Close; Important Publications. View compliance program and toolkit Main fax: 541.885.9858 Pharmacy fax: 541.883.6104. info@cascadecomp.com. You can get more information about the providers in our health plan. 2909 Daggett Avenue Suite 225 Klamath Falls, OR 97601 541.883.2947. Send us a secure message. Use our Member Lookup Tool for Individual & Family plan members. 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). Solved. 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. to the, DETROIT, December 3, 2020 – Health Alliance Plan (HAP), a Michigan-based nonprofit health plan, is partnering with Peerfit®, a digital. 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. Claims Filing. This field is for validation purposes and should be left unchanged. 24/7 access to eligibility, benefits, authorizations and more. We want to make it easy for you to get the services or information you need. Health Alliance will empower plan clinicians with the Mobile Clinician app and plan members will use a GuidingCare portal. UPMC Vision Advantage and UPMC Vision Care* make it easy for you to give your patients high-quality vision care and preventive services. 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. 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. Germs? Log in to Availity. If you are a current Longevity Health Plan provider, log-in to use the EZ-NET Provider Portal. 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. Claim Status Portal; Anti-Fraud Training; ABOUT. 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. Register for free now! For services provided after the new Medicaid plan rollout, please visit the Availity portal. Provider News. The Bright HealthCare Provider Portal. Looking for the fastest way to check patient benefits, submit a claim, or an electronic prior authorization? Learn more. 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 You will receive a notification when it’s time to create a new password. Medicare Advantage plans have yearly limits to keep your out-of-pocket costs lower. *Administered by National Vision Administrators ® Alliance is the managed care organization for public behavioral healthcare for the citizens of Durham, Wake, Cumberland and Johnston counties in North Carolina. Change your PCP. 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. 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. 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 Access COVID-19 resources for providers. This webinar will go over the parts of Medicare, explain the different. Oregon Health Authority Prescription Drug Monitoring Program. If you want to report fraud or abuse, you can remain anonymous. CHA Provider Portal Login. Provider Portal Log In. Get a current version of our Medicare drug list below. Addresses and directions to the Alliance offices. The Longevity Health Plan EZ NET Provider Portal offers Providers secure, web-based access to healthcare information, including claims, eligibility, and benefits. Skip Navigation. User Guide for the Authorization Provider Portal. Alpha Portal - Alliance Health. A Managed Care Organization committed to providing preventative services and support to its medicaid and alliance enrollees . Bright HealthCare uses Availity.com as a Provider Portal to connect with your practice in a protected and streamlined way. The drug name will be highlighted. Alliance maintains community offices in Cumberland and Johnston counties. Member Tools. You are encouraged to report matters involving Medicaid fraud and abuse. 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. Clear Health Alliance legacy provider portal. Following are helpful resources for health care providers serving participants of the Alliance Coal Health Plan. The Alliance Provider Claims Portal is your resource for quick convenient access to your claims information as processed by The Alliance. Coalbenefits: Online Portal Instructions. Original Medicare does not. Find a doctor or hospital. Join us at one of our welcome events and talk to experts in your community. 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. This site is operated by Health Alliance and is not the Health Insurance Marketplace site. The drug name will be highlighted. COVID-19 Vaccine; Filing a Grievance; HIPAA Forms for … 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. To this end, Alliance has developed a practice transformation program to helps guide our network providers through a process of sustainable change. If you save a copy it may not have the most current information. COVID-19 special note: Please see the Plan's Telemedicine and COVID-19 policy. 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. … Intellectual and Developmental Disabilities (IDD) Services, National Alliance on Mental Illness (NAMI), Certified Peer Support Specialist Program. Provider Portal. Claims are paid directly to the healthcare provider via our third party administrator APL. Learn more. 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. Provider Filing Claims Must Include. Access: File a Claim Check Eligibility Appeals Pre-Authorization Coding Issues Forms DME Criteria Billing & EDI Types of Plans. Learn about and take advantage of the resources available to you as a network provider. Provider Portal. Provider Spotlight: ADHD in Children. Take your Health Risk Assessment. Access your provider account. Access the Provider Operations Manual and other key publications, finance and claims forms, and other important documents. 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. Ain’t Just Misbehaving: Introduction to Fetal Alcohol Spectrum Disorder. Get everything you need to manage your relationship with HAP online. Healthcare. 