This page is intended for administrative use only. Therapists should not need to change or add a carrier code. If you need assistance, please reach out to our Billing Team (billing@familyguidancecenters.com).
When a patient has a Medicaid plan, the majority of the time it is actually a MCO plan which means it is through an insurance company such as Anthem, Aetna Better Health, Optima, or otherwise. If this is the case, we cannot bill insurance without the unique ID # associated with the MCO insurance company. We cannot use their Medicaid ID # (typically beginning with a 35) to bill. An MCO needs to be entered under the insurance, not straight Medicaid. For example, Anthem Medicaid should be under the Carrier “BLUVA”.
AARP – AARP Secondary – This falls under Optum/UBH for credential purposes, but should be entered in Psybill as AARP for billing purposes. Typically a secondary policy to Medicare.
BLUFEP– BCBS Federal Program – Anthem Federal Plan, or BCBS Federal Plan. These plans begin with the letter “R”
BLUVA – BCBS of VA – Commercial Anthem plans of Virginia, or of any other state.
We are now accepting Anthem Bon Secours plans at this time. You can use the BLUVA codes.
BLUMDS – Anthem Medicare (not DUAL)
We do not accept Anthem Caremore plans. These are Anthem Medicare plans. Common Prefixes: JKW, VMZ, VAY, YTM, YTW, VOA
BLUMCD – Anthem Medicaid
Anthem Medicaid MCO plans typically have a group number of HKP00200. Common Prefixes: YTD, VAQ
BLUDUAL – Anthem DUAL Advantage Plans (Medicaid & Medicare)
AETNA – Aetna – Use the basic Aetna for all Aetna plans that start with a “W”
AETNA00 – Aetna Medicare – Use for any Aetna Medicare plans.
AETMCD – Aetna Better Health Medicaid – use for Aetna Better Health, a Medicaid plan. Usually begins with “0413”
CIGOA – Cigna – Use the one with PO Box 182223 for all Cigna plans
CIGBH – Cigna Behavioral Health – Use for Cigna EAPs.
We do not accept Cigna EAPs.
COMPSYCH – Compsych – Use for all Compsych EAPs and regular ins plans with Compsych. We DO accept these.
Devoted Health – DEV00 – Use for all Devoted Health plans.
EAP00 – EAP Claims Do Not Bill – Use for Anthem, Aetna, Humana, Carebridge, CuraLinc, Magellan EAP, Mutual of Omaha EAP, Reach/All One, etc EAPs
We do not accept any of these EAPs, except Mutual of Omaha. It must be listed on a therapist’s credential spreadsheet.
HUMANA – Humana – Use for all Humana plans (Do NOT use for Humana Military AKA Tricare)
Humana can be Humana Medicare, Humana Tricare, or Humana Behavioral Health Commercial. These carrier codes are entered differently in the system. Humana Medicaid should be the carrier code: HUMCD.
Humana Medicare should be entered in the system as HUMANA. These policies typically start with an H and a provider needs to be in network with BOTH Humana and Medicare in order to accept it.
HUMCD – Humana Medicaid – Use for ONLY Humana Medicaid Policies.
MOL00 – Molina Complete Care – Use for all Molina Complete Care plans. This is an MCO for Medicaid. This used to be Magellan but is now Molina.
MCDVA – Medicaid Virginia – Use for straight Medicaid plans (Do NOT use for those Medicaid plans that are MCO, or through another company such as Anthem, Aetna or Optima). The majority of Medicaid plans are MCOs.
MCRVA – Medicare Virginia – Use for all Medicare plans
MERIT – Meritain Health – Use for all Meritain plans
MULTI – Multiplan – Also known as PCHS on insurance cards
ONTRAK – Ontrak – Use for all Ontrak referrals (Notify Billing, and send Therapist Special Instructions Template)
OPTEAP – Optima EAPs – Use for all Optima EAPs. We DO accept these.
OPT – Optum Behavioral Health – Use for all Optum Behavioral Health plans
OPTCC – Optum Community Care – Use for all Optum Community Care policies. These are typically Dual plans with Medicaid and Medicare combined into one card/policy.
OPTCCN – The VA – Use for all VA (Veteran’s Affairs) Referrals
We need the social security number for these referrals. That should be used for the ID #s.
Therapists must be specifically listed as in network for Optum CCN VA referrals.
OPEAP – Optum Behavioral Health – Use for all Optum Behavioral Health EAPs. We DO accept these.
SENHE00 – Sentara Health Plans – Use for all COMMERCIAL Sentara Health Plans and Sentara EAPs.
SENMDS – Sentara Medicaid, Sentara Medicare, and Sentara Dual Plans.
TRIEAST – Tricare East – Use for most all Tricare plans – ask them if it is Tricare East or Tricare for Life – it should say on the card.
Get the social security number of the subscriber (not the patient) and the beneficiary number. We need both. The beneficiary number is to be used as the ID # and the social security number should be entered in the Notes box on the Insurance tab. Not the DOD number.
TRILIFE – Tricare for Life – Use for Tricare for Life – this is typically used by Veterans and their families. Active duty members should not be using Tricare for Life
Get the social security number of the subscriber (not the patient) and the beneficiary number. We need both. The beneficiary number is to be used as the ID # and the social security number should be entered in the Notes box on the Insurance tab. Not the DOD number.
UBH – United Behavioral Health – Use for all UBH plans
UHCCOMM – United Healthcare Community Plan – Use for all United Healthcare Community plans (many of these are Medicaid plans)
Some of these are DUAL plans that include Medicare. If the therapist isn’t in network with Medicare, they cannot accept the dual plan.
UMR3 – UMR – Use for all specifically UMR and UMR Bon Secours plans. This falls under Optum/UBH for credential purposes.
UNIT1 – United Healthcare – Use for all United Healthcare Commercial plans
Financial Classes
You should use the following financial classes depending on the scenario –
- Masters Level Self Pay – LCSW, LPC, or LMFT standard self pay case
- Psychologist Level Self Pay – LCP standard self pay therapy case
- Psych Testing – LCP standard psych testing self pay case
- $80 per, $100 per, etc – Any custom self pay arrangement agreed upon by the therapist and the client
- Commercial – ALL clients using any type of insurance
- If you have a non-standard or custom situation that none of the options seem to fit, please reach out to the billing team so we can find the best financial class to suit the scenario.