COVID-19 Updates

The Alliance is working hard to ensure we remain successful in addressing our partners needs, relaying important updates, and providing informational resources for pressing issues. This page is designed to provide the most up-to-date information regarding how COVID-19 is affecting health care. If we have an update in regards to the pandemic, this page will be updated first.


Friday, April 17th, 2020

ReforMedicine Direct Pay Family Practice and Medical Weight Loss is open and providing medical services and labs in the usual direct-pay fee-for-service manner, or for their ReforMDirect Employer-Sponsored Near-site Clinic patients (ReforMedicine does not accept insurance). Clinics are located in Eau Claire, Menomonie, and Hudson, Wisconsin. All services and visits are scheduled by appointment. E-Visits (telehealth) are available, and new patients are welcome. Their low-cost appointment and lab pricing is published online. Request an appointment, or learn more at www.ReforMedicine.com.


Monday, April 13th, 2020

Locate Open Community Oncology Practices Close to Home

There has been a significant scaling back or closing of cancer and blood disease services at hospitals and affiliated settings as they pivot to caring for patients during the COVID-19 (coronavirus) pandemic. Recognizing that cancer care cannot stop and patients still need treatment, the Community Oncology Alliance (COA) has launched a referral service for patients seeking care in their communities.

Through the free COA Patient-Practice Connector website, those that are seeking care are able to fill out a brief contact form without sharing any personal health information. The COA team will then use that information to try to identify a practice that is still serving patients in their community within 24 hours.


Friday, April 3rd, 2020

Physical Therapy Amid COVID-19

If you are suffering acute or chronic pain, or have to postpone a scheduled surgery, Capital Physical Therapy is seeing patients without a physician prescription to reduce the burden on primary care physicians and orthopedic surgeons during the pandemic, freeing them to provide care to critical patients. Here is a list of their locations.


Thursday, April 2nd, 2020

COVID-19 Online Symptom Checker

Due to the pandemic, many telehealth systems are facing serious wait times – some up to 4 hours. In an effort to expedite a potential diagnosis of COVID-19, Buoy Health is offering a free symptom checker. At the end of the survey, it will direct you to the right path of care, depending on your risk level of the novel virus.

Please note: this tool only assesses your risk level of COVID-19, and is not a substitute for professional medical advice, diagnosis, or treatment. If you are experiencing a life-threatening emergency that requires immediate attention, please call 911.

Group Health Cooperative is Still Open

GHC-SCW wants patients to know they are still open amid temporary closures of many area clinics. Patients seeking treatment for respiratory illness, including a suspected COVID-19 case, can be seen at their Capitol Clinic. For non-respiratory care, please search for your nearest location.


Monday, March 23rd, 2020

Marshfield Clinic Recovery at Home Program

Beginning immediately, Marshfield Clinic Hospitals will offer a new service to help ensure that every patient receives the care they need in the appropriate setting. This Recovery at Home Program will be offered to all The Alliance enrollees during this pandemic period. 

What this program means: 

Patients who are emergency patients and admitted to the hospital for care may be transferred to their home with a one-on-one RN on duty at the patient’s home to care for them. The stay will be considered an inpatient stay but will occur in the home under 24/7 supervision by hospital staff. It will be billed on a per diem basis, at much less cost than if the patient stayed in the hospital. 

For more information about this program please contact our Customer Service team or call us at 800.223.4139. 

*Information is subject to change at any time

Wednesday, August 26th, 2020

The National Alliance of Healthcare Purchaser Coalitions, in conjunction with its National Medical Director Advisory Council, developed an excellent COVID-19 One-Stop Safety Guide last month. This guide has now been translated into Spanish. You can get the English version here and Spanish version here. We hope these are helpful resources to you in educating your diverse populations during this pandemic.


Thursday, April 30th, 2020

Click here for employer resources on how to navigate business operations amid COVID-19.


Monday, April 6th, 2020

On Friday, March 27, the Coronavirus Aid, Relief, and Economic Security (CARES) Act was signed by President Trump after passing both the House and Senate earlier in the week. This $2.2 trillion stimulus package is wide-reaching and intended to provide economic relief for the individuals and businesses hit hardest by the coronavirus pandemic and the resulting financial downturn. This Health Policy in Transit explains the main provisions most likely to affect employers, including what is required in terms of coverage of COVID-19 testing and treatments.

