Health Behavioral Healthcare Billing
What our team handles for you on Anthem behavioral healthcare claims, so your clinical team can stay focused on care.
What our team handles for you on Anthem behavioral healthcare claims, so your clinical team can stay focused on care.
Anthem operates Blue Cross Blue Shield plans across multiple states under Elevance Health, and its behavioral healthcare benefits carry their own authorization rules, review cadence and appeal pathways depending on the state and plan. Centerline has billed Anthem behavioral healthcare claims for substance-abuse and mental-health programs for years. We know how their utilization review runs and what their reviewers expect at each level of care.
We confirm the patient's Anthem benefits, the levels of care covered, and the precertification requirements for that state and plan before the patient is admitted, so nothing is assumed at intake.
For detox, residential, PHP or IOP, we submit the clinical information Anthem needs to authorize the admission at the appropriate level of care.
We track each continued-stay deadline and present the ongoing clinical picture so authorized days aren't lost to a missed or thin review.
If a day or level of care is denied, we appeal and, where available, request a peer-to-peer so your clinician can make the case directly to Anthem's reviewer.
Across the payers we work (Anthem among them), Centerline clients average an 8% increase in authorized patient days. That is a client average reported by Centerline across active engagements, not a guarantee for any specific claim or plan, but it reflects what disciplined utilization review and appeals can protect.
We'll review how your Anthem authorizations, claims and appeals are handled today, and show you exactly where the revenue is leaking.