Neighborhood is committed to providing the best care and service possible to members. By managing behavioral health services, Neighborhood creates additional opportunities for integration between medical and behavioral providers.
Behavioral health providers who are interested in continuing to provide services to Neighborhood members, must complete an application to join our network, which will begin the contracting process. Please be sure to complete the application as soon as possible to avoid any delays in contracting with Neighborhood.
Neighborhood is contracted with NaviNet to provide online eligibility and claims status lookup 24/7. If you have completed the contracting process, please create an account. NaviNet will not consider a request where the email clearly doesn’t belong to the requester for security reasons. To help ensure a smoother registration experience, we have outlined required steps and key tips to register with NaviNet. Please contact NaviNet support through their website or by calling 888-482-8057, if you have any issues gaining access to the portal.
Provider Orientations
Shortly after you contract with Neighborhood, Neighborhood’s Provider Relations team will reach out to schedule a personal orientation. This session is an opportunity to learn more about how to work with Neighborhood, including key processes, resources, and what to expect as a participating provider. Ahead of that meeting, we encourage you to review our orientation deck, which offers a helpful overview of key information. If you did not receive an orientation email from your Provider Relations representative, please check your spam inbox or send an email to: providercomms@nhpri.org.
Register Your Email
Email is the primary way Neighborhood communicates important updates to providers, including policy changes, training opportunities, and network updates. To ensure your office stays informed, including practice managers and billing staff, sign up for email updates today.
Provider Manual
Neighborhood’s Provider Manual for working with Neighborhood supplements your participating provider agreement (contract) with Neighborhood. It includes specific information including, but not limited to: member services, benefits and eligibility; billing and reimbursement; clinical quality and credentialing; provider information and standards for access and availability; and plan-specific information.
Quick Reference Guide
Neighborhood’s Quick Reference Guide helps the provider community with frequently asked questions. It is categorized by business area and includes hyperlinks (in green) to the Neighborhood website.
Payment Policies
Neighborhood’s Payment Policies are updated regularly and are subject to change as State, Federal, CMS, AMA, Neighborhood and other industry standards change.
Continuing Medical Education (CMEs)
Neighborhood is committed to health equity throughout the continuum of care. Please visit our Provider Education page for free trainings and resources.
Behavioral Health FAQ’s
Providers should have submitted claims for these services to Optum. Providers have until August 31, 2026 to inquire to Neighborhood about claims submitted to Optum between March 1, 2025 and September 1, 2025. For questions or assistance, please contact your Provider Relations Representative or email providercomms@nhpri.org.
To join the Neighborhood network, behavioral health providers must submit an application through the Join Our Network Page. That application will start the contracting and credentialing processes. Once providers receive their counter-executed contract from Neighborhood, the contracting process is complete. If providers are unsure of your status, please email bhcontracting@nhpri.org to request an update. Once your contract is finalized, it may take up to 14 business days for your information to be entered into the claims system. Please wait until this period has passed before submitting any claims.
In order to participate with Neighborhood, providers must complete an application, sign a contract, and be approved by Neighborhood’s Credentialing Committee. To initiate the process, please go to Neighborhood’s Join Our Network page. Please be sure to complete the application as soon as possible, as the credentialing process may take up to 45 days. The process includes validation of provider training, licensure, and/or certification to provide services in the specialty of practice. Please refer to Section 9, Credentialing and Standards of Care of the Provider Manual, for the definition of a completed application as well as additional details of the credentialing process. Physicians, doctoral, master’s level and other types of professional providers that are certified * Physician Assistants are credentialed to provide services in either behavioral health or medical setting (not to practice in both settings simultaneously). The physician assistant must provide name of collaborating physician when not practicing within a group. The collaborating physician must be a in network BH provider. If the provider does not appear on the claim, then they do not need to be screened and credentialed. Licensed providers who are not yet independently licensed (e.g., LCSWs or LMHC-a) working toward independent licensure may render services under supervision of an independently licensed clinician through supervisory billing. All billing/supervising providers must be screened and credentialed. CAQH status must be current when the credentialing decision is rendered. Neighborhood uses the CAQH application to credential providers.
When submitting claims, behavioral health providers must enter the Taxpayer Identification Number (TIN) exactly as it appears on the W-9 submitted during onboarding. If you are submitting claims using a 1500 form, please check off the box that indicates whether you’re using a social security number or an employee identification number. Please click the link to see an example of the 1500 form. Using the wrong qualifier may result in your claim being denied or rejected, so it’s important to double-check that both the TIN and qualifier match your W-9. Providers will need to complete Neighborhood’s Electronic Payment and Remittance Advice Application. The processing of the application can take up to eight weeks. Remittances are available in two formats: PDF (sent via secure email) or machine-readable ASC X12 835 (retrieved through ftp/sftp). Providers can modify where their ERAs are sent by using Electronic Payment and Remittance Advice Application. Be sure to check the “Revised” box on the application and complete both the Provider section and the Billing Company or Clearinghouse section. Please note that processing may take up to eight weeks. You can expect to receive your ERA or 835 by Friday of each week. If you do not receive your ERA or 835 by Friday, please fill out this form. Please complete the Application to Request Duplicate Remittance Advice (RA) Statements to initiate the process to retrieve duplicate EOP/RA as needed. Yes, providers must fill in the rendering provider field, or the claim will be denied. It cannot be left blank. Providers can request fee schedules by emailing bhcontracting@nhpri.org.
and licensed to practice independently by the state: