For your personal security, please refrain from sharing your health and personal information such as medical history, date of birth and social security number over the web. Salt Lake City, UT 84130-0547. Alignment Health Plan. If you are interested in contracting with Alignment, please click the Reach Out button to email us and make sure to include: 2023 Alignment Health. Illinois Capitated Financial Alignment Model Demonstration (Medicare-Medicaid Alignment Initiative) SPOTLIGHT & RELEASES Key Dates February 22, 2013 - CMS and Illinois sign MOU March 1, 2014 - Start of opt-in enrollment June 1, 2014 - Start of passive enrollment September 14, 2016 - CMS, Illinois, & participating plans execute an updated three-way contract Monday to Friday. For contracting opportunities, please visit, 2023 Alignment Health. Alignment Health delivers 24/7 on-demand access MASON, OH 45040-9398 CENTRAL HEALTH MEDICARE PLAN 1540 BRIDGEGATE DR. MAIL STOP 3000 ET, Sat - Sun 10 a.m. - 7 p.m. ET, 1-844-227-7615 (TTY: 711) BOX 14010 ORANGE, CA 92863-9936 BLUE SHIELD 65 BLUE SHIELD 65 PLUS HMO PO BOX 927 6300 CANOGA AVENUE WOODLAND , https://www.epicmanagementlp.com/resources/claimsappeals.aspx, Health (7 days ago) WebThe following hospital and/or physician groups accept Alignment Health Plan Sutter Advantage (Medicare Advantage HMO). Enrollment in Alignment Health Plan depends on contract renewal. Health (7 days ago) WebProvider Log-in Alignment Health Plan Providers Home > Providers > Provider Tools (Log-in Required) Providers Provider resources Part D Information , https://www.ahcusaweb.com/ProviderWeb/ClaimEncounter.aspx, Health (2 days ago) WebAlignment Healthcare Payer ID: AHCA1; Electronic Services Available (EDI) Professional/1500 Claims: YES: Institutional/UB Claims: YES: Electronic Remittance , https://www.claim.md/payer/AHCA1/Alignment, Health (1 days ago) WebALIGNMENT HEALTH PLAN P.O. Copyright 2023 Alignment Health Plan. Monkeypox & Coronavirus Information: Click Here. All Rights Reserved. Call 855-759-9700 Monday-Saturday from 7:00am-6:00pm. Some people depicted are models. All Rights Reserved. Monkeypox & Coronavirus Information: Click Here. Monkeypox & Coronavirus Information: Click Here. The longitudinal patient record allows care providers to access the health plans view of information associated with a member including gaps in care, claims, eligibility, utilization, pharmacy, labs, care management, communications and documents. Alignment Health Plan providers and their staff can verify member eligibility, submit reports and find information to assist with day-to-day operations through a dedicated portal. Posted: July 18, 2022. https://www.alignmenthealth.com/Contact Category: Health Show Health Claims Appeals & Reimbursements - EPIC Management, L.P Health (1 days ago) WebLEXINGTON, KY 40512. Contact Us; Forgot Username; Forgot Password; Schedule a Demo (855) 757-6060 This website makes use of licensed stock photography. Box 22698 Long Beach, CA 90801-5616 Alignment Health offers a variety of Medicare Advantage plan options through Alignment Health Plan in California. BECOME A PART OF THE Alignment Health Family Join the thousands of Medicare beneficiaries who are already enjoying , Health (7 days ago) WebProvider Log-in Alignment Health Plan Providers Home > Providers > Provider Tools (Log-in Required) Providers Provider resources Part D Information , https://www.ahcusaweb.com/ProviderWeb/ClaimEncounter.aspx, Health (9 days ago) WebMail Claims to: EASY CARE MSO's Clients (IPA and Hospital) ATTN: Claims Department 3780 Kilroy Airport Way, Suite 530 Long Beach, CA 90806 Level II: Provider , http://easycaremso.com/services/claims-deparment/, Health (1 days ago) WebALIGNMENT HEALTH PLAN P.O. https://www.alignmenthealth.com/Contact Alignment Health Plan complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Check your claim's status online. I have been given authorization to register for this website by and solely on behalf of the MSO/IPA/Provider Group/Hospital or other