Provider News Posts
In order to ensure the provision of timely services in urgent or emergent situations, the Alliance offers referrals for certain conditions directly from the Emergency Department without referral from a PCP.
The Critical Role of Prenatal Tdap Immunization
Under the direction of Governor Gavin Newsom, the Department of Health Care Services (DHCS) recently notified Medi-Cal managed care health plans of the new Quality Measures that are required to be reported in 2020.
The Alliance has assembled a Depression Toolkit as a resource for primary care physicians and office staff.
Ensuring timely access to care is a priority of the Alliance, our providers, and the Department of Health Care Services (DHCS).
This year in the United States, more than 500 cases of measles have been confirmed. This is the second highest number of cases since measles was eradicated in the United States in 2000.
The Alliance’s April 1, 2019 pharmacy benefit change, listed below, has been reviewed and approved by the Pharmacy & Therapeutics (P&T) committee.
Providers can now submit Diabetic Retinal Exam data via the Provider Portal Data Submission Tool (DST).
All Alliance members are eligible to receive the Influenza vaccine. Members who are linked to your practice or to another PCP do not need a referral to receive vaccines.
The Alliance will be distributing your practice-specific Provider Performance Feedback Report for Healthcare Effectiveness Data and Information Set (HEDIS®) in the coming weeks.
The policies below are linked in the Alliance’s April 1, 2019 Provider Manual, currently published on the Alliance provider website
The Alliance’s expanded Urgent Visit Access program offers our members access to an urgent visit at an alternate clinic if the member’s primary care provider (PCP) is not available
The Alliance is excited to announce an enhancement to the Data Submission Tool (DST) on the Alliance Provider Portal.
Providers can expect changes to the appearance and functionality of the Alliance Provider Portal (the “Portal”) on Feb. 5, 2019
The Alliance has noted a declining trend in immunization rates in Santa Cruz, Monterey and Merced counties.
The Alliance offers the Provider Dispute Resolution Process for providers to resolve claim processing issues. In the past, providers completed a Provider Dispute Form to dispute a claim.
- « Previous
- 1
- …
- 15
- 16
- 17
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 |
