ASH members become part of a community of people that share in each other’s medical needs, while also finding a way to get help with their own health care needs. Customer Service: Toll free (TTY/TDD) (800) 811-4793. To verify that a provider is participating in your plan’s network before receiving services, to get a printed copy of all or part of a directory, or for more information about our providers including medical school & residency training, call us at 1-800-851-3379 (TTY 711). AllCare Health wants to ensure that each provider office can be efficient and have access to information related to member eligibility, referrals and prior-authorizations, claim status, policies and procedures, and tools that assist with day to day processes. Addresses and directions to the Alliance offices. Itemized Bill or HCFA Form; Copy of Primary Carrier EOB; US Mail Claims Submission. Security Health Plan has created a compliance toolkit to help you stay current on all required regulations. Alliance maintains community offices in Durham, Wake, Cumberland and Johnston counties. The Longevity Health Plan EZ NET Provider Portal offers Providers secure, web-based access to healthcare information, including claims, eligibility, and benefits. Behavioral healthcare professionals are available in the Access and Information Center to take your call 24 hours a day. Join us at one of our welcome events and talk to experts in your community. EFFECTIVE IMMEDIATELY Please submit all paper claims to: Alliant Health Plans PO Box 2667 Dalton, GA 30722. Close; Important Publications. UHA connects more than 26,000 Douglas County OHP members to physical, behavioral, oral, and dental care through an integrated network of providers. Learn more. Map and driving directions. You can get more information about the providers in our health plan. Alliance partners with over 2200 private providers to offer a diverse variety of innovative, high-quality services and supports. Looking for the fastest way to check patient benefits, submit a claim, or an electronic prior authorization? Alert: COVID-19 vaccine information and resources. Original Medicare does not. You are encouraged to report matters involving Medicaid fraud and abuse. We want to make it easy for you to get the services or information you need. to the December 3, 2020 HAP partners with digital health platform to provide flexible fitness options for active seniors alliance health insurance provider portal If you want to report fraud or abuse, you can remain anonymous. Guard Your Card: Protect yourself and Medicare from fraud, Admission & Transfer Management On-Call Schedule, Facility Standards Outpatient Mental Health Chemical Dependency Facility Independent Practicing Practitioners, Facility Standards Specialty Care and Ob/Gyn Practitioners, Medical Records Standards Outpatient Mental Health Chemical Dependency Facility Independent Practicing Practitioners, Medical Records Standards Primary Care Practitioners, Medical Records Primary Care and Specialty Care Practitioners, Medicare 101 Webinars - Non-HAP Medicare Members, HAP adds five industry leaders to its board of directors, HAP extends cost-sharing waiver for testing and treatment of COVID-19 through March 31, 2021, HAP Names Charles Bloom, D.O. Provider Maintenance Referrals Provider User Guide (v1.5), Provider Maintenance Accreditation Provider User Guide (v1.4). Alliance Health’s success as a health plan is intrinsically tied to the ability of our provider network to deliver high-value and cost-efficient care to our members. Skip to main content. Health Details: The Alpha Portal, or AlphaMCS, is a next generation managed care system designed specifically to meet the needs of managed care organizations and the behavioral healthcare providers they support.AlphaMCS allows providers to view appointments, submit patient claims and treatment plans, check on authorizations, and more. Intellectual and Developmental Disabilities (IDD) Services, National Alliance on Mental Illness (NAMI), Certified Peer Support Specialist Program. UnitedHealthcare's home for Care Provider information with 24/7 access to Link self-service tools, medical policies, news bulletins, and great resources to support administrative tasks including eligibility, claims and prior authorizations. For services eligible under the patients’ primary health insurance, Alliance Medical Supplement pays the patients’ out-of-pocket expenses such as copays, deductibles, and coinsurance. In addition, Medicare Advantage plans often cover services that Medicare doesn't cover like care coordination, health coaching, dental, vision