Update Records

If there are any changes to your practice that we should be made aware of, please contact us and provide the following updated provider forms:

• Provider Update Form
• Recredentialing Application
• Facility Re-credentialing Application
• W-9

Email: [email protected]
Telephone: 800.245.1150
Fax: 205.879.1178

Mail:
Behavioral Health Systems
Provider Credentialing
P.O. Box 830724
Birmingham, AL 35283-0724