Provider Section

Whether your an existing provider in our network looking for patient authorization or a new provider looking to join our network. We can assist you with getting you all the information you need.

Need benefit information?

Contact our Provider Line at: 630-646-5370.

 

BCP Provider Line
+1 (1-630-646-5370)

Provider Authorization Forms

BCP In-network Provider Forms only

If you are an out of network provider and have questions, please reference our Out of Network provider section below.

Initial Treatment
Authorization Form

Are you an in-network provider seeing a patient for the first time or is this the first time a different provider at your same office is seeing an existing patient? Let’s get their initial authorization started.

Complete Online Form

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Additional Treatment
Authorization Form

Are you an in-network provider with a patient who utilized most of the allotted initial sessions and find this member/family needs continued care? Let's get this additional authorization started.

Complete Online Form

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YEAR END 2021-2022 Treatment
Authorization Form

Are you an in-network provider with IHP patients who are scheduled in 2022 for continued care.  Submit up to 10 member requests for 2022 per form.

Complete Online Form

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Psychiatrist Request for Mental Health Residential

Complete/fax this form if you are a psychiatrist seeking authorization for a patient who needs treatment in a residential mental health program

Complete Form

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Psychiatrist Request for Chemical Dependency (CD) Residential

Complete/fax this form if you are a psychiatrist seeking authorization for a patient who needs treatment in a residential CD program.

Complete Form

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Psychiatrist Request for
Psychological or Neurological Testing

Complete/fax this form if you are a psychiatrist seeking authorization for psychological testing or neurological testing.

Complete Form

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Psychiatrist Request for
Transcranial Magnetic Stimulation (TMS)

Complete/fax this form if you are a psychiatrist seeking Transcranial Magnetic Stimulation (TMS) treatment for a patient.

Complete Form

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 Out of Network Provider FAQ

 

I am an Out of Network provider, how do I get an authorization?

  • If you need help verifying if you are seeing a member of one of our managed plans, you can check which plans we manage on our Individual/Member FAQ or call our Provider Line to verify eligibility at 630-646-5370.
  • We do not provide authorizations for OON providers. Members can be referred to us for help finding an in network provider.

 

The Behavioral Care Partners Provider Network is currently closed to new providers.  If you would like us to keep your information on file in the event there is a gap in network we need to fill, please fill out the Provider Information and Specialties Form below.

BCP Provider Network Form