The Alliance Claims Department is committed to processing your claims as quickly and accurately as possible.
We work with DHCS (Medi-Cal and Electronic Data Systems) to maintain the most current Medi-Cal benefits and allowances.
For the most current billing guidelines and updates, please reference the Claims section of the Provider Manual.
Alliance providers are encouraged to use the Provider Portal for claims inquiries. If there are any additional questions, contact the Claims Department Monday – Friday, 8:30 a.m. to 4:30 p.m.
- 800-700-3874, ext. 5503
When calling about questions on a claim, please have the following information available:
- The Alliance Claims Control Number (CCN) and/or the member’s Alliance ID number (if the inquiry is regarding a newborn claim billed under the mother’s ID number, please indicate this at the beginning of the call).
- Date of service.
- Dollar amount billed.
- Date claim was sent to Alliance.
- Provider NPI.
- EDI Claims Enrollment Form (Web) | (PDF)
- EDI Claims Enrollment Form Instructions
- EDI Companion Guide - Transaction Instruction
- EDI Companion Guide - 837/835 Trading Partner Information
- EDI Companion Guide - 276/277 Information
- EDI Companion Guide - 270/271 Information
- Realtime Transaction EDI System Password Reset
Note: The Alliance's SFTP server will be offline the second Saturday of every month from 2:00 to 5:00 p.m. During this time, trade partners may not be able to submit EDI files or download acknowledgment files.
Disclaimer: The Alliance is not affiliated with the external organizations listed below. Information on these pages is maintained by external entities and the Alliance is not responsible for their content.
- ICD-10-CM Search
A powerful medical coding search engine that allows you to look up ICD-10 codes. Provides an extensive code browser where ICD-10-CM codes are arranged in a tree-like menu fashion based on their chapters and sub-chapters.
Simple search for medical and health care billing codes online. Current codes, accurate information on ICD-9 (ICD-9-CM and ICD-9-PCS), ICD-10-CM/PCS, CPT(R), HCPCS, PQRI and other billing codes and code sets. A free trial is available.
- ICD-10 Code Search
Mapping tool based on General Equivalency Mapping files published by CMS. Please note that this tool does not guarantee clinical accuracy, and clinical analysis may be needed to determine appropriate codes.
- ICD-10 Code Translator
The ICD-10 code online translator tool allows you to compare ICD-9 to ICD-10 codes. ICD-9 was expanded from 17,000 to approximately 141,000 ICD-10 codes, and this online tool can help you map that expansion. (note: this tool only converts ICD-10-CM codes, not ICD-10-PCS.)
Useful CMS Resources
ICD-10 Educational Videos from CMS
Other External Resources
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