Alliance Health Provider Requirements

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Provider Central - Alliance Health

(5 days ago) WEBAlliance Provider Support is available to answer provider questions about authorization, billing, claims, enrollment, ACS, or other issues. Call 855-759-9700 Monday-Saturday from 7:00am-6:00pm. Contact Us.

https://www.alliancehealthplan.org/providers/

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Provider Manuals - Providers :Providers

(3 days ago) WEBCommercial Provider Manual Section 1: Introduction Section 2: Provider Network Management Section 3: Physician Responsibilities Section 4: Membership Section 5: Appeals Section 6: Medical Management Section 7: Quality Management Section 8: Claims Section 9: Pharmacy This site is operated by Health Alliance and is not the Health …

https://provider.healthalliance.org/provider-manuals/

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Provider Credentialing Applications and Policies - Central …

(8 days ago) WEBProspective Alliance providers are required to complete the appropriate credentialing application. You can find provider credentialing applications and policies below. If you are unsure of which application to complete, please submit a provider network interest form. Our Provider Services Department will contact you to confirm which of the

https://thealliance.health/for-providers/join-our-network/credentialing-applications-and-policies/

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ALAMEDA ALLIANCE FOR HEALTH SUMMARY OF KEY …

(6 days ago) WEBAlliance programs and requirements. More information is available in your Alliance contract, the Alliance Provider Manual, Alameda Alliance for Health ATTN: Alliance Provider Services Department 1240 South Loop Road Alameda, CA …

https://alamedaalliance.org/wp-content/uploads/Summary-of-Key-Information_12072021.pdf

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Provider Manual - Central California Alliance for Health

(7 days ago) WEB106 rows · Screening and Referral of Medically Eligible Children to California Children’s Services (CCS) Program. Status. Approved. Approval Date. 2/29/2024. Policy Number. 300-4195. Title. …

https://thealliance.health/for-providers/resources/provider-manual/

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Prior Authorization & Clinical Review Criteria - Health Alliance

(5 days ago) WEBThis resource is intended to help providers and members better understand our decisions and how they align with current medical evidence. Participating members and providers with a Health Alliance account can access InterQual® criteria with their Health Alliance account sign-on through this portal. Once signed in, you can search for a specific

https://www.healthalliance.org/clinical-review-criteria

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Understanding Our Plans Health Alliance

(Just Now) WEBPOS plans are a combination of HMO financial advantages with out-of-network benefits at an out-of-network coverage level. Members have the freedom to go out-of-network, but can save money when staying in-network. Our network is broad and features premier providers. PCPs understand the big picture of members' health and …

https://help.healthalliance.org/help/understanding-our-plans

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Provider Resources - Providers :Providers

(6 days ago) WEBThis site is operated by Health Alliance and is not the Health Insurance Marketplace site. By offering this site, we're required to meet all applicable federal laws, including the standards established under 45 CFR 155.220(c) and (d) and 45 CFR 155.260 to protect the privacy and security of personal information.

https://provider.healthalliance.org/

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Alliance Health Provider Manual

(7 days ago) WEBAs a contracted provider with Alliance Health, it is your responsibility to be familiar and comply with all federal and state laws, rules and regulations All contracts between Alliance and providers contain requirements that promote person and family-centered treatment, sound clinical and business practices, and delivery of high-quality

https://www.alliancehealthplan.org/document-library/79431

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URGENT FLASH: Checking Prior Authorization Requirements in …

(2 days ago) WEBMarch 21, 2024. Health Alliance TM recently updated the Prior Authorization Routing tool available within the Tapestry Link. With the update, it’s now possible for you to check the prior authorization (PA) requirements for a specific patient (who’s a member of one of our plans), based on their specific plan, coverage and benefits.

https://provider.healthalliance.org/informed-post/urgent-flash-checking-prior-authorization-requirements-in-tapestry-link/

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Provider Manual - Alameda Alliance for Health

(1 days ago) WEBQuestions? Please call the Alliance Provider Services Department, Monday – Friday, 7:30 am – 5 pm at 1.510.747.4510. Visit us online at www.alamedaalliance.org. 1 Provider Manual Alameda Alliance for Health Medi-Cal & Alliance Group Care November 2021

https://alamedaalliance.org/wp-content/uploads/Provider-Manual_10072021-clean.pdf

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PROVIDER SERVICES DEPARTMENT - Alameda Alliance for …

(1 days ago) WEBAlameda Alliance for Health (Alliance) is a Knox-Keene licensed health plan providing affordable health care coverage to low income Alameda County residents. We have been in business since 1996 and are a local not-for-profit health plan, designed for and by the members and providers we serve.

https://alamedaalliance.org/wp-content/uploads/documents/Provider%20Orientation%20and%20Quarterly%20Visits/summary-of-key-information_updated012018.pdf

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FLASH: Request Preauthorization Online - Providers :Providers

(2 days ago) WEBThis site is operated by Health Alliance and is not the Health Insurance Marketplace site. By offering this site, we're required to meet all applicable federal laws, including the standards established under 45 CFR 155.220(c) and (d) and 45 CFR 155.260 to protect the privacy and security of personal information.

https://provider.healthalliance.org/informed-post/request-preauthorization-online/

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Referrals and Authorizations - Central California Alliance for Health

(1 days ago) WEBThe Alliance’s Referral Consultation Request Process Policy covers the requirements and procedures for referring an Alliance member to a specialty primary health care provider. In most cases, the referring provider must submit a Referral Consultation Request to the Alliance, via the Provider Portal, in order to authorize the referral.

https://thealliance.health/for-providers/manage-care/clinical-resources/referrals-and-authorizations/

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UM Jiva Provider Portal FAQ - Alliance Health

(Just Now) WEBAlliance Provider Support is available to answer provider questions about authorization, billing, claims, enrollment, ACS, or other issues. Call 855-759-9700 Monday-Saturday from 7:00am-6:00pm.

https://www.alliancehealthplan.org/provider-updates/um-jiva-provider-portal-faq/

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Provider Manual July 2024 - Central California Alliance for …

(5 days ago) WEBCentral California Alliance for Health 5362 Lemee Lane Mariposa, CA 95338-9556 (800) 700-3874 . Merced County: Central California Alliance for Health 530 West 16th Street, Suite B Merced, CA 95340 -4710 209-381-5300 . Monterey County: Central California Alliance for Health 950 East Blanco Road, Suite 101 Salinas, CA 93901-4419 831-755 …

https://thealliance.health/wp-content/uploads/Provider_Manual.pdf

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Clear Health Alliance Providers

(8 days ago) WEBTo determine if pharmacy benefits are payable by Clear Health Alliance, please confirm the requested services are a covered benefit. Questions about members’ pharmacy benefits can be answered by calling our Pharmacy Department at 877-577-9044 between 8 a.m. to 8 p.m. Eastern time, Monday through Friday.. Please refer to the Preferred Drug List …

https://provider.clearhealthalliance.com/florida-provider/

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Information for Providers - TriWest

(6 days ago) WEBTriWest Healthcare Alliance (TriWest) is honored to be a third party administrator for the U.S. Department of Veterans Affairs (VA). We build networks of high-performing, credentialed community providers that partner with VA to provide health care to Veterans in their local community. It is our sole focus and only line of business.

https://www.triwest.com/en/provider/

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