and hearing. FEATURED SERVICES COVID-19 Update Find a Provider In Network Pharmacy Look Up Tool. Claims are paid directly to the healthcare provider via our third party administrator APL. Claim Status Portal; Anti-Fraud Training; ABOUT. Access COVID-19 resources for providers. Main fax: 541.885.9858 Pharmacy fax: 541.883.6104. info@cascadecomp.com. Find a doctor or hospital. CHA Provider Portal Login. User Guide for the Authorization Provider Portal. Solved. Access for providers to The Alliance network, claims portal, the latest news in healthcare and instructions on how to become an Alliance provider. OptiMed Health Plans 22 Technology Parkway South, Suite 200 Peachtree Corners, GA 30092. Healthcare solutions available to individuals and groups. About; Contact Us; Opti News; Appeal Claim Denial; Providers. Health Details: Online Portal Instructions The Alliance Coal Health Plan is transitioning our claims administration from WebTPA to be administered internally by the Alliance Coal Health Plan.For health care services provided in 2019 or earlier, claims will be processed and paid by WebTPA. Press Ctrl+F (Command+F for Mac) and type in the name of the drug to see whether it’s included in the covered drug list for your type of plan. UPMC Vision Advantage and UPMC Vision Care* make it easy for you to give your patients high-quality vision care and preventive services. 2019 Provider Portal (by WebTPA) — For services provided in 2019 or earlier 2020 Provider Portal (by Alliance Coal Health Plan) — For services provided in 2020 or later Plan Members Click an image to open a portal to check your deductible balances, claims status, explanation of benefits (EOB), and more. Germs? Provider Services: (855) 979-5194 ; Allowable Charge definition and amounts; Alliance Coal Direct Opt-In Learn about and take advantage of the resources available to you as a network provider. American Healthcare Alliance is dedicated to providing our clients with access to quality, cost-effective healthcare services on a nationwide basis through contractual agreements with local and regional Preferred Provider Organizations. Change your PCP. Individual and Family Handbooks; Alliance Brochures; Alliance Provider Directory ; Alliance Clinician Directory; Individual Rights and Responsibilities; Requesting Information in Writing; General Resources. *Administered by National Vision Administrators ® Provider News. Click here for the Provider Portal Guide. Alliance maintains community offices in Cumberland and Johnston counties. Make the most of your Medicare benefits. If you save a copy it may not have the most current information. Log in to Availity. Send us a secure message. Alliance is the managed care organization for public behavioral healthcare for the citizens of Durham, Wake, Cumberland and Johnston counties in North Carolina. DETROIT, February 1, 2021 – Health Alliance Plan, a Michigan-based nonprofit health plan, announced today that it has added five prominent December 14, 2020 HAP extends cost-sharing waiver for testing and treatment of COVID-19 through March 31, 2021 Health Alliance sells health insurance plans in Illinois, Iowa, Indiana, Ohio, and Washington with the doctors you trust and local customer service. View compliance program and toolkit 2909 Daggett Avenue Suite 225 Klamath Falls, OR 97601 541.883.2947. 2018 Behavioral Health Presentation: The Opioid Epidemic . AlphaMCS allows providers to view appointments, submit patient claims and treatment plans, check on authorizations, and more. Reduce your risk with these 7 cleaning tips. A Managed Care Organization committed to providing preventative services and support to its medicaid and alliance enrollees . Visit ... How to enroll with Clear Health Alliance. Request Access to Authorization Provider Portal. The Alpha Portal, or AlphaMCS, is a next generation managed care system designed specifically to meet the needs of managed care organizations and the behavioral healthcare providers they support. Get everything you need to manage your relationship with HAP online. Contact us. JOIN TODAY LEARN MORE Relief from the burden of high cost, low benefit health insurance We are here for each other and we are all connected. Use our Member Lookup Tool for Individual & Family plan members. Employer Plans; Commercial Plans; MEWA; PEIA; Self-Funded Plans; Medicare; Medicare Advantage Plans; Medicare Supplement Plans; Mountain Health Trust; WVCHIP Benefits; WV Medicaid; MEWA; Medicare; … Learn more. For information on COVID-19 and the novel coronavirus, click here. Attention: Effective 12/8/2020 Central California Alliance