Providers

Claim Submission

Submit a Claim

There are 3 easy ways to submit a claim:

  1. Submit via EDI Transactions utilizing Optum iEDI Clearinghouse.
    Please Use Payor ID# 63100.
  2. Fax claim to: 205.449.5505
  3. Mail claims to:

Behavioral Health Systems, Inc.

P.O. Box 830724

Birmingham, AL 35283-0724

Sample Claim Form