Provider Directory Information Attestation Form
Senate Bill 137 requires the Alliance to solicit updated information from providers on a regular basis to ensure that the most accurate data for your practice is included in our Provider Directories.
After reviewing the listing for your practice that you received via email or fax, please confirm that all information is correct, or indicate any changes for each provider in your practice (including mid-level practitioners).
Contact Provider Services
|Cov Kev Thov
Billing questions, claims status, general claims information
General authorization information or questions
Checking the status of submitted authorizations
|Lub Tsev Muag Tshuaj
Authorizations, general pharmacy information or questions