Participating Provider Claims Submission Guidelines
For accurate claim(s) filing, follow the submission instructions on the patient’s ID card. Most of our enrollees’ claims are submitted directly to The Alliance®, unless otherwise indicated on the ID card.
Electronic Claims Filing
Sending and receiving claims via Electronic Data Interchange (EDI) is a great way to ensure more timely payments. With EDI claims, we’re able to reprice and send the claim on to the Third-Party Administrator (TPA) in just a few hours. We work with several clearinghouses for electronic claims submissions.
The Alliance payer identification numbers are as follows:
RelayHealth (McKesson): Payer ID # 2712 (CMS-1500) and # 1935 (UB)
Emdeon/Optum EDI/most others: Payer ID # 88461
Contact us if you’d like EDI connectivity or to use an electronic submitter not listed.