Member Reimbursement Claim Form
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.
Contact Member Services
- Monday through Friday, from 8 a.m. to 5:30 p.m.
- Phone: 800-700-3874
- Deaf and Hard of Hearing Assistance
Alliance TTY Line: 877-548-0857
- Nurse Advice Line
Accessing Alliance Services
October 7, 2021
September 21, 2021
September 13, 2021
August 20, 2021
August 4, 2021