Behavioral Billing® Credentialing Guide
Anthem HealthKeepers Plus
Credentialing and revenue-cycle enrollment reference for behavioral health and speech therapy practices. Start with your provider type: the credentialing route may differ even when the insurance brand is the same.
Choose the correct provider pathway
Do not assume behavioral-health participation includes speech therapy, or that an SLP network contract includes behavioral-health services.
Mental / Behavioral Health provider
Behavioral-health credentialing route
Complete DMAS/MES enrollment, then HealthKeepers Plus credentialing through CAQH/Anthem. Use the behavioral-health resources for BH operations.
Open BH credentialing source ↗Speech Therapy provider
Speech / therapy credentialing route
Complete DMAS/MES enrollment, then HealthKeepers Plus credentialing as a speech/medical therapy provider. Speech therapists are credentialed as medical therapy practitioners.
Open speech credentialing source ↗Where the pathways differ: Credentialing uses the same HealthKeepers framework, but downstream UM differs: BH uses behavioral-health authorization resources; PT/OT/Speech may use the therapy authorization route/Carelon Medical Benefits Management where applicable.
Shared credentialing + network setup
Credentialing prerequisitesVirginia Medicaid enrollment active; provider/group data ready for HealthKeepers network process.Open source ↗
Network / payer enrollmentComplete DMAS/MES enrollment and HealthKeepers Plus join-network/credentialing workflow.Open source ↗
State Medicaid enrollmentRequired — DMAS/MES.Open source ↗
Portal / identity setupAvaility Essentials registration.Open source ↗
Revenue-cycle enrollment
EDI / claims enrollmentAvaility supports 837P/837I/837D and related transactions.Open source ↗
ERA enrollment835 ERA supported through Availity/EDI enrollment.Open source ↗
EFT enrollmentUse Anthem/Availity electronic payment enrollment tools as applicable.Open source ↗
Clearinghouse / EDI routeAvaility Essentials exclusive EDI partnerOpen source ↗
Payer ID00423Open source ↗
Before you start billingConfirm Medicaid enrollment, HealthKeepers effective date, E&B, ICR auth access, claim acceptance, 835 and payment route.Open source ↗
Before you bill: provider credentialing, specialty network participation, EDI, ERA, and EFT are separate checkpoints. Verify the correct specialty network before treating the first member.
Last reviewed: 2026-08-14 · Core requirements reviewed
Payer processes change. Reverify the current payer instructions before submitting an application or changing a production billing configuration.