Skip to main content

Skip to content

Find a Doctor
Nurse Line
Provider Portal
Contact Us
English
Hmong
Spanish
aA Accessibility Tools
GrayscaleAAA

English
Hmong
Spanish

AllianceWhiteLogo

For Members
For Providers
For Communities
Health Plans
About Us

For Members
For Providers
For Communities
Health Plans
About Us

Web-Site-InteriorPage-Default

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

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

Contact us | Toll free: 800-700-3874

Button - Go To Page Top

Get Help

Nurse Advice Line
Language Assistance
Frequently Asked Questions

Member Resources

GRIEVANCE FORM
Member Handbook
Health and Wellness Rewards
Continuity of Care Policy

The Alliance

Careers
Contact Us

Accessibility Tools

Healthy people. Healthy communities.

Glossary of Terms
Privacy Policy
Terms and Conditions
Nondiscrimination Notice
Notice of Privacy Practices
Technical Information
Site Map

© 2023 Central California Alliance for Health | Website Feedback