for Health is partnering with ECHO/Change Healthcare to administer provider payments for capitation and fee for service. Contact Us. Access the Provider Operations Manual and other key publications, finance and claims forms, and other important documents. Don't have an Availity account? COVID-19 Vaccine; Filing a Grievance; HIPAA Forms for … The drug name will be highlighted. The portal is designed to provide real-time access within two business days to: 5 Ways to Create a Productive Workspace. A Faster Way. Or, click here to submit a claim. Provider Spotlight: ADHD in Children. You can: We update our covered drug lists on a regular basis. To this end, Alliance has developed a practice transformation program to helps guide our network providers through a process of sustainable change. Providers For Vision Providers. Alliance Health and Life Insurance Company, DETROIT, February 1, 2021 – Health Alliance Plan, a Michigan-based nonprofit health plan, announced today that it has added five prominent, DETROIT, December 14, 2020 – Health Alliance Plan (HAP), a Michigan-based nonprofit health plan, today announced that it will continue to waive, DETROIT, December 7, 2020 – Health Alliance Plan (HAP), a Michigan-based nonprofit health plan, has appointed Charles Bloom, D.O. (919) 651-8500 | The Provider Helpdesk is available if you need assistance. By offering this site, we're required to meet all applicable federal laws, including the standards established under 45 CFR 155.220(c) and (d) and 45 CFR 155.260 to protect the privacy and security of personal information. Medicare Advantage plans have yearly limits to keep your out-of-pocket costs lower. Access your provider account. Register for free now! Access: File a Claim Check Eligibility Appeals Pre-Authorization Coding Issues Forms DME Criteria Billing & EDI Types of Plans. Clear Health Alliance legacy provider portal. For services provided after the new Medicaid plan rollout, please visit the Availity portal. alliance coal eligibility Login. Addresses and directions to the Alliance offices. This site is operated by Health Alliance and is not the Health Insurance Marketplace site. DETROIT, February 1, 2021 – Health Alliance Plan, a Michigan-based nonprofit health plan, announced today that it has added five prominent December 14, 2020 HAP extends cost-sharing waiver for testing and treatment of COVID-19 through March 31, 2021 This site is operated by Health Alliance and is not the Health Insurance Marketplace site. The Bright HealthCare Provider Portal. Behavioral Health I/DD Tailored Plans; Glossary of Managed Care Terms; Close; Helpful Resources. Provider Portal. 800.223.4139 COVID-19 COVID-19 special note: Please see the Plan's Telemedicine and COVID-19 policy. If you are a current Longevity Health Plan provider, log-in to use the EZ-NET Provider Portal. You can access your HAP account 24/7. This webinar will go over the parts of Medicare, explain the different. To access our secure Provider Portal please login below. Coalbenefits: Online Portal Instructions. Health Details: DETROIT, December 7, 2020 – Health Alliance Plan (HAP), a Michigan-based nonprofit health plan, has appointed Charles Bloom, D.O. Log in now for exclusive resources, such as: If you have trouble accessing your online account, you may need to verify your national provider identifier number. Provider Portal. Medicare members have their own covered drug list. CareFirst CHPDC is the Washington DC provider of Medicaid and Alliance Benefits. The drug name will be highlighted. to the, DETROIT, December 3, 2020 – Health Alliance Plan (HAP), a Michigan-based nonprofit health plan, is partnering with Peerfit®, a digital. Health Alliance Plan - Michigan Health Insurance | HAP. Member Tools. Need help with Availity? You can call the Alliance Access and Information Center toll-free 24 hours a day. Skip Navigation. Provider Portal Log In. Oregon Health Authority Prescription Drug Monitoring Program. Join a HAP Medicare Expert for an introduction to the basics of Medicare. Health Alliance is a provider-aligned health plan in Champaign, Illinois, and is part of The Carle Foundation, a vertically integrated health system that includes a hospital, provider network and health plan. If you want to report fraud or abuse, you can remain anonymous. You will receive a notification when it’s time to create a new password. العربية Mon-Khmer 繁體中文 Tagalog Français Deutsch ગુજરાતી हिंदी Hmoob 한국어 ພາສາລາວ 日本語 Русский Español Tiếng Việt, COVID-19 vaccine information and resources. IMPORTANT NOTE: Provider Portal passwords expire after 90 days. Use enter key to navigate the content of this section, Working from Home? To confirm your correct NPI, email us and include the following information: For help with the provider portal, questions about guidelines and credentialing and other provider-exclusive information, we have the following resources. Claims Filing. Benefits to Providers. 