Provider News Posts
Announcing TotalCare D-SNP
The issue causing rejections for Breast Cancer Screenings through the Data Submission Tool (DST) is now fixed.
Effective July 21, the Alliance will require providers to use a new template when responding to member grievances.
We value your feedback and invite you to participate in our upcoming Provider Satisfaction Survey.
The Alliance is hosting two Provider orientation sessions for our new D-SNP program.
It’s important to accurately report Present On Admission (POA) indicators to avoid payment delays, ensure accurate claim payment and compliance with Medi-Cal requirements.
We’re proud to share that the health plan has earned both NCQA Health Plan Accreditation and Health Equity Accreditation.
The Alliance is hosting a series of virtual office hours for our new Behavioral Health providers! These sessions offer attendees a chance to connect with our experts, ask questions and get support as we transition to offering behavioral health services in-house.
Partnership now live, with services available for eligible patients across Central California
Caring for the whole person: We’re bringing behavioral health in-house
Attend an upcoming webinar about how California Advancing and Innovating Medi-Cal (CalAIM) supports children and youth impacted by adverse childhood experiences (ACEs) and toxic stress.
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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 |