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Home > Provider Services

Provider Services

12212020_AccessTransgenderServices_Fax
Angelica Baltazar, Jim Lyons, Pending 2022 Review

12212020_Auth_Process_Update_Fax_Email
Angelica Baltazar, Jim Lyons, Pending 2022 Review

20201216_321570-H_Pfizer_StandingOrders-319pm
Angelica Baltazar, Jim Lyons, Pending 2022 Review

20201216_321629-E_VTF_ScreenChecklistContraPrec
Angelica Baltazar, Jim Lyons, Pending 2022 Review

2021-Provider-Satisfaction-Survey-Executive-Summary
Angelica Baltazar, Jim Lyons, Pending 2022 Review

2R_Minors-Rights-Statement
Angelica Baltazar, Jim Lyons, Pending 2022 Review

AdvanceDirective_Eng
Angelica Baltazar, Jim Lyons, Pending 2022 Review

AdvanceDirective_Span
Angelica Baltazar, Jim Lyons, Pending 2022 Review

Alliance Provider Directory API Documentation
Angelica Baltazar, Jim Lyons, Pending 2022 Review

Allied_Credentialing_Application
Jessie Dybdahl, Pending 2022 Review

AUTH_STATUS_REQUEST
Angelica Baltazar, Jim Lyons, Pending 2022 Review

Breastfeeding_Benefit_Description
Angelica Baltazar, Jim Lyons, Pending 2022 Review

CBAS_Inquiry_Form
Angelica Baltazar, Jim Lyons, Pending 2022 Review

Certification_Debarment
Angelica Baltazar, Jim Lyons, Pending 2022 Review

Certification_Regarding_Lobbying
Angelica Baltazar, Jim Lyons, Pending 2022 Review

CORP_Procedure-Code-Lookup-Tool-Job-Aid_D_EN
Angelica Baltazar, Jim Lyons, Pending 2022 Review

Corrected_Claim_Form
Pending 2022 Review, Sharlene Gianopoulos

Grievance_Tracking
Angelica Baltazar, Jim Lyons, Pending 2022 Review

IBCLC_Consultants_and_Vendor_List
Angelica Baltazar, Jim Lyons, Pending 2022 Review

ID_of_Overpayment_Form
Angelica Baltazar, Jim Lyons, Pending 2022 Review

Locum_Tenens_Notification
Angelica Baltazar, Jim Lyons, Pending 2022 Review

Medical_Clearance_for_Dental_Anesthesia
Angelica Baltazar, Jim Lyons, Pending 2022 Review

MEM_2021-website-launch_F_ENG
Angelica Baltazar, Jim Lyons, Pending 2022 Review

MEM_2021-website-launch_F_HM
Angelica Baltazar, Jim Lyons, Pending 2022 Review

MEM_2021-website-launch_F_SP
Angelica Baltazar, Jim Lyons, Pending 2022 Review

MEM_Online-Provider-Directory-Tutorial_ENG
Angelica Baltazar, Jim Lyons, Pending 2022 Review

Member_Appt_No_Show_Notification
Angelica Baltazar, Jim Lyons, Pending 2022 Review

New_Non_PCP_Training
Angelica Baltazar, Jim Lyons, Pending 2022 Review

New_Provider_Training

New_Provider_Training
Angelica Baltazar, Jim Lyons, Pending 2022 Review

PAG_Packet_20210603
Angelica Baltazar, Jim Lyons, Pending 2022 Review

PCL_combined
Angelica Baltazar, Jim Lyons, Pending 2022 Review

PCR_AUTH_REF
Angelica Baltazar, Jim Lyons, Pending 2022 Review

PCS_NEMT_Form
Angelica Baltazar, Jim Lyons, Pending 2022 Review

Alliance Care IHSS Provider Directory — PD_IHSS
Angelica Baltazar, Jim Lyons, Pending 2022 Review

CCAH Merced County Provider Directory — PD_MC_Merced
Angelica Baltazar, Jim Lyons, Pending 2022 Review

CCAH Monterey and Santa Cruz County Provider Directory — PD_MC_SC_MTRY
Angelica Baltazar, Jim Lyons, Pending 2022 Review

POLST_2017_wCover
Angelica Baltazar, Jim Lyons, Pending 2022 Review

Provider Portal Quick Reference — Portal_Quick_Reference_Linked_Members
Minerva Galvan, Pending 2022 Review

PROV_2021-website-launch_F_ENG
Angelica Baltazar, Jim Lyons, Pending 2022 Review

PROV_Change-in-Ownership_F_EN
Jessie Dybdahl, Pending 2022 Review

PROV_COVID_Vaccine-Administration-Providers_F_ENG
Angelica Baltazar, Jim Lyons, Pending 2022 Review

PROV_DME-Credentialing-Application_F_ENG
Jessie Dybdahl, Pending 2022 Review

PROV_ECM-CS-Invoice-FAQ
Angelica Baltazar, Jim Lyons, Pending 2022 Review

PROV_Maximizing-Routine-IZ-during-COVID_ENG
Angelica Baltazar, Jim Lyons, Pending 2022 Review

PROV_Member_Satisfaction_Toolkit_2021
Angelica Baltazar, Jim Lyons, Pending 2022 Review

PROV_Non-Physician-Medical-Practitioner_F_ENG
Jessie Dybdahl, Pending 2022 Review

PROV_Organizational-Provider-Credentialing-Application_F_ENG
Jessie Dybdahl, Pending 2022 Review

PROV_Outpatient-Laboratory-Provider-Credentialing-Application_F_ENG
Jessie Dybdahl, Pending 2022 Review

PROV_PassThrough-SupplementalPayments_FAQ_ENG
Angelica Baltazar, Jim Lyons, Pending 2022 Review

PROV_Physician-Credentialing-Application_F_ENG
Jessie Dybdahl, Pending 2022 Review

PROV_Transportation-Credentialing-Application_F_ENG
Jessie Dybdahl, Pending 2022 Review

Provider Portal Reports Webinar FAQ Guide
Minerva Galvan, Pending 2022 Review

Alliance Provider Manual — Provider_Manual
Angelica Baltazar, Jim Lyons, Pending 2022 Review

Provider_Manual_072022
Angelica Baltazar, Jim Lyons, Pending 2022 Review

Provider_Manual_2022
Angelica Baltazar, Jim Lyons, Pending 2022 Review

Provider-incentive-flyer
Jim Lyons, Pending 2022 Review

Provider Portal User Guide — Provider-Portal-User-Guide
Minerva Galvan, Pending 2022 Review

RA_Guide
Angelica Baltazar, Jim Lyons, Pending 2022 Review

Request_Member_Reassignment_Form
Angelica Baltazar, Jim Lyons, Pending 2022 Review

Request to Opt In – Electronic Transmission Form — Request-to-Opt-in-Form
Jessie Dybdahl, Jim Lyons, Pending 2022 Review

Spanish_POLST_2016
Angelica Baltazar, Jim Lyons, Pending 2022 Review

TeleMed2U_flyer_EN
Angelica Baltazar, Jim Lyons, Pending 2022 Review

Transportation_Services_Request_Form
Angelica Baltazar, Jim Lyons, Pending 2022 Review

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