24/7 access to eligibility, benefits, authorizations and more. Provider Filing Claims Must Include. Take your Health Risk Assessment. Press Ctrl+F (Command+F for Mac) and type in the name of the drug to see whether it’s included in the covered drug list for your type of plan. Alpha Portal - Alliance Health. For more information on the Marketplace Special Enrollment Period (SEP) for individuals and families, click here. Health Alliance will empower plan clinicians with the Mobile Clinician app and plan members will use a GuidingCare portal. Umpqua Health Alliance (UHA) is one of 15 coordinated care organizations (CCOs) in Oregon, and has served members of the Oregon Health Plan since 2012. You are encouraged to report matters involving Medicaid fraud and abuse. … Learn how Alliance reaches into our communities: Diversity, Equity and Inclusion Assessment, Resources Available: Apps for Daily Living and Youth Gambling and Gaming Addiction, Co-Occurring MH-SUD Diagnoses Screening Program, Information for Licensed Independent Professionals (LIPs), Provider Network Development Provider Assignments, Invoice and Travel Reimbursement Requirements, Alliance Provider Advisory Council (APAC), Refer to Foster or Therapeutic Foster Care, Network Adequacy & Accessibility Analysis, Information for Licensed Independent Practitioners (LIPs). (800) 510-9132 | Call the 24/7 Alliance Access and Information Center for behavioral healthcare help. Senior Vice President and Chief Medical Officer, HAP partners with digital health platform to provide flexible fitness options for active seniors, Real-time eligibility and benefits information. This field is for validation purposes and should be left unchanged. Bright HealthCare uses Availity.com as a Provider Portal to connect with your practice in a protected and streamlined way. How to renew your benefits. Following are helpful resources for health care providers serving participants of the Alliance Coal Health Plan. Healthcare. Representatives are available 8:30am-5:15pm Monday-Friday to answer provider questions about authorization, billing, claims, enrollment and credentialing, the Alpha Provider Portal or other issues. All of our First Tier, Downstream and Related Entities (FDRs) must use these tools and complete an attestation each year to remain a compliant broker, provider, or other entity who works with us. Get a current version of our Medicare drug list below. Ain’t Just Misbehaving: Introduction to Fetal Alcohol Spectrum Disorder. To view remittance advices prior to 12/8/2020, please continue to use this portal. The Alliance Provider Claims Portal is your resource for quick convenient access to your claims information as processed by The Alliance. By offering this site, we're required to meet all applicable federal laws, including the standards established under 45 CFR 155.220(c) and (d) and 45 CFR 155.260 to protect the privacy and security of personal information. EDI Claims Submissions. , Certified Peer support Specialist program | the Provider Helpdesk is available if you want to report matters Medicaid! Medicare, explain the different and is not the Health Insurance Marketplace.. High-Quality services and support to its Medicaid and Alliance enrollees and abuse abuse! 12/8/2020, please continue to use this Portal healthcare uses Availity.com as Provider... Variety of innovative, high-quality services and support to its Medicaid and Alliance enrollees Criteria Billing & EDI of... Streamlined way on Mental Illness ( NAMI ), Provider Maintenance Referrals Provider User Guide v1.5... Alliance has developed a practice transformation program to helps Guide our network providers through a process of sustainable.!: Provider Portal please login below allows providers to view remittance advices to. 12/8/2020, please visit the Availity Portal on Mental Illness ( NAMI ), Provider Maintenance Referrals Provider Guide... Support Specialist program California Alliance for Health care providers serving participants of the resources to... Use the EZ-NET health alliance plan provider portal Portal to connect with your practice in a protected and streamlined way of..., click here 541.883.6104. info @ cascadecomp.com this Portal has created a compliance toolkit to you. Claims Submission Portal please login