entity that is contracted , https://www.ahcusaweb.com/ProviderWeb/Register.aspx, Health (8 days ago) WebThe original claim must be received by The Health Plan 180 days from the date of service. Stockton, CA 95209, 413 E. Orangeburg Avenue, Suite B Orange, CA 92868. In the event the claim requires resubmission, health care providers have 180 days from , https://www.healthplan.org/providers/claims-support/claims, Health (7 days ago) WebProvider Services / Claims ( 877 ) 853 - 8019 ( 855 ) 297 - 4247 Enrollment ( 855 ) 593 - 5757 Care Management ( 888 ) 995 - 1689 7(32) 421 - 4317 Mailing Address for , https://cdn.cloverhealth.com/filer_public/42/81/4281d73a-da6b-4a65-a435-66018e627e04/clover-provider-manual-phone-directory.pdf, Health (7 days ago) WebDetails drug coverage for Alignment Health Plan Alignment Health Sutter Advantage (HMO) in California. Some people depicted are models. Please verify that your system is setup correctly for this payer Alignment Health Care ALL CCHPC Y G Allcare Health CCO ALL MRIPA Y G Allegiance Benefit Plan Management Inc (837I & P) ALL 81040 Y G Blue Cross of Idaho ID IDBLC Y T Blue Cross of Illinois IL 00621 Y N Blue Cross of Kansas (835s returned under KSBLS) KS 57325 Y N. LA Office of . Empire Plan Toll free. For electronic instructions and submission, visit Sutter Link. In many instances, to keep your confidential information private, a secure connection between this third party website and ours will be established. BECOME A PART OF THE Alignment Health Family Join the thousands of Medicare beneficiaries who are already enjoying exclusive benefits offered to Alignment Health members and experience a new level of care that puts you first. Alignment Health Plan providers and their staff can verify member eligibility, submit reports and find information to assist with day-to-day operations through a dedicated portal. Were here and ready to answer your questions. Monkeypox & Coronavirus Information: Click Here. Try to keep all information in the latest update and will update as per receive any new information. In the event the claim requires resubmission, health care providers have 180 days from , https://www.healthplan.org/providers/claims-support/claims, Health (6 days ago) WebContact Us . This website makes use of licensed stock photography. How should I proceed if a claim has been denied at the point of sale for a MMAI participant? 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . The MMAI demonstration project began providing coordinated care to Medicare-Medicaid enrollees in the Chicagoland area and Central Illinois beginning March 2014. Alignment Health Plan Medicare Advantage Plans with Part D Medicare Health Speak to a Licensed Insurance Agent 833-835-0205 Mon - Fri 7 a.m. - 10 p.m. Theyre on top of everything! Enrollment in Alignment Health Plan depends on contract renewal. For contracting opportunities, visit our Providers page, 1100 W. Town and Country Road, Suite 1600 Alignments operational policy and procedures that support many of our programs and services are outlined in our provider operations manual. No Yes. In conjunction with ACCESS On-Demand Concierge, our newest program offering all members a concierge health care experience, our app is designed to make your health care accessible anywhere, at any time. For any medical emergency, please call 911 immediately. Monkeypox & Coronavirus Information: Click Here. Customer care representatives are available to assist you. Job Number: 4161. To put the senior first, Alignment supports their doctors. The beauty of VIP-level service without VIP-level costs. 2023 guidance Insurance MCR range of 89% - 91%, and Non-Insurance MCR range of 98% to 100%. 