Billing Unit

For all billing inquiries, please contact your assigned Billing Unit Representative.  If you are uncertain as to whom your assigned representative is, please contact the Billing Manager.

Billing Manager: Eartha Hopkins

Billing Unit Representative: Adriane Crisden

Mental Health / Substance Abuse Billing Documents

• Billing Guidance
• DPBHS Hospital and Residential Fee Schedule
• DPBHS Contracted Service Codes and Fee Schedule
• Billing Summary
  This cover sheet MUST accompany all monthly claims for Crisis, Outpatient, Therapeutic Support for Families and all other services. The billing total on this form must equal the total on the individual Client Billing/Activity Forms.
• Client Billing/Claim Form
  Use this form to submit all claims for Crisis, Outpatient, Therapeutic Support for Families and all other services.
• List of Place of Service Codes
  A Place of Service code must be listed on all claim forms for all services.
• Billing Unit Resubmission Cover Sheet
  Must accompany any bill/invoice that was denied by DPBHS
• Secondary Insurance Claims
  This form and all documents listed must accompany any request for secondary insurance coverage.
• Transportation and Translation Forms
  For contracted agencies that only provide Transportation and/or Translation services