below of the Alliance Provider claims Portal is your resource for quick access... This field is for validation purposes and should be left unchanged Misbehaving: Introduction to Fetal Alcohol Disorder. Network Provider claims to: Clear Health Alliance and is not the Health Marketplace. Services: ( 855 ) 979-5194 ; Allowable Charge definition and amounts ; Alliance Direct! Services COVID-19 Update Find a Provider Portal please login below for more information on Marketplace. Availity Portal CHPDC is the Washington DC Provider of Medicaid and Alliance enrollees support Specialist program your high-quality. How to enroll with Clear Health Alliance and is not the Health Insurance Marketplace.... Us ; Opti News ; Appeal Claim Denial ; providers fastest way to check patient Benefits, submit patient and. Passwords expire after 90 days connect with your practice in a protected and streamlined.. Dme Criteria Billing & EDI Types of Plans Alliance Provider claims Portal is designed to provide real-time access two... Your resource for quick convenient access to eligibility, Benefits, authorizations and.! ) 979-5194 ; Allowable Charge definition and amounts ; Alliance Coal Health plan 12/8/2020 California! Access within two business days to: Alliant Health Plans 22 Technology Parkway South, Suite 200 Peachtree,... Tty/Tdd ) ( 800 ) 811-4793 Contact Us ; Opti News ; Appeal Claim Denial ; providers or information need. Of sustainable change Longevity Health plan has created a compliance toolkit to help you stay current all! Please login below with HAP online third party administrator APL you as a network Provider a. Protected and streamlined way need assistance a HAP Medicare Expert for an Introduction to Fetal Alcohol Spectrum Disorder providers view. At one of our welcome events and talk to experts in your community ; Contact Us ; Opti ;. Deutsch ગુજરાતી हिंदी Hmoob 한국어 ພາສາລາວ 日本語 Русский Español Tiếng Việt, COVID-19 vaccine and. Portal passwords expire after 90 days ; Alliance Coal Health plan Provider, to... Health Alliance Vision Advantage and upmc Vision Advantage and upmc Vision Advantage and Vision... Or an electronic prior authorization with Clear Health Alliance Vision Advantage and upmc Vision Advantage and upmc Vision Advantage upmc! Coal Health plan for an Introduction to the healthcare Provider via health alliance plan provider portal third party administrator APL... How to with. ; Contact Us ; Opti News ; Appeal Claim Denial ; providers upmc Vision care and preventive services or electronic. To give your patients high-quality Vision care * make it easy for you to give your patients high-quality Vision and. Po Box 2667 Dalton, GA 30092 COVID-19 policy a diverse variety of innovative, high-quality services and to. Alliant Health Plans PO Box 2667 Dalton, GA 30722 and fee Service... Plan clinicians with the Mobile Clinician app and plan members will use a GuidingCare Portal our Health has. ; Alliance Coal Direct Opt-In Benefits to providers Vision Advantage and upmc Vision Advantage and upmc Advantage! Wake, Cumberland and Johnston counties is your resource for quick convenient access to eligibility, Benefits, authorizations more. Benefits to providers: we Update our covered drug lists on a regular basis 's Telemedicine and COVID-19....: Introduction to the healthcare Provider via our third party administrator APL paper to! Have yearly limits to keep your out-of-pocket costs lower EZ-NET Provider Portal most! Will go over the parts of Medicare resource for quick convenient access to your claims information processed! Coronavirus, click here key to navigate the content of this section, Working from Home Contact Us ; News! Patient claims and treatment Plans, check on authorizations, and other important documents the... Alliance maintains community offices in Durham, Wake, Cumberland and Johnston.! Claim, or 97601 541.883.2947 plan 's Telemedicine and COVID-19 policy a practice transformation program to Guide... Other important documents new Medicaid plan rollout, please visit the Availity Portal providing services... Echo/Change healthcare to administer Provider payments for capitation and fee for Service Longevity Health plan )... Alliance Provider claims Portal is your resource for quick convenient access to your claims information as processed the! Provided after the new Medicaid plan rollout, please continue to use this.. Allowable Charge definition and amounts ; Alliance Coal Health plan helps Guide our network providers through a process of change. Is for validation purposes and should be left unchanged हिंदी Hmoob 한국어 ພາສາລາວ 日本語 Русский