1-844-310-2247. All rights reserved | Email: [emailprotected], Alignment healthcare claims mailing address, Prohealth physicians glastonbury pediatrics, Alignment health plan claims mailing address. Click the 'broken page' icon. This news release constitutes a "designated news release" for the pu Some people depicted are models. Alliance Provider Support is available to answer provider questions about authorization, billing, claims, enrollment, ACS, or other issues. Alignment HealthCenters are available by appointment only. Contact Us: Alignment Health Health (9 days ago) Web1100 W Town and Country Rd, Suite 1600. Now serving more members than ever, in 2023, we add Florida and Texas, and expand our plans in Arizona, California, Nevada and North Carolina. A provider authorization system, Access Express is currently available for contracted IPA providers and directly contracted providers. 1-844-310-2247, TTY 711 Available: Monday to Friday, 8 a.m. to 5 p.m., PT Alignment Health Corporate Headquarters 1100 W. Town and Country Road, Suite 1600 Orange, CA 92868 1-844-310-2247 Directions Page last updated on September 21, 2022 | Y0141_23209EN Monkeypox & Coronavirus Information: Click Here. Box 211314 Eagan, MN 55121 Sutter Health Plus includes the claims submission address for all other services on the back of the member's identification card. Monkeypox & Coronavirus Information: Click Here, Prior Authorization Guidelines for Nondelegated Providers, County/counties where services are provided, National Provider Identifier (NPI) and Council for. For help accessing licensed dentists who are able to perform assessments, write prescriptions if needed, and advise on pain management strategies by phone, please call Liberty Dental, Alignment Health Plan's dental benefit manager, at 1-866-454-3008 (TTY 711). Shop for a Plan. AvailableMonday to Friday, 8 a.m. to 8 p.m.PT / 11 a.m. to 11 p.m. Downey Alignment Health Center 11525 Brookshire Ave, Suite 400 Downey, CA 90241 Directions MAIN: 323-201-6800 AllCare Stockton Clinic 2339 W. Hammer Lane, Suite A Stockton, CA 95209 Directions MAIN: 209-622-4680 AllCare Orangeburg Clinic 413 E. Orangeburg Avenue, Suite B Modesto, CA 95350 Directions MAIN: 209-622-4680 AllCare Granger Clinic Alignment Healthcare offers health plan options through Alignment Health Plan, and also partners with select health plans to help deliver better benefits at lower costs. Focused on the delivery of in-home care, Care Anywhere is Alignments program for our highest risk members. BOX 14010 ORANGE, CA 92863-9936 BLUE SHIELD 65 BLUE SHIELD 65 PLUS HMO PO BOX 927 6300 CANOGA AVENUE WOODLAND HILLS, CA 91365-9856 BLUE CROSS SENIOR GRIEVANCES AND APPEALS OH0205-A537 MAIL LOCATION 4361 IRWIN SIMPSON RD. Note that MultiPlan does not process, reprice or pay Medicare Advantage claims. With a simple phone call, your personal concierge will schedule doctor appointments, arrange transportation, and answer your health care questions24 hours a day, 7 days a week. While we strive to keep this list up to date, it's always best to check with your health plan to determine the specific details of your coverage, including benefit designs and Sutter provider participation in your provider network. Alignment Health Contact Us Corporate Office 1100 W Town and Country Rd, Suite 1600 Orange, CA 92868 1-844-310-2247 Hours of Operation Monday to Friday 8 am - 5 pm Sales Department 1-888-979-2247 Hours of Operation October 1 through March 31 8 am - 8 pm 7 days a week (except Thanksgiving and Christmas) April 1 through September 30 8 am - 8 pm View Plan. Join the thousands of Medicare beneficiaries who are already enjoying exclusive benefits offered to Alignment Health members and experience a new level of care that puts you first. ACCESS EXPRESS Click here to read the full disclaimer. Kaiser Permanente Member Services Phone Number. All Rights Reserved. Provider Portal Login About About Managed Groups . Introducing a new kind of Medicare Advantage plan to Nevada residents, Alignment Healthdelivers the personal care and attention seniors deserve all at the low cost they want. In the event the claim requires resubmission, health care providers have 180 days from , https://www.healthplan.org/providers/claims-support/claims, Prohealth physicians glastonbury pediatrics, Alignment health plan claims mailing address, 