Claims Submissions

Mental Health Consultants, Inc. (MHC) is an established Behavioral Healthcare Network, serving members and their dependents of companies in this region and nationally since 1980. We are not an insurance company. The majority of companies we represent are self-funded ERISA Healthcare Plans that are invested in their participant’s wellness. One of our roles is to review and process provider and patient behavioral health claims and send them to the appropriate Health & Welfare Fund for reimbursement.

Providers:
MHC accepts request for reimbursement on the appropriate CMS-1500 or UB-04 Claim Form.

Patients:
MHC accepts request for reimbursement after services have been paid in full; we do not accept unpaid bills.  Receipts from your provider must include the following details:

  • Rendering provider’s full name, license type, NPI number, and Tax ID Number
  • Date(s) of service, CPT code(s), fee charged per CPT code, and proof of payment in full
  • Patient’s full name and date of birth

Submission Information:
If you are a provider and have access to electronic billing, we are asking that you utilize this tool for claim submissions.  Electronic submission may potentially speed up the processing and payment of your claims. Our payer ID is 37050 under Mental Health Consultants, Inc.  Please visit our home page for more information regarding electronic submissions.  Claims and receipts may also be mailed (MHC: 1501 Lower State Road, Building D, Suite 200, North Wales, PA  19454) or faxed to  215-343-8983.

Payment Information:
Once MHC receives your claim/receipt, it is reviewed and processed within 1-2 days; however, payments take approximately 6-8 weeks from the date that MHC receives your claim and cannot be expedited.  Please do not contact MHC for payment or claim status unless you have allowed the appropriate turnaround time for payment.  If you are, or have, an outside biller, it is important that all payments and Explanation of Benefits (EOBs) received are communicated to all personnel involved in the reconciliation process for your organization; MHC has no record of payment information or EOBs that are sent to you directly by the fund offices. Due to the high volume of claims that we receive, we do not confirm receipt of claims. Inquiries are limited to problems with payments.  If you have a question regarding a payment you received, please complete a Payment Inquiry Form or call 215-343-8987 and follow the phone prompts to our claims department.