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Blue Choice

Mental Health Practitioners

Companion Benefit Alternatives, Inc (CBA) handles credentialing for mental health practitioners for the CBA and BlueChoice HealthPlan networks. CBA is a separate company that administers behavioral health benefits on behalf of BlueChoice HealthPlan.

Here is a checklist of the tasks you must complete for credentialing:

  1. Read, complete, sign and return the CBA Practitioner Credentialing Application.
  2. Read, sign and return the CBA Professional Agreement (Please contact CBA at 1-800-868-1032, ext. 25744, to get this document).
  3. Sign and return each HMO Hold Harmless Agreement (Appendix C of the CBA Professional Agreement).
  4. Enclose a copy of the S.C. State License(s).
  5. Enclose a copy of the DEA License (if applicable).
  6. Enclose a copy of the protocol (Nurse Practitioners only).
  7. Enclose proof of current malpractice coverage.

Download the CBA Credentialing Application.

Please return the completed application to:

Companion Benefit Alternatives, Inc.
ATTN: Network Coordinator AX315
PO Box 100185
Columbia, SC 29202
Fax: 803-714-6456