Behavioral Health Provider Referral Form
Providers can complete this form to refer a member to local behavioral health care coordination services.
Contact Provider Services
| General | 831-430-5504 |
| Claims 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 |
| Pharmacy Authorizations, general pharmacy information or questions |
831-430-5507 |
Provider Resources
Contact Escalation
If providers are having a difficult time connecting members to care, please contact Alliance Provider Services for support at [email protected] or 831-430-5504.
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