The Alliance has a Dedicated Website for COVID-19 Provider Updates.

The Alliance has a dedicated website for COVID-19 provider updates? Updates include an FAQ for providers and guidance on how to bill for telephonic and telehealth services.
The website can be found at: www.alamedaalliance.org/providers/covid-19-resources-for-providers

We are here for you and we strive to provide the highest levels of customer service to our provider partners. Every year the Alliance conducts a provider satisfaction survey to help us learn how we can serve you better. We use these results to learn what is working and what we need to improve. You speak. We listen. 

About This Survey

Who: Alliance network providers including primary care providers (PCPs), specialists, and behavioral health providers. Survey respondents include nurses and other provider office staff, physicians, office managers, and behavioral health clinicians.

What: The survey measures how well we are meeting your expectations and needs, within various Alliance service areas, and open-ended feedback around ways in which the Alliance can improve its service to your organization.

When: The survey is fielded annually between September and November.

Why: Information obtained from these surveys helps the Alliance serve you better. 

How: Surveys are completed through a third party vendor, by mail and the Internet, with follow-up phone calls to non-respondents.

Year after year, the Alliance, your local #1 health plan, beats the benchmarks in all areas of provider satisfaction: 

  • Call Center Staff 
  • Overall Satisfaction, Compared to Other Health Plans
  • Network Coordination of Care
  • Pharmacy 
  • Provider Relations
  • Reimbursement and Claims
  • Utilization and Quality Management

We strive to continue to get better and we want you to know what we have learned and improved. Over the next several weeks we will share key takeaway Did You Know facts with you, and we hope that you will continue to help make us stronger, together.  

Your Satisfaction is Our Priority

Your Satisfaction is our Priority

We are here for you and we strive to provide the highest levels of customer service to our provider partners. Every year the Alliance conducts a provider satisfaction survey to help us learn how we can serve you better. We use these results to learn what is working and what we need to improve. You speak. We listen.

About This Survey:
Who: Alliance network providers including primary care providers (PCPs), specialists, and behavioral health providers. Survey respondents include nurses and other provider office staff, physicians, office managers, and behavioral health clinicians.
What: The survey measures how well we are meeting your expectations and needs, within various Alliance service areas, and open-ended feedback around ways in which the Alliance can improve its service to your organization.
When: The survey is fielded annually between September and November.
Why: Information obtained from these surveys helps the Alliance serve you better.
How: Surveys are completed through a third party vendor, by mail and the Internet, with follow-up phone calls to non-respondents.

Year after year, the Alliance, your local #1 health plan, beats the benchmarks in all areas of provider satisfaction:

1. Call Center Staff
2. Network Coordination of Care
3. Overall Satisfaction, Compared to Other Health Plans
4. Pharmacy
5. Provider Relations
6. Reimbursement and Claims
7. Utilization and Quality Management

We strive to continue to get better and we want you to know what we have learned and improved. We hope that you will continue to help make us stronger, together.

Year after year, 9 OUT OF 10 ALLIANCE PROVIDERS Would Recommend Us to Their Colleagues
Did You Know:
In the last 3 Annual Provider Satisfaction Surveys, we learned that 9 out of 10 Alliance Providers would recommend us to their colleagues. We continue to increase our provider network to meet the needs of our members and increase access.

 

Year after year, the Alliance, your local #1 health plan, beats the benchmarks in all areas of provider satisfaction:

1.Call Center Staff
2.Network Coordination of Care
3.Overall Satisfaction, Compared to Other Health Plans
4.Pharmacy
5.Provider Relations
6.Reimbursement and Claims
7.Utilization and Quality Management

We strive to continue to get better and we want you to know what we have learned and improved. We hope that you will continue to help make us stronger, together.

The Alliance Beats the Benchmarks in Claim Payment
Did You Know: The Alliance is beating the benchmarks in claim payment?

1. State regulators require the Alliance to pay 90% of clean claims within 30 calendar days; the Alliance12-month average for paying clean claims is 97.9% within 30-days.

2. State regulators also require the Alliance process 95% of all claims within 45 working days; the Alliance 12-month average for processing claims is 99.8% within 45 working days.

3. The Alliance average turn-around-time (TAT) from receipt to payment is 22.5 days – and by the way if you want to get paid faster, you can sign-up for our Electronic Funds Transfer (EFT) service by visiting: www.alamedaalliance.org/providers/provider-forms

 

Year after year, the Alliance, your local #1 health plan, beats the benchmarks in all areas of provider satisfaction:

1.Call Center Staff
2.Network Coordination of Care
3.Overall Satisfaction, Compared to Other Health Plans
4.Pharmacy
5.Provider Relations
6.Reimbursement and Claims
7.Utilization and Quality Management

We strive to continue to get better and we want you to know what we have learned and improved. Over the next several weeks, we will share key takeaway Did You Know facts with you, and we hope that you will continue to help make us stronger, together.

The Alliance Processes More than 1.4 Million Claims Every Year
Did You Know: On average, the Alliance receives more than 5,500 claims a day, almost 28,000 claims a week, and more than 1.4 million claims every year – and we have a 98% accuracy rate in claims processing.

 

Year after year, the Alliance, your local #1 health plan, beats the benchmarks in all areas of provider satisfaction:

1. Call Center Staff
2.Network Coordination of Care
3.Overall Satisfaction, Compared to Other Health Plans
4.Pharmacy
5.Provider Relations
6.Reimbursement and Claims
7.Utilization and Quality Management

We strive to continue to get better and we want you to know what we have learned and improved. Over the next several weeks, we will share key takeaway Did You Know facts with you, and we hope that you will continue to help make us stronger, together.