At the Alliance, we know how challenging it can be to focus on what you care about the most – providing high-quality health services to your patients. That’s why we work hard to help you meet those challenges.

Our goal is to streamline administrative matters and provide systems of support that will make you glad to be a part of our comprehensive network of doctors, specialists, and other health care professionals.

Click on any of the following resources to direct you to more information on how to make the billing process quick, easy, and secure:

Claims Submissions

Find out more about:

  • Claim Overpayments
  • Dispute Resolution Processes
  • Instructions
  • Provider Dispute Resolution Request Form

For more information, please view the Claims page.

Trao đổi dữ liệu điện tử (EDI)

Find out how to send claims electronically, via your Practice Management Systems to the Alliance’s claims systems – resulting in real time and cost savings.

For more information, please view the EDI page.

Dịch vụ Phòng thí nghiệm/bệnh lý

Except for emergency and urgent care services, and those lab services identified as covered under PCP capitation or specifically identified as reimbursed fee-for-service (FFS), laboratory services are carved out to the Alliance’s capitated laboratory provider, Quest Diagnostics. Pathology services, identified as CPT-4 procedure Code range 88300-88399, are payable by the Alliance only when performed in conjunction with emergency or urgent care services, or surgical services performed in an inpatient hospital, outpatient hospital, or free standing surgical facility setting.

The Alliance also uses other lab facilities depending on the member’s PCP assignment.

For more information, please view the Laboratory/Pathology Services page.

Nhà cung cấp quốc gia nhận dạng (NPI)

Each provider’s National Provider Identifier (NPI) number is essential for timely claims reimbursement. All providers in the Alliance network must use their NPI on all electronic submissions sent to the Alliance.

For more information, please view the NPI page.