Providers
Find forms, claims and payment information, and learn more about electronic payments at NO COST to you.
Forms & Documents
Forms & Documents
Please send a secure email to membership@questbh.com to request membership eligibility and behavioral health benefits. Please include (at a minimum) Member Full Name, Member Date of Birth, Provider Name and Provider NPI.
Members or their providers may apply to obtain behavioral health treatment outside of the Quest network using in-network benefits for a defined period and under certain limited circumstances.
Request authorization for initial or updated treatment plans for Autism services.
Authorization to disclose protected health information (PHI).
Please send a secure email to claims@questbh.com to request a status update for submitted claims; please allow 30 days from date of submission before submitting a status inquiry. Please include (at a minimum) Member Full Name, Member Date of Birth, Provider Name, Provider NPI, and Date(s) of Service.
Complete this form to send a digital request directly to one of our Clinical Care Managers. To avoid delays, please submit this Request at least two (2) business days before the scheduled test date.
Please notify Quest at provider@questbh.com when your license or credentials change(s), when you move practices or locations, when you get a new telephone number, and any other impactful change(s).
This manual contains important and helpful information regarding Quest policies and procedures, best practice guidelines and operational procedures of Quest Behavioral Health.
Claims
Claims
Payments
Payments
Attention to all providers who will be submitting claims during Quest’s wind-down:
We are requesting you sign up for direct deposit (electronic payment) through the Quest ePayment Center at NO COST to you! Sign up today to avoid payment delays - Call Zelis Payments at 855-774-4392 or email help@epayment.center. The Quest ePayment Center will also provide online access to your Quest Explanation of Payment (EOP) and 835 file delivery.
For additional electronic payment options or questions related to payments, please contact Zelis Payments’ Client Service Department at 877-828-8770. Note: Paper checks and/or an Explanation of Payment (EOP) will be provided for all claims processed if an electronic payment option is not selected.
Timely filing for submission of claims will be enforced at one year from date of service. Please submit claims as quickly as possible after services are rendered.