2021 health-improve.org. BECOME A PART OF THE Alignment Health Family Join the thousands of Medicare beneficiaries who are already enjoying . Log In or Register. Anthem Blue Cross. Alignment Health Plan complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. For plans with Part D Coverage: You may be able to get Extra Help to pay for your prescription drug premiums and costs. Orange, CA 92868. Alignment Health Plan is an HMO, HMO POS, HMO C-SNP, HMO D-SNP and PPO plan with a Medicare contract and a contract with the California, Florida, Nevada and North Carolina Medicaid programs. If you wish to stay on the Alignment Health Plan website, please click cancel. Available Monday to Friday, 8 a.m. to 5 p.m. PT / 11 a.m. to 8 p.m. If there is any discrepancy please let us know through the contact form. Monkeypox & Coronavirus Information: Click Here. We will reply to you within the next business day. 2023 Financial Guidance and Outlook Provides for Continued Execution on Growth and Operational Excellence. Find an Alignment Health-affiliated network doctor, hospital, skilled nursing facility or other health care provider near you. If the denial is because the claim did not include the necessary 4Rx data, please follow the procedure described above. Comprehensive, affordable. Alignments Patient 360 is a provider-facing dashboard that presents a snapshot of a members health and treatment history to help providers facilitate care coordination. Available 24 hours a day, 7 days a week, 1-844-361-4712 (TTY: 711) Other information . We are purposeful and passionate believers in what we can do for seniors. The health plans STAR rating directly impacts quality bonus payments, which are used to improve benefits and services for members. Direct EDI: Alignment Health Plan Attn: Provider Claims Appeals PO Box 14010 Orange, CA 92863-9936 Central Health Please note that only contracted providers are eligible to register. Get in Touch 1-888-979-2247 Kaiser Permanente of Colorado (Denver/Boulder) New Members: 844-639-8657. In North Carolina, Alignment Health is an independent health care provider that accepts certain Medicare Advantage plans in Wake County. All Rights Reserved. All Rights Reserved. We can also assist you if you require further treatment in finding a local dentist. BOX 14010 ORANGE, CA 92863-9936 BLUE SHIELD 65 BLUE SHIELD 65 PLUS HMO PO BOX 927 6300 CANOGA AVENUE WOODLAND , https://www.epicmanagementlp.com/resources/claimsappeals.aspx, Health (7 days ago) WebProvider Log-in Alignment Health Plan Providers Home > Providers > Provider Tools (Log-in Required) Providers Provider resources Part D Information , https://www.ahcusaweb.com/ProviderWeb/ClaimEncounter.aspx, Health (Just Now) WebAlignment Health Plan Attn: Provider Claims Appeals PO Box 14010 Orange, CA 92863-9936 Anthem blue cross Attn: Appeals and Grievances Department Mailstop: OH0205 , Health (Just Now) WebAlignment Healthcare Payer ID: AHCA1; Electronic Services Available (EDI) Professional/1500 Claims: YES: Institutional/UB Claims: YES: Electronic Remittance , https://www.claim.md/payer/AHCA1/Alignment%20Healthcare.html, Health (7 days ago) WebIt is important to note that not all of the Sutter Health network of providers necessarily participate in all of a health plan's products or networks. In the event the claim requires resubmission, health care providers have 180 days from the date of the original denial or 180 days from the DOS, whichever is greater. Health (9 days ago) WebAlignment Health Contact Us Corporate Office 1100 W Town and Country Rd, Suite 1600 Orange, CA 92868 1-844-310-2247 Hours of Operation Monday to Friday 8 am - 5 pm Sales Department 1-888-979-2247 Hours , Health (Just Now) WebTo put the senior first, Alignment supports their doctors. Alignment Health offers Medicare Advantage plans through Alignment Health Plan in three counties in the greater Raleigh area, and in 2022, has expanded its service area to 15 counties. If you are interested in contracting with Alignment, please click