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  • Psych Neuro Evaluation Request Form - Beacon Health Options

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3.704.1 Psychological/Neuropsychological Evaluation Request Form (Use for all ages) For most efficient and timely service use of authorization request flow on ProviderConnect is the preferred method.

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Contracted by Partnership HealthPlan of California, Beacon provides mental health services for individuals with mild to moderate mental health conditions. Services include mental health assessments, individual and family therapy and case management.

Submitting claims online Our Electronic Payer ID is 13551.

Claims will be submitted to and processed by Beacon Health Options (Beacon) for those members with the following mailing address on the back of their member ID cards: Emblem Behavioral Health, P.O. Box 1850, Hicksville, NY 11802.

The company is the product of a 2014 merger between Beacon Health Strategies, LLC and ValueOptions, Inc.

Beacon is only contracted to manage the Medi-Cal mental health services for the member. If a member needs services for a drug and alcohol issue the member would receive those services with the County. Beacon can be contacted to assist with the linkage to drug and alcohol services.

Beacon Health Options will operate as a wholly-owned subsidiary of Anthem and its associates will join Anthem's Diversified Business Group .

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232