Read the latest Health Policy in Transit Coronavirus Aid, Relief, and Economic Security (CARES) Act: What Employers Need to Know


Thursday, March 26th, 2020

Dear Valued Member,  

Now that Governor Tony Evers has issued an emergency “safer at home” order for the entire state of Wisconsin amid the COVID-19 pandemic, we want you to know The Alliance will remain working during normal business hours via remote access to comply with this order and safeguard the health of our employees. Here’s what this means for you: 

If you need to contact your Account Executive, please continue to reach out as you normally would. If you have questions you can also email member services. Customer Service will be responding to calls throughout the day, but callers will need to leave a message which will be returned within the same business day.  

Rest assured, we will continue to assess this rapidly changing situation and continue to relay updates with the utmost urgency and complete transparency. Please know that we are working hard to ensure that we are here to serve you. 

Thank you for all your work to ensure the safety of your employees and for your continued cooperation as we all work through this difficult situation together. 

Melina Kambitsi, Ph.D.
Senior VP, Business Development & Strategic Marketing
The Alliance 


Friday, March 13th, 2020

Employers are receiving guidance on how to manage COVID-19, including suggestions that relate to health benefits and provider networks. We have received some questions and thought it might be helpful to share them – and our responses – with our members.

FAQs:  Does our network have adequate coverage for this pandemic?

  • The Alliance contracts with hospitals and clinicians to provide health care services to The Alliance enrollees. If you or your employees experience access issues with The Alliance contracted providers, please contact our customer service team at 800.223.4139. We will work with providers to find solutions. COVID-19 will increase demand for health care services, but health care systems, along with State and Federal officials, are working to ensure adequate access.

How will COVID-19 testing be billed?

  • Medicare has generated new guidelines around COVID-19 testing and created a new CPT code that will go live on April 1.  Providers will begin using the code, and The Alliance is working on adding it to our system to ensure accurate application of our contract terms to billed charges.  It is possible that if someone is tested before April 1, they may get a bill.  If this happens, please contact The Alliance, and we will work with the individual regarding any claims filing and negotiated rate concerns they may have.

Is the testing for COVID-19 included in my benefit plan?

  • This is a question you should direct to your third-party administrator (TPA). Some public officials are asking health plans to remove financial barriers to testing and treatment. Please reach out to your TPA to ensure they are collaborating with your stop-loss company (if you have one) on benefit plan design changes.  Making changes mid-year can affect your stop-loss insurance, so it’s crucial to ensure all parties are aligned.

We will continue to monitor the situation, but if you have any questions, please reach out to Member Services. Thank you for being a valued member of The Alliance. Sincerely, Melina Kambitsi, Ph.D. SVP, Business Development and Strategic Marketing Additional resources:

Thursday, March 26th, 2020

Dear Valued Provider,

Now that Governor Tony Evers has issued an emergency “safer at home” order for the entire state of Wisconsin amid the COVID-19 pandemic, we want you to know The Alliance will remain working during normal business hours via remote access to comply with this order and safeguard the health of our employees. Here’s what this means for you:  

Any claims submitted electronically via Electronic Data Interchange (EDI) to The Alliance will continue to be unaffected by the “safer at home” order. However, claims mailed to The Alliance may be delayed. For faster processing paper claims can be faxed to 608-210-6677. Once the order is over, we will resume normal operation for processing paper claims.

Corrected Claims should be submitted via Electronic Data Interchange. If the corrected claim must be submitted by paper, please follow these instructions: The top of the claim form must clearly indicate “Corrected Claim.” Additionally, you must submit the entire original claim with all line items (not just the line being corrected). Please submit your paper claim via fax to 608-210-6677. 

If you have any questions regarding the above instructions, please email us, or call us at 800-223-4139.  Rest assured, we will continue to assess this rapidly changing situation and continue to relay updates with the utmost urgency and complete transparency. 

Thank you for working on the frontlines to take care of our members in the communities we serve and for your continued cooperation as we all work through this difficult situation together.

Kyle Monroe
VP, Network Development & Provider Relations
The Alliance

Thursday, March 26th, 2020

Dear Valued Partner, 

Now that Governor Tony Evers has issued an emergency “safer at home” order for the entire state of Wisconsin amid the COVID-19 pandemic, we want you to know The Alliance will remain working during normal business hours via remote access to comply with this order and safeguard the health of our employees.

We sent this message to our employers as well, letting them know that if they need to contact their Account Executive, to please continue to reach out as they normally would. If you have questions you can also email member servicesCustomer Service will be responding to calls throughout the day, but callers will need to leave a message which will be returned within the same business day. 

Rest assured, we will continue to assess this rapidly changing situation and continue to relay updates with the utmost urgency and complete transparency. Please know that we are working hard to continue our valuable partnership.

Thank you for your cooperation as we all work through this difficult situation together.