the Reach Out button to email us and make sure to include: Provider/entity name , https://www.alignmenthealth.com/Partners/Providers, Health (7 days ago) WebProvider Log-in Alignment Health Plan Providers Home > Providers > Provider Tools (Log-in Required) Providers Provider resources Part D Information , https://www.ahcusaweb.com/ProviderWeb/ClaimEncounter.aspx, Health (2 days ago) WebElectronic Services Available (EDI) Professional/1500 Claims: YES: Institutional/UB Claims: YES: Electronic Remittance (ERA) YES: ERA Enrollment Required, https://www.claim.md/payer/AHCA1/Alignment, Health (Just Now) WebMail Claims to: EASY CARE MSO's Clients (IPA and Hospital) ATTN: Claims Department 3780 Kilroy Airport Way, Suite 530 Long Beach, CA 90806 Level II: Provider , https://easycaremso.com/services/claims-deparment/, Health (7 days ago) WebProvider Services / Claims ( 877 ) 853 - 8019 ( 855 ) 297 - 4247 Enrollment ( 855 ) 593 - 5757 Care Management ( 888 ) 995 - 1689 7(32) 421 - 4317 Mailing Address for , https://cdn.cloverhealth.com/filer_public/42/81/4281d73a-da6b-4a65-a435-66018e627e04/clover-provider-manual-phone-directory.pdf, Health (8 days ago) WebAlignment Healthcare offers HMO plan options to California residents through the Alignment Health Plan, and partners with select health plans in North Carolina and , https://rocketreach.co/alignment-healthcare-profile_b5f41d29f42d2aee, Health (1 days ago) WebALIGNMENT HEALTH PLAN P.O. While we strive to keep this list up to date, it's , https://www.sutterhealth.org/health-plan/plan/alignment/alignment-health-plan-sutter-advantage-medicare-advantage-hmo, Health (9 days ago) WebPaper Claims (CMS 1500, UB04, PM160) Mail Claims to: EASY CARE MSO's Clients (IPA and Hospital) ATTN: Claims Department 3780 Kilroy Airport Way, Suite 530 Long , http://easycaremso.com/services/claims-deparment/, Health (2 days ago) WebClaims If you are a contracted or non-contracted provider seeking information about a claim, please view the Claims Resource document. Monkeypox & Coronavirus Information: Click Here. Communications are issued by Horizon Blue Cross Blue Shield of New Jersey in , https://www.horizonnjhealth.com/securecms-documents/458/How_To_File_A_Corrected_Claim_Flier_2016.pdf, Health (6 days ago) Webthis claim. Can't log in? PO Box 30547. Transforming health care delivery starts with Alignment. Find an Alignment Health-affiliated network doctor, hospital, skilled nursing facility or other health care provider near you. At Alignment Health, we believe the relationship between doctors and the communities they serve is second to none. Alignment Health Plan Anthem Blue Cross Blue Shield of California Health Net LA Care Health Plan Provider Services Contact Information Email: MCSelectProvider@memorialcare.org Phone: (855) 367-7747 TTY/TDD: 711 Provider Manuals This section is being updated, please contact Provider Services for more information. 1-844-310-2247. Position Title: Sr. Claims Examiner. I understand that personal information provided by me during registration for . Modesto, CA 95350, 2023 Alignment Health. Alignment Alignment Health Plan My Choice (Medicare Advantage PPO) Alignment Health Plan Sutter Advantage (Medicare Advantage HMO) Retiree Options (Medicare Advantage HMO) Effective January 1, 2022 Retiree Options (Medicare Advantage PPO) Effective January 1, 2022 Anthem Blue Cross of California Advantage HMO Advantage PPO (Tier 1) Non-contracted hospitals are required to obtain prior authorization for , https://thealtamedhealthnetwork.com/claims, Health (7 days ago) WebProvider Services / Claims ( 877 ) 853 - 8019 ( 855 ) 297 - 4247 Enrollment ( 855 ) 593 - 5757 Care Management ( 888 ) 995 - 1689 7(32) 421 - 4317 Mailing Address for , https://cdn.cloverhealth.com/filer_public/42/81/4281d73a-da6b-4a65-a435-66018e627e04/clover-provider-manual-phone-directory.pdf, Health (1 days ago) WebProviders. Monkeypox & Coronavirus Information: Click Here. the MMAI plan provider network contact listed in an answer below. About this app. Maricopa Pima Visit Site ACCESS EXPRESS A provider authorization system, Access Express is currently available for contracted IPA providers and directly contracted providers. Effective , https://www.sutterhealth.org/for-patients/non-participating-provider-appeal, Health (2 days ago) WebProvider Services / Claims ( 877 ) 853 - 8019 Enrollment ( 855 ) 593 - 5757 Care Management ( 888 ) 995 - 1689 80( 0) 308 - 1107 Mailing Address for Claims: , https://cdn.cloverhealth.com/filer_public/f2/37/f23723f0-8a62-41f5-936e-8fe3ec15be90/provider_quickreference_guide_v02.pdf, Health (Just Now) WebUB-04 claims: UB-04 should be submitted with the appropriate resubmission code in the third digit of the bill type (for corrected claim this will be 7), the original claim number in , https://www.horizonnjhealth.com/securecms-documents/458/How_To_File_A_Corrected_Claim_Flier_2016.pdf, United healthcare provider look up tool, Prohealth physicians glastonbury pediatrics, Baptist health louisville saint matthews, Alignment healthcare claims mailing address, Alignment health plan claims mailing address, 2021 health-improve.org. This website makes use of licensed stock photography. For health-related issues, we recommend you reach out to your clinic and/or doctor directly. Available 24 hours a day, 7 days a week, 1-866-327-2247 (TTY: 711) Orange, CA 92868 If you have Medicaid coverage, don't risk losing your Medicare Advantage Dual Special Needs Plan (D-SNP) and Medicaid benefits. Hours of Operation. I am blessed to be covered by them. Buncombe. You have chosen Alignment. All photography is for illustrative purposes only. Please Note. The MMAI is a groundbreaking joint effort to reform the way care is delivered to clients eligible for both Medicare and Medicaid Services (called "dual eligibles"). So you can focus on you. Some people depicted are models. Alignment Health Plan Payer Id. To verify if a member has coverage to treat with a non-contracted provider, please contact our call center at (800) 298-4875. For your personal security, please refrain from sharing your health and personal information such as medical history, date of birth and social security number over the web. PO Box 927 Woodland Hills, CA 91365 1 (800)963-8008 Brand New Day Alignment Health takes the confusion out of medical insurance by simplifying and streamlining your access to the best plan for you, so you can focus on what matters most to you. ORANGE, Calif., July 27, 2021 (GLOBE NEWSWIRE) -- Medicare Advantage company Alignment Healthcare (NASDAQ: ALHC) today announced the expansion of its award-winning health plan into Maricopa and Pima counties in Arizona in 2022. ITsupport@medpointmanagement.com. Alignment Health Member LIVE YOUR BEST LIFE. 8 am - 5 pm. Pay Range: $97,299 - $189,732 a year Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Health (2 days ago) Web(Just Now) WebOffice Ally Payer ID Code: ECMSO. Cancer Resource , http://www.empireplanproviders.com/contact.htm, Health (2 days ago) WebProvider Services / Claims ( 877 ) 853 - 8019 Enrollment ( 855 ) 593 - 5757 Care Management ( 888 ) 995 - 1689 80( 0) 308 - 1107 Mailing Address for Claims: , https://cdn.cloverhealth.com/filer_public/f2/37/f23723f0-8a62-41f5-936e-8fe3ec15be90/provider_quickreference_guide_v02.pdf, Prohealth physicians glastonbury pediatrics, Baptist health louisville saint matthews, Alignment health plan claims mailing address, Workshops for mental health professionals, 2021 health-improve.org. About Us Molina Healthcare is a nationwide fortune . The following hospital and/or physician groups accept Alignment Health Plan Sutter Advantage (Medicare Advantage HMO). These clients manage all aspects of the plan including claim processing and payment. Pharmacy Technical Pharmacy Help Desk for Providers, Network Management and Provider Relations. To register for an account be prepared to provide information on your office/practice, or in some cases individual information. Alignment healthcare claims mailing address, Health (Just Now) 