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
Billing questions, claims status, general claims information
General authorization information or questions
Checking the status of submitted authorizations
Authorizations, general pharmacy information or questions