The Alliance Provider Relations Team
Kyle Monroe
VP, Network Development &
Provider Relations
Email Kyle
Deb Kunferman
Director of Network
Development
Email Deb
Holly Dooley
Network Development
Manager
Email Holly
Jess Ellefson
Network Development
Specialist
Email Jess
Jess Robinson
Network Development
Manager
Email Jess
Participating Provider Manual
Thank you for partnering with us as a Participating Provider. This online Provider Manual serves as a resource for policies and procedures that affect you as a Participating Provider.
Participating Provider Resources and Information
Find quick links to the information you’re looking for below!
We’ve placed a great amount of information online for instant access; however, if you need to speak with a Provider Service Representative please submit this contact form or call 1.800.223.4139.
Participating Provider Responsibilities
- Review important contract reminders for participating providers.
Provider Forms
Add a New Practitioner- Provider Updates Form
Use this form to:- Change or Term a Practitioner
- Add an Additional Location
- Change or Term a Location
- Update a Billing Address
- Update your Organization Contacts
- Fee Analysis Request for Current Participating Providers Only