Melina Kambitsi, Ph.D.
Senior VP, Business Development & Strategic Marketing
The Alliance 


Friday, March 13th, 2020

Employers are receiving guidance on how to manage COVID-19, including suggestions that relate to health benefits and provider networks. We have received some questions and thought it might be helpful to share them – and our responses – with our members.

FAQs:  Does our network have adequate coverage for this pandemic?

  • The Alliance contracts with hospitals and clinicians to provide health care services to The Alliance enrollees. If you or your employees experience access issues with The Alliance contracted providers, please contact our customer service team at 800.223.4139. We will work with providers to find solutions. COVID-19 will increase demand for health care services, but health care systems, along with State and Federal officials, are working to ensure adequate access.

How will COVID-19 testing be billed?

  • Medicare has generated new guidelines around COVID-19 testing and created a new CPT code that will go live on April 1.  Providers will begin using the code, and The Alliance is working on adding it to our system to ensure accurate application of our contract terms to billed charges.  It is possible that if someone is tested before April 1, they may get a bill.  If this happens, please contact The Alliance, and we will work with the individual regarding any claims filing and negotiated rate concerns they may have.

Is the testing for COVID-19 included in my benefit plan?

  • This is a question you should direct to your third-party administrator (TPA). Some public officials are asking health plans to remove financial barriers to testing and treatment. Please reach out to your TPA to ensure they are collaborating with your stop-loss company (if you have one) on benefit plan design changes.  Making changes mid-year can affect your stop-loss insurance, so it’s crucial to ensure all parties are aligned.

We will continue to monitor the situation, but if you have any questions, please reach out to Member Services. Thank you for being a valued member of The Alliance. Sincerely, Melina Kambitsi, Ph.D. SVP, Business Development and Strategic Marketing Additional resources:

Thursday, March 26th, 2020

Dear Valued Partner,  

Now that Governor Tony Evers has issued an emergency “safer at home” order for the entire state of Wisconsin amid the COVID-19 pandemic, we want you to know The Alliance will remain working during normal business hours via remote access to comply with this order and safeguard the health of our employees. Here’s what this means for you:  

Any claims submitted electronically via Electronic Data Interchange (EDI) to The Alliance will continue to be unaffected by the “safer at home” order. Once the order is over, we will resume normal operation for processing paper claims. 

We cannot forward mail via USPS or UPS while this order is in effect. To ensure the flow of information between us remains uninterrupted, we will forward any documentation that cannot be sent via EDI by secure email instead. These emails will be sent to the designated operational representative that we currently have on file for your organization. If you prefer we forward to a different email address, or via fax, please contact me directly by email or 608-210-6601. 

We have forwarded this information to all Providers as well. If you have any questions regarding our processes and procedures, please email us, or call us at 800-223-4139.  

Rest assured, we will continue to assess this rapidly changing situation and continue to relay updates with the utmost urgency and complete transparency.  

Thank you for your continued cooperation as we all work through this difficult situation together.  

Carlene Boehmer
Director of Claims & Customer Service
The Alliance 


Friday, March 13th, 2020

Employers are receiving guidance on how to manage COVID-19, including suggestions that relate to health benefits and provider networks. We have received some questions and thought it might be helpful to share them – and our responses – with our members.

FAQs:  Does our network have adequate coverage for this pandemic?

  • The Alliance contracts with hospitals and clinicians to provide health care services to The Alliance enrollees. If you or your employees experience access issues with The Alliance contracted providers, please contact our customer service team at 800.223.4139. We will work with providers to find solutions. COVID-19 will increase demand for health care services, but health care systems, along with State and Federal officials, are working to ensure adequate access.

How will COVID-19 testing be billed?

  • Medicare has generated new guidelines around COVID-19 testing and created a new CPT code that will go live on April 1.  Providers will begin using the code, and The Alliance is working on adding it to our system to ensure accurate application of our contract terms to billed charges.  It is possible that if someone is tested before April 1, they may get a bill.  If this happens, please contact The Alliance, and we will work with the individual regarding any claims filing and negotiated rate concerns they may have.

Is the testing for COVID-19 included in my benefit plan?

  • This is a question you should direct to your third-party administrator (TPA). Some public officials are asking health plans to remove financial barriers to testing and treatment. Please reach out to your TPA to ensure they are collaborating with your stop-loss company (if you have one) on benefit plan design changes.  Making changes mid-year can affect your stop-loss insurance, so it’s crucial to ensure all parties are aligned.

We will continue to monitor the situation, but if you have any questions, please reach out to Member Services. Thank you for being a valued member of The Alliance. Sincerely, Melina Kambitsi, Ph.D. SVP, Business Development and Strategic Marketing Additional resources: