{"version":"1.0","provider_name":"Alian\u00e7a Central da Calif\u00f3rnia para a Sa\u00fade","provider_url":"https:\/\/thealliance.health\/pt\/","author_name":"Sky Collins","author_url":"https:\/\/thealliance.health\/pt\/author\/scollinsccah-alliance-org\/","title":"Member Reimbursement Claim Form","type":"rich","width":600,"height":338,"html":"<blockquote class=\"wp-embedded-content\" data-secret=\"KjzG8utdDg\"><a href=\"https:\/\/thealliance.health\/pt\/medi-cal-health-care\/online-self-service\/claims-reimbursement\/\">Formul\u00e1rio de solicita\u00e7\u00e3o de reembolso de membro<\/a><\/blockquote><iframe sandbox=\"allow-scripts\" security=\"restricted\" src=\"https:\/\/thealliance.health\/pt\/medi-cal-health-care\/online-self-service\/claims-reimbursement\/embed\/#?secret=KjzG8utdDg\" width=\"600\" height=\"338\" title=\"\u201cFormul\u00e1rio de Reembolso para Membros \u2014 Alian\u00e7a Central da Calif\u00f3rnia para a Sa\u00fade\" data-secret=\"KjzG8utdDg\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\" class=\"wp-embedded-content\"><\/iframe><script>\n\/*! This file is auto-generated *\/\n!function(d,l){\"use strict\";l.querySelector&&d.addEventListener&&\"undefined\"!=typeof URL&&(d.wp=d.wp||{},d.wp.receiveEmbedMessage||(d.wp.receiveEmbedMessage=function(e){var t=e.data;if((t||t.secret||t.message||t.value)&&!\/[^a-zA-Z0-9]\/.test(t.secret)){for(var s,r,n,a=l.querySelectorAll('iframe[data-secret=\"'+t.secret+'\"]'),o=l.querySelectorAll('blockquote[data-secret=\"'+t.secret+'\"]'),c=new RegExp(\"^https?:$\",\"i\"),i=0;i<o.length;i++)o[i].style.display=\"none\";for(i=0;i<a.length;i++)s=a[i],e.source===s.contentWindow&&(s.removeAttribute(\"style\"),\"height\"===t.message?(1e3<(r=parseInt(t.value,10))?r=1e3:~~r<200&&(r=200),s.height=r):\"link\"===t.message&&(r=new URL(s.getAttribute(\"src\")),n=new URL(t.value),c.test(n.protocol))&&n.host===r.host&&l.activeElement===s&&(d.top.location.href=t.value))}},d.addEventListener(\"message\",d.wp.receiveEmbedMessage,!1),l.addEventListener(\"DOMContentLoaded\",function(){for(var e,t,s=l.querySelectorAll(\"iframe.wp-embedded-content\"),r=0;r<s.length;r++)(t=(e=s[r]).getAttribute(\"data-secret\"))||(t=Math.random().toString(36).substring(2,12),e.src+=\"#?secret=\"+t,e.setAttribute(\"data-secret\",t)),e.contentWindow.postMessage({message:\"ready\",secret:t},\"*\")},!1)))}(window,document);\n\/\/# sourceURL=https:\/\/thealliance.health\/wp-includes\/js\/wp-embed.min.js\n<\/script>","description":"Fill out the Member Reimbursement Claim Form to ask for reimbursement for covered services. If you have any questions or need assistance with this form, please call our Member Services department at 800-700-3874.","thumbnail_url":"https:\/\/thealliance.health\/wp-content\/uploads\/AllianceWhiteLogo.png"}