Subscriber Settlement

Get more information about the recent Blue Cross Blue Shield subscriber settlement.

Notification_close

Braven Health Plans

Providers must complete an ERA (835) enrollment form to receive Braven Health electronic transactions.

Notification_close

COVID-19

Stay informed. Get the latest information on COVID-19.

Horizon Behavioral Health

Applied Behavior Analysis (ABA) Authorization Request

ID: 40001

Continuity of Practitioner Care

Request for continuity of practitioner care for behavioral health benefits. ID: H3154_6049

Authorization for Disclosure OR Request for Access to Protected Health Information (PHI)

ID: 32261 (W0816)

Psychological And Neuropsychological Assessment Supplemental Form

ID: 40002