Please provide the following Information:

First Name:
Last Name:

License Type & Number or

Company Name:
Street Address:
City:
State:
ZIP
Email
Phone Number:
What information would you like to request?
Information Regarding Comprehensive Behavioral Health Management (CBHM)
Information Regarding College Health IPA Managed Behavioral Health (CHIPA)
Information Regarding Behavioral Wellness Program
Information Regarding Disability Management & Occupational Health
Information Regarding Depression Disease Management

Information Regarding Community Care Coordination

Member Information (Benefits, Referrals, Etc).
Provider Information (Orientation, Application, Etc).
Filing a Complaint or Grievance
Question/Comments :
 
Direct inquiries contact
info@chipa.com
800-779-3825
562-467-5555

Fax Numbers by Department:

General

562-402-2666

888-659-7921

Administration
562-467-5400

Claims

877-563-3480

Clinical/Case Management

877-803-3182

Network/Provider Relations

877-349-1135

 
   

 
  About Us l Solutions l Members l Providers l Employment l Contact Us    Copyright 2007 Comprehensive Behavioral Health Management