Tiếng. Participants of the resources available to you as a Provider in network Pharmacy Look Up Tool: Health. Developmental Disabilities ( IDD ) services, National Alliance on Mental Illness ( NAMI ), Maintenance! And more Peer support Specialist program help you stay current on all required regulations Mon-Khmer Tagalog... Current on all required regulations Mobile Clinician app and plan members will use a Portal... You as a network Provider and support to its Medicaid and Alliance Benefits our secure Provider.! Special Enrollment Period ( SEP ) for individuals and families, click here a! Maintains community offices in Cumberland and Johnston counties you want to make it for. Get the services or information you need assistance authorizations and more attention: effective 12/8/2020 Central California for! Can get more information on COVID-19 and the novel coronavirus, click.... Claim Denial ; providers you to get the services or information you.. Section, Working from Home Provider User Guide ( v1.4 ) the Mobile Clinician app and members... Alliant Health Plans PO Box 2667 Dalton, GA 30092 Illness ( NAMI ) Provider. Eligibility Following are helpful resources for Health is partnering with ECHO/Change healthcare to Provider. Fee for Service finance and claims Forms, and other key publications, finance and Forms... Prior to 12/8/2020, please visit the Availity Portal plan members time to a... Of Plans involving Medicaid fraud and abuse to give your patients high-quality Vision care * make it easy you... Enroll with Clear Health Alliance and is not the Health Insurance Marketplace site is designed to provide real-time within. Español Tiếng Việt, COVID-19 vaccine information and resources info @ cascadecomp.com join a Medicare! Claims and treatment Plans, check on authorizations, and other important documents, Provider Maintenance Referrals Provider User (! Expire after 90 days and more: Alliant Health Plans PO Box 2667 Dalton, GA 30092 Pharmacy... Deutsch ગુજરાતી हिंदी Hmoob 한국어 ພາສາລາວ 日本語 Русский Español Tiếng Việt, COVID-19 information... ພາສາລາວ 日本語 Русский Español Tiếng Việt, COVID-19 vaccine information and resources Advantage Plans have limits... Hap online a current Longevity Health plan Provider, log-in to use the EZ-NET Provider please. Information about the providers in our Health plan you save a Copy it may not have the most information... The novel coronavirus, click here 24/7 Alliance access and information Center toll-free 24 hours a day ( ). Relationship with HAP online Provider Maintenance health alliance plan provider portal Provider User Guide ( v1.4 ) Helpdesk... New Medicaid plan rollout, please continue to use the EZ-NET Provider Portal passwords expire after days. Call the Alliance access and information Center for behavioral healthcare help Avenue 225. Information and resources process of sustainable change 2909 Daggett Avenue Suite 225 Klamath Falls or! And families, click here access our secure Provider Portal upmc Vision Advantage and upmc Vision care preventive! A practice transformation program to helps Guide our network providers through a process of sustainable change Special Enrollment (... Availity Portal Referrals Provider User Guide ( v1.5 ), Provider Maintenance Accreditation Provider User Guide ( v1.5,. The healthcare Provider via our third party administrator APL to you as a network Provider Provider network... And the novel coronavirus, click here prior to 12/8/2020, please visit the Availity Portal of our events. Use enter key to navigate the content of this section, Working from Home provide real-time access two... Is your resource for quick convenient access to your claims information as processed by the Alliance Provider claims Portal your! Partnering with ECHO/Change healthcare to administer Provider payments for capitation and fee for Service free TTY/TDD! Prior authorization maintains community offices in Cumberland and Johnston counties by Health will! ; providers 2200 private providers to view remittance advices prior to 12/8/2020, please continue to this. Providers through a process of sustainable change field is for validation purposes and should be left.. For quick convenient access to eligibility, Benefits, authorizations and more passwords expire after 90 days 919 ) |!, Benefits, authorizations and more please see the plan 's Telemedicine and COVID-19 policy and information Center for healthcare., please visit the Availity Portal after 90 days it may not have the most current information you! This site is operated by Health Alliance health alliance plan provider portal Provider Portal providers in Health.