Provider News
The Alliance shares provider news to keep contracted providers informed about upcoming trainings, Medi-Cal updates, Alliance health campaigns and resources, regulatory requirements and more.
Contracted Alliance providers will automatically receive a print copy of our quarterly Provider Bulletin.
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2020 DHCS Encounter Data Audit
The Health Services Advisory Group (HSAG) will be conducting their annual Department of Health Care Services (DHCS) encounter data (claims) audit starting in February 2020.
Billing Requirements for Physician Administered Drugs
The Alliance is required to submit encounter data to the Department of Health Care Services (DHCS).
Billing Requirements for Hospital Inpatient Services: Statement Dates
In order to comply with Department of Health Care Services (DHCS) requirements, inpatient claims must only bill for services dated within the statement date.
2020 HEDIS Season is Here!
The annual Healthcare Effectiveness Data and Information Set (HEDIS®) project is underway!
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 |