Providing High-Value Health Care to Self-Funded Employers

We bridge the gap between providers and employers, partnering with you to bring high-quality, fairly priced services to employers, employees, and their families. Our strong employer connections and employee guidance initiatives can benefit your practice (or hospital or health system) while helping you care for your local community. To date, we’ve partnered with 32,000 doctors and health care providers across the Midwest, offering coverage to more than 100,000 people.

(For participating providers only)

Cloud
Compare
Cloud
Clouds

High-Value Health Care

What is High-Value Health Care — and how does it help more people access high-quality care at more affordable prices? Explore the four core drivers behind our High-Value Health Care philosophy.

Participating Provider Manual

Thank you for partnering with The Alliance! As a participating provider, you can find all your relevant policies and procedures below.

Service and Support

Claim Submission Guidelines

Find information on filing claims (electronically or paper), plus tips for quick claims turnaround.

Reimbursement Guidelines 

Find information on bundled services, category II codes, coding edits, a modifier reference guide, and more. 

Credentialing

Our credentialing process verifies training, experience, licensure, and competence to determine if a provider is fit to partner with The Alliance. 

Review Your Provider Directory Listing 

ID Card Example

The Alliance Logos and ID Cards

The Alliance has a few different logos that may appear on member ID Cards (represented below). These logos could appear on the front or back of the ID card.

Any of these logos on the ID Card mean your organization is in-network for the members and their dependents.

Participating Provider Responsibilities

Please review this overview of important contract reminders for participating providers. 

For participating providers only.

The Alliance Provider Claims Portal is your resource for quick convenient access to your claims information as processed by The Alliance. The portal is designed to provide real-time access within two business days to:

  • Claim Status
  • Contract Reimbursement Repricing Amounts
  • Third Party Administrator (TPA) Information including Phone, Fax and Address
  • Ability to Generate Customized Claims Processed Report in Excel
  • Ability to Generate a “Cover Sheet” with Contract Reimbursement Repricing Information for Submission to the TPA

Not yet Registered?

Alliance participating providers may register to use the Provider Claims Portal. Additional users at an existing registered provider must also register for use of the site.

    1. Complete the Provider Claims Portal Access Request PDF or Word Document.
    2. Upload and submit your request form.

Already Registered?

Subscribe to The Alliance Provider Newsletter

Get important updates regarding health care policy, additions to our provider network, employer stories, and more — all delivered straight to your inbox.

Current and Past Provider Newsletters:

 

I would like to receive updates on:
This field is for validation purposes and should be left unchanged.
Clouds
Contact Us

Have a question for our team? 

Clouds
Plant
logo