{"version":"1.0","provider_name":"Central California Alliance for Health (la Alianza)","provider_url":"https:\/\/thealliance.health\/es\/","author_name":"Sky Collins","author_url":"https:\/\/thealliance.health\/es\/author\/scollinsccah-alliance-org\/","title":"Member Reimbursement Claim Form","type":"rich","width":600,"height":338,"html":"<blockquote class=\"wp-embedded-content\" data-secret=\"QbwH90SNp2\"><a href=\"https:\/\/thealliance.health\/es\/medi-cal-health-care\/online-self-service\/claims-reimbursement\/\">Formulario de Reclamo de Reembolso para Miembros<\/a><\/blockquote><iframe sandbox=\"allow-scripts\" security=\"restricted\" src=\"https:\/\/thealliance.health\/es\/medi-cal-health-care\/online-self-service\/claims-reimbursement\/embed\/#?secret=QbwH90SNp2\" width=\"600\" height=\"338\" title=\"\u201cFormulario de solicitud de reembolso de miembros\u201d \u2014 Central California Alliance for Health\" data-secret=\"QbwH90SNp2\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\" class=\"wp-embedded-content\"><\/iframe><script>\n\/*! This file is auto-generated *\/\n!function(d,l){\"use strict\";l.querySelector&&d.addEventListener&&\"undefined\"!=typeof URL&&(d.wp=d.wp||{},d.wp.receiveEmbedMessage||(d.wp.receiveEmbedMessage=function(e){var t=e.data;if((t||t.secret||t.message||t.value)&&!\/[^a-zA-Z0-9]\/.test(t.secret)){for(var s,r,n,a=l.querySelectorAll('iframe[data-secret=\"'+t.secret+'\"]'),o=l.querySelectorAll('blockquote[data-secret=\"'+t.secret+'\"]'),c=new RegExp(\"^https?:$\",\"i\"),i=0;i<o.length;i++)o[i].style.display=\"none\";for(i=0;i<a.length;i++)s=a[i],e.source===s.contentWindow&&(s.removeAttribute(\"style\"),\"height\"===t.message?(1e3<(r=parseInt(t.value,10))?r=1e3:~~r<200&&(r=200),s.height=r):\"link\"===t.message&&(r=new URL(s.getAttribute(\"src\")),n=new URL(t.value),c.test(n.protocol))&&n.host===r.host&&l.activeElement===s&&(d.top.location.href=t.value))}},d.addEventListener(\"message\",d.wp.receiveEmbedMessage,!1),l.addEventListener(\"DOMContentLoaded\",function(){for(var e,t,s=l.querySelectorAll(\"iframe.wp-embedded-content\"),r=0;r<s.length;r++)(t=(e=s[r]).getAttribute(\"data-secret\"))||(t=Math.random().toString(36).substring(2,12),e.src+=\"#?secret=\"+t,e.setAttribute(\"data-secret\",t)),e.contentWindow.postMessage({message:\"ready\",secret:t},\"*\")},!1)))}(window,document);\n\/\/# sourceURL=https:\/\/thealliance.health\/wp-includes\/js\/wp-embed.min.js\n<\/script>","description":"Fill out the Member Reimbursement Claim Form to ask for reimbursement for covered services. If you have any questions or need assistance with this form, please call our Member Services department at 800-700-3874.","thumbnail_url":"https:\/\/thealliance.health\/wp-content\/uploads\/AllianceWhiteLogo.png"}