Provider News Posts
Incorrect pricing on Anesthesia claims as result of rounding decimals has been corrected, effective 12/05/2022.
As of Dec. 4, you may notice the Alliance Provider Portal looks a little different when you log in.
Public health officials are requesting that health care providers take the following actions to reduce the number of emergency room and hospital visits.
Equity as an indicator of a successful health plan
The Alliance will be performing system maintenance Friday, December 2nd, 2022, starting at 7pm to conclude no later than Monday, December 5th, 2022, at 8am.
The Department of Health Care Services (DHCS) has adjusted Medi-Cal reimbursement rates for radiology services.
Starting Dec. 4, 2022, hair removal procedures including electrolysis and laser will require specific prior authorization documentation.
The Alliance would like to remind all network providers that balance billing Medi-Cal beneficiaries is prohibited by federal and state law.
The Alliance Claims Department is receiving a high volume of calls from provider offices’ billing services staff regarding Proposition 56 payments (Prop 56). Please share any of the following information with your billing services team as it is helpful.
The updated Provider Manual, effective October 1, 2022, posted on the Alliance provider website
The Alliance is notifying providers that DHCS adjusted certain Medi-Cal reimbursement rates for clinical laboratory or laboratory services.
The Alliance has implemented physician-administered drug benefit changes for September 2022.
Providers should regularly reassess the need for benzodiazepines for patients and discuss strategies for discontinuation.
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 |