Portal del Proveedor
The Alliance’s Provider Portal offers quick and easy online access to the tools and information you need to streamline your administrative processes.
Contracted Alliance providers can use the Provider Portal to:
- Check member eligibility.
- View and search remittance advice.
- View patient prescription history and medication management agreements.
- Submit authorization requests.
- Search for authorization and referral requests.
- Check processed claims, including service line details and payment information.
Contracted primary care providers can use the Provider Portal to:
- Access quarterly and monthly quality reports.
- Search, view and download linked member lists and reports.
- Submit referrals.
Setting up an account
Sign up for a Provider Portal account to get started.
Have the following information ready to complete the form:
- Provider’s name.
- NPI #.
- Tax ID #.
- User’s contact name, phone number, title and email address.
- Office manager's name and email address.
Once you have provided your registration information, the Provider Portal Support Specialist will contact you to help set up your account.
To help you get familiar with the Provider Portal, we provide online resources including a user guide, quick reference and answers to frequently asked questions.
For additional questions or concerns regarding the Provider Portal, please contact the Provider Portal Support Specialist at 831-430-5518.
Contact Provider Services
| General | 831-430-5504 |
| Reclamos Billing questions, claims status, general claims information |
831-430-5503 |
| Authorizations General authorization information or questions |
831-430-5506 |
| Authorization Status Checking the status of submitted authorizations |
831-430-5511 |
| Farmacia Authorizations, general pharmacy information or questions |
831-430-5507 |
Provider Portal Resources
Latest Provider News
