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.
If you are not already receiving our email publications, you can sign up for our digital news updates.
Alliance Formulary Update
The Alliance’s April 1, 2019 pharmacy benefit change, listed below, has been reviewed and approved by the Pharmacy & Therapeutics (P&T) committee.
Upload Diabetic Retinal Exams via the Data Submission Tool
Providers can now submit Diabetic Retinal Exam data via the Provider Portal Data Submission Tool (DST).
2018-2019 Influenza Season Billing/Coding Updates
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.
HEDIS 2018 Provider Performance Feedback Report
The Alliance will be distributing your practice-specific Provider Performance Feedback Report for Healthcare Effectiveness Data and Information Set (HEDIS®) in the coming weeks.
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 |
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