Forms

Provider Resources Forms

Manuals and Service Agreements


BHSI Provider Network

The BHSI Provider Network allows you to submit claim files, retrieve adjudication files and obtain approval codes for services.

Provider Bulletins

Notices

01/11/2022
NEW!
Information Bulletin 01-21
Clarification on special conditions for federal funding related to medical marijuana

07/02/2021
Revision of Provider Bulletin #2 – 06 | BHSI Billing for Fiscal Year 2021

06/10/2021
BHSI Billing for Fiscal Year 2021

04/19/2021
BHSI Billing Expectations for FY ‘21

03/24/2021
WITS Guidance for Admissions/Readmission/Discharges/LOC Changes

08/20/2020
Philadelphia BHSI WITS FAQ

07/27/2020
Provider Bulletin #20 – 07 - BHSI Billing for Fiscal Year 2020

06/30/2020
BHSI WITS Expectations for 7/1/2020 - Consent

06/29/2020
Client Liability Determination - Philadelphia BHSI

Client Liability Determination Form (.xls)

06/29/2020
NEW!
Philadelphia BHSI Treatment Provider Admission Requirements (FY2021)

06/29/2020
NEW!
Philadelphia BHSI WITS FAQ

06.12.2020
NEW!
Alternative file structure for BHSI 1A/1B Xeo billing

05.2020
NEW!
Department Of Behavioral Health And Intellectual Disability Services Companion Guide Trading Partner Information

04.14.2020
BHSI Admission Auth Requirements WITS and Client Liability Form memo April 2020

04.01.2020
BHSI billing expectations for FY 2020

03.26.2020
Telehealth expectations for the under/uninsured

02.2020
Consenting to Philadelphia SCA/NIAC/BHSI inPA WITS Clarification/Additional Instruction

02.2020
WITS Consent Tutorial February 2020

02.2020
BHSI Treatment and OAS Cost Reimbursement FAQs

02.07.2020
BHSI Claim Processing Go Live Date February 10, 2020

02.07.2020
BHSI Member ID Availability Date

11.2019
Consent to Philadelphia SCA in PA WITS Request

10.30.2019
Claims Processing Transition Update Memo

09.2019
PMHCC Change of Address

09.2019
Provider Bulletin # 19-09 - BHSI Schedule of Covered Services & Rates

BHSI - ICD-10 Diagnosis Code List