Nominate a Provider

If you learn that your health care provider is not part of The Alliance network you can “nominate” them to be contacted by The Alliance. Unfortunately, this does not guarantee that a provider will become a part of our network. The Alliance determines provider network growth based on: employer needs and network adequacy for our enrollees. Any services provided will be billed at out-of-network rates until an agreement is reached between The Alliance and the nominated provider.

Fill out the nomination form below or you can call The Alliance at  800.223.4139 and ask to speak to Customer Service.


After entering your information, you may be signed up to receive occasional communication from The Alliance®.  We will not sell or share your information with any third party at any time.  If you change your mind, you can unsubscribe at any time.  For more information, please view our Terms of Service and Privacy Policy.

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