Report Potential Compliance Concerns
Fill out this form to report potential compliance concerns. There are examples of compliance concerns listed below. You can use this form to report a concern anonymously.
All fields marked with * are required and must be filled.
Please do not use this form to file a grievance or a dispute. If you are an Alliance member and you need to file a grievance or a dispute, please visit our grievance page.
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 |