Administering High-Value Health Care for Employers

TPA Toolkit

Download this toolkit to learn more about The Alliance and our partnership.

Download the TPA Toolkit

QualityPath^® Resources

Download these resources to implement our QualityPath program.

• TPA Implementation Overview (.pdf) – Last Updated 11.19.2019
• Trigger Codes
  • CT & MRI (.xlsx)
  • Colonoscopy (.pdf)
• Total Knee and Hip Replacement Bundles (.docx)
• View our infographic of the QualityPath process

Logos and ID Cards

Employees and their families should have proper identification on health plan IDs to guarantee savings and accurate data when visiting participating providers. This can be done in one of two ways:

• On current health plan ID cards: place an Alliance sticker (if you need a sticker, contact salessupport@the-alliance.org).
• On re-printed health plan ID cards: make sure to include The Alliance logos (click here to download) with the following name and mailing address prominently displayed.

The Alliance Claims Dept.
P.O. Box 44365
Madison, WI 53744-4365

While not required, we also encourage you to include our payer ID numbers (these can appear anywhere near our address on the ID card):

Change Healthcare #88461
Relay Health 1500 CPID #2712
Relay Health UB CPID #1935

Cards must state that providers should submit all medical claims except those for prescription drugs, dental, and vision if a carve-out directly to The Alliance. This applies to all providers, whether or not they participate with The Alliance.

The Alliance Logos

Download the Alliance Logos

All new ID cards for Alliance members must be approved by The Alliance.

View a sample ID card

Find a Doctor Website Button

Employers may find it helpful to link to our Find a Doctor tool on their benefits website or intranet.

Please advise the employer’s web manager to remove any links to our old provider directory and replace them with this code.