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. Provider Services: (855) 979-5194 ; Allowable Charge definition and amounts; Alliance Coal Direct Opt-In This site is operated by Health Alliance and is not the Health Insurance Marketplace site. Behavioral Health I/DD Tailored Plans; Glossary of Managed Care Terms; Close; Helpful Resources. Use enter key to navigate the content of this section, Working from Home? Skip to main content. Provider Maintenance Referrals Provider User Guide (v1.5), Provider Maintenance Accreditation Provider User Guide (v1.4). Contact us. CareFirst CHPDC is the Washington DC provider of Medicaid and Alliance Benefits. AlphaMCS allows providers to view appointments, submit patient claims and treatment plans, check on authorizations, and more. Health Alliance sells health insurance plans in Illinois, Iowa, Indiana, Ohio, and Washington with the doctors you trust and local customer service. Health Details: DETROIT, December 7, 2020 – Health Alliance Plan (HAP), a Michigan-based nonprofit health plan, has appointed Charles Bloom, D.O. 2018 Behavioral Health Presentation: The Opioid Epidemic . FEATURED SERVICES COVID-19 Update Find a Provider In Network Pharmacy Look Up Tool. Behavioral healthcare professionals are available in the Access and Information Center to take your call 24 hours a day. Alert: COVID-19 vaccine information and resources. You can call the Alliance Access and Information Center toll-free 24 hours a day. Login. 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. Access for providers to The Alliance network, claims portal, the latest news in healthcare and instructions on how to become an Alliance provider. 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; … Customer Service: Toll free (TTY/TDD) (800) 811-4793. Or, click here to submit a claim. (800) 510-9132 | Call the 24/7 Alliance Access and Information Center for behavioral healthcare help. Individual and Family Handbooks; Alliance Brochures; Alliance Provider Directory ; Alliance Clinician Directory; Individual Rights and Responsibilities; Requesting Information in Writing; General Resources. To access our secure Provider Portal please login below. For information on COVID-19 and the novel coronavirus, click here. 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). You can access your HAP account 24/7. How to renew your benefits. Addresses and directions to the Alliance offices. Alliance maintains community offices in Durham, Wake, Cumberland and Johnston counties. A Faster Way. The portal is designed to provide real-time access within two business days to: UHA connects more than 26,000 Douglas County OHP members to physical, behavioral, oral, and dental care through an integrated network of providers. Medicare members have their own covered drug list. 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. Health Alliance Plan - Michigan Health Insurance | HAP. Reduce your risk with these 7 cleaning tips. 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. IMPORTANT NOTE: Provider Portal passwords expire after 90 days. 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. 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. OptiMed Health Plans 22 Technology Parkway South, Suite 200 Peachtree Corners, GA 30092. Contact Us. 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. 5 Ways to Create a Productive Workspace. Benefits to Providers. If you want to report fraud or abuse, you can remain anonymous. To view remittance advices prior to 12/8/2020, please continue to use this portal. Map and driving directions. Itemized Bill or HCFA Form; Copy of Primary Carrier EOB; US Mail Claims Submission. About; Contact Us; Opti News; Appeal Claim Denial; Providers. 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. (919) 651-8500 | The Provider Helpdesk is available if you need assistance. EFFECTIVE IMMEDIATELY Please submit all paper claims to: Alliant Health Plans PO Box 2667 Dalton, GA 30722. Alliance partners with over 2200 private providers to offer a diverse variety of innovative, high-quality services and supports. Join a HAP Medicare Expert for an introduction to the basics of Medicare. Click here for the Provider Portal Guide. 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. For more information on the Marketplace Special Enrollment Period (SEP) for individuals and families, click here. Visit ... How to enroll with Clear Health Alliance. You can: We update our covered drug lists on a regular basis. Don't have an Availity account? In addition, Medicare Advantage plans often cover services that Medicare doesn't cover like care coordination, health coaching, dental, vision and hearing. Make the most of your Medicare benefits. 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. 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. Healthcare solutions available to individuals and groups. 800.223.4139 COVID-19 alliance coal eligibility Security Health Plan has created a compliance toolkit to help you stay current on all required regulations. Request Access to Authorization Provider Portal. Need help with Availity? 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. to the December 3, 2020 HAP partners with digital health platform to provide flexible fitness options for active seniors alliance health insurance provider portal Providers For Vision Providers. Info @ cascadecomp.com and supports Disabilities ( IDD ) services, National Alliance on Illness. Have the most current information ( SEP ) for individuals and families click! Covid-19 Update Find a Provider in network Pharmacy Look Up Tool and Developmental Disabilities ( IDD ) services, Alliance... 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