Pennsylvania Insurance Companies Contact: Behavioral Health Provider Numbers
Pennsylvania insurance companies contact information is the set of provider phone numbers and official pages a mental health practice uses for eligibility, claims and appeals. This page lists the behavioral health provider numbers for private insurers that cover Pennsylvania, plus Pennsylvania Medicaid enrollment. Checked October 2026.
MCM South Medical Billing Service bills for psychotherapists and psychiatrists in Pennsylvania and makes these calls for them. Get a Free Quote
Behavioral health provider contacts
PennsylvaniaInsurance Companies Contact
Provider phone numbers for psychotherapists and psychiatrists, checked and sourced.
Confirmed October 2026
Pennsylvania insurance companies contact: private payer provider numbers
Call the provider services number on the patient’s member ID card first. The numbers below come from each insurer’s official provider page. Blue Cross Blue Shield is a federation of independent companies, so only the Pennsylvania licensee applies here. Nothing on this page is legal advice.
| Insurer | Provider phone | Official page |
|---|---|---|
| Aetna | 888-632-3862 Non-Medicare plans 800-624-0756 Medicare plans |
Aetna provider contact page |
| Capital Blue Cross | 800-471-2242 Utilization management | Capital Blue Cross behavioral health provider page |
| Carelon | 800-397-1630 National provider services line: network status and general questions 800-888-3944 General questions about claims 800-282-4548 Availity Essentials support: claims, eligibility, claim status 877-331-7154 Payspan registration: direct deposit and remittance |
Provider contact information |
| Cigna (Evernorth) | 800-882-4462 Cigna Healthcare 800-926-2273 Evernorth Behavioral Health |
Cigna provider home |
| Highmark Blue Cross Blue Shield (Pennsylvania) | 866-731-8080 Provider services, Central and Northeastern PA (professional providers) 844-945-5525 Provider services, Southeastern PA 800-547-3627 Provider services, Western PA (professional providers) 800-628-0816 Behavioral health, Central and Southeastern PA 800-258-9808 Behavioral health, Western and Northeastern PA |
Highmark provider contact page |
| Humana | 800-457-4708 Medicare eligibility, benefits, claims 800-523-0023 Prior authorization, including behavioral health |
Humana provider home |
| Independence Blue Cross (Southeastern Pennsylvania) | 800-ASK-BLUE Provider automated system: eligibility, claim status, referrals, 24/7 800-688-1911 Magellan Behavioral Health: member services and precertification, 24/7 |
Independence Blue Cross contact page |
| United Behavioral Health (Optum) | 877-614-0484 Behavioral health and substance use, 24/7 | UnitedHealthcare provider contact directory |
| UnitedHealthcare | 800-600-9007 Medicare Advantage and Community Plan 888-478-4760 Individual exchange plans 800-291-2634 All Savers |
UnitedHealthcare provider contact directory |
Pennsylvania Medicaid provider enrollment
The Pennsylvania Department of Human Services runs Medical Assistance (Medicaid). Call 800-537-8862, Provider Enrollment, Monday to Friday, 8 a.m. to 4 p.m. For electronic claims and submission software, call the Provider Assistance Center at 800-248-2152 or 717-975-4100, Monday to Friday, 8 a.m. to 5 p.m. Checked October 2026. Source: Pennsylvania DHS contact information for Medicaid providers.
Pennsylvania Medicare: who processes your Part B claims
Pennsylvania Medicare claims go to one Medicare Administrative Contractor (MAC). Novitas Solutions is the Medicare Administrative Contractor (MAC) for Pennsylvania. Medicare Advantage plans from Aetna, Humana or UnitedHealthcare are private plans, so call the number on the member card for those. Medicare, Medicaid and private payers follow different rules. Phone numbers come from the CMS provider contact table, checked October 2026.
| Medicare contractor | Jurisdiction | Provider phone | Official page |
|---|---|---|---|
| Novitas Solutions | Jurisdiction L (Delaware, District of Columbia, Maryland, New Jersey, Pennsylvania) | 877-235-8073 (TTY 877-235-8051) | CMS provider contact table |
What to have ready before you call a Pennsylvania insurer
A short, prepared call is faster than a long one. Keep these in front of you before you dial any Pennsylvania insurance companies contact number:
- The patient’s name as it appears on the card, date of birth and address.
- Your individual NPI (National Provider Identifier) and your tax ID.
- The date of service, the CPT code and the total billed amount. See the non-E/M CPT guide and the E/M CPT guide for psychiatrists.
- The claim number from the payer portal, if you have one.
Write down the name of the representative and a call reference number. Phone menus, holds and transfers can add up, and a dropped call means starting over. If you would rather not make these calls, MCM South does it for psychotherapists and psychiatrists.
Pennsylvania insurance contact FAQs
Who do I call for Pennsylvania insurance eligibility and claims for therapy?
Call the provider services number on the patient’s member ID card. If the plan carves out behavioral health, use the behavioral health number for that plan, listed in the table above.
Does MCM South bill Pennsylvania practices?
MCM South currently serves practices in Georgia, Massachusetts, Connecticut, Texas, Florida, New York, Colorado, Tennessee, North Carolina and Illinois, and has worked with providers in all 50 states over time. Request a quote to ask about Pennsylvania.
Where are the numbers for other states?
The full insurance companies contact directory lists insurers by state, with the date each number was checked.
Related: CPT and E/M code guide, in-network vs. out-of-network, billing terms glossary and billing services.
Free CPT code quick sheets for Pennsylvania practices
Three one-page PDFs for your billing desk, built to sit beside the Pennsylvania insurance companies contact numbers above. Each lists the codes with time ranges and links to the CMS pages we checked in October 2026. CPT codes are national, but payer rules vary by state and by insurer.
E/M codes for psychiatrists
Evaluation and management codes plus psychotherapy add-ons, with time ranges.
Psychotherapy codes (non-E/M)
Individual, family, group and crisis psychotherapy codes at a glance.
Psychological and neuropsychological testing codes
Testing, administration and scoring, and brief screening codes.