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Who Do I Call? A Quick Reference Guide for Providers

When you have questions, either The Alliance or the third party administrator (TPA) may be best able to provide you with an answer.

Use this guide to determine who to contact:

Call The Alliance at 800.223.4139

  • Your network status
  • Your provider agreement
  • Employer identification
  • Repricing or claim/repricing not received by the BPA
  • Claim questions

Call the Third Party Administrator (TPA) found on the enrollee’s ID Card

  • Claims status, payment and/or denial
  • Benefits
  • Eligibility
  • Pre-authorization
  • Deductible/Co-insurance Amounts

Find the ID Card example here:

ID Card