Ambetter Behavioral Health Type of Bill

Date: 08/05/26

Behavioral Health Billing Requirements

To promote accurate claims submission and reduce unnecessary claim denials regarding Behavioral Health (BH) billing requirements and Type of Bill (TOB) usage.

 In determining the appropriate Type of Bill methodology for Behavioral Health services:

Residential Treatment Center (RTC) Services

• Type of Bill 86X

Outpatient Behavioral Health Services

• Type of Bill 13X
• Type of Bill 76X

If you have questions about this bulletin or other provider resources, please contact your Provider Relations Representative or call Provider Services at 1-844-518-9505 (TTY 711).

Ambetter from Sunflower Health Plan is underwritten by Celtic Insurance Company, which is a Qualified Health Plan issuer in the Kansas Health Insurance Marketplace. ©2026 Celtic Insurance Company. All rights reserved.