Provider Credentialing Applications and Policies
Prospective Alliance providers are required to complete the appropriate credentialing application. You can find provider credentialing applications and policies below.
If you are unsure of which application to complete, please submit an Application Request form. Our Provider Services Department will contact you to confirm which of the following applications to use.
Contact Provider Services
Billing questions, claims status, general claims information
General authorization information or questions
Checking the status of submitted authorizations
Authorizations, general pharmacy information or questions