Thank you for your interest in becoming a part of the professional mental health network of Companion Benefit Alternatives, Inc. (CBA). This network encompasses plans for Preferred Blue®, BlueChoice® HealthPlan, the Federal Employee Program (FEP) and Planned Administrators, Inc. (PAI). On behalf of BlueCross, CBA administers mental health and substance abuse benefits and PAI offers third party administration services. CBA and PAI are separate companies.
Below is a checklist of the information you need for credentialing. If you are in a group practice, please ensure that all group members are, or will be, credentialed so that you will be recognized as participating in the CBA network.
Mail the completed application to:
Companion Benefit Alternatives, Inc.
ATTN: Network Representative
P.O. Box 100185
Columbia, SC 29202
Please ensure all information is enclosed and allow at least 30 days before calling to check on the status of your application. CBA cannot process applications until it receives all information. Please keep a copy of all application materials for your records. All information you give in this application will be kept strictly confidential.
Companion Benefit Alternatives Practitioner Application
Please note: Effective January 1, 2012, the State Health Plan provides mental health and substance abuse coverage through CBA.
BlueChoice HealthPlan is an independent licensee of the Blue Cross and Blue Shield Association.