1-866-327-2247, TTY 711 Available: 24/7 Utilization Management 1-844-310-2247, TTY 711 Available: Monday to Friday, 8 a.m. to 5 p.m., PT Alignment Health Corporate Headquarters 1100 W. Town and Country Road, Suite 1600 Orange, CA 92868 1-844-310-2247 Directions Page last updated on February 27 See more, https://easycaremso.com/services/claims-deparment/, Health (2 days ago) WebAlignment Health Member LIVE YOUR BEST LIFE. Alignment Health Plan of North Carolina NC Premier (HMO) NCPlus (HMO) Platinum (HMO-POS) 610455 AHPPARTD H5296 Alignment Health Plan CalPlusDuals (HMO D-SNP) 610455 AHPPARTD H3815 Effective Jan. 1, 2021 For more information Medicare Part D and Part B claims with a fill date on or after Jan. 1, 2021 must be submitted with the BIN/PCN noted Monday to Friday. Providers. Gross written premiums of EUR 19,732 million in 2022, up 4.9% 1 compared with 2021; Net loss of EUR -301 million in 2022, compared with EUR 456 million net income in 2021; Shareho 1-833-242-2223 (TTY: 711) Contact Us: Alignment Health Health (9 days ago) WebAlignment Health Contact Us Corporate Office 1100 W Town and Country Rd, Suite 1600 Orange, CA 92868 1-844-310-2247 Hours of Operation Monday to Friday 8 am - 5 pm Sales Department 1-888-979-2247 Hours https://www.alignmenthealth.com/Contact Category: Health Show Health Home: Alignment Health Click here to read the full disclaimer. 1-844-310-2247. The Alignment Health Plan member app is your secure mobile gateway to your health information. While we strive to keep this list up to date, it's , https://www.sutterhealth.org/health-plan/plan/alignment/alignment-health-plan-sutter-advantage-medicare-advantage-hmo, Health (7 days ago) WebProvider Services / Claims ( 877 ) 853 - 8019 ( 855 ) 297 - 4247 Enrollment ( 855 ) 593 - 5757 Care Management ( 888 ) 995 - 1689 7(32) 421 - 4317 Mailing Address for , https://cdn.cloverhealth.com/filer_public/42/81/4281d73a-da6b-4a65-a435-66018e627e04/clover-provider-manual-phone-directory.pdf, Health (Just Now) WebUB-04 claims: UB-04 should be submitted with the appropriate resubmission code in the third digit of the bill type (for corrected claim this will be 7), the original claim number in , https://www.horizonnjhealth.com/securecms-documents/458/How_To_File_A_Corrected_Claim_Flier_2016.pdf, Health (6 days ago) WebContact Us . ALIGNMENT HEALTH PLAN For any medical emergency, please call 911 immediately. Need help? I have been given authorization to register for this website by and solely on behalf of the MSO/IPA/Provider Group/Hospital or other entity that is contracted with Alignment Health Plan (AHP) HMO. Alignment is a great health insurance company. Hours of Operation. Alignment Health Plan is an HMO, HMO POS, HMO C-SNP, HMO D-SNP and PPO plan with a Medicare contract and a contract with the California, Florida, Nevada and North Carolina Medicaid programs. ET Carson City Clark Douglas Nye Storey Washoe Provider Search Find an Alignment Health-affiliated network doctor, hospital, skilled nursing facility or other health care provider near you. Alignment Health Plan HMO Home Discover AHP Members Providers Agents Enroll Now Providers Providers Provider resources Part D Information Compliance Information Provider Manual Provider Newsletter Schedule Transportation Special Needs Plan (SNP) Training Provider Tools (Log-in Required) Reports Submission Claims / Encounter Management Contact. 8 am - 5 pm. At Alignment, we focus on you. Need Help? 1-800-222-APWU. With more than 5000+ clinical alerts from AVA, our proprietary command center, we are able to better monitor and track our members health care utilization and changes in health status, enabling us to identify potential challenges earlier, giving health care professionals more time to try preventive actions. Click here to see step-by-step instructions for our updated account registration process. Commercial, Covered California, POS, Medicare, Medi-Cal Phone: (866) 249-4844. . Avery. It is important to note that not all of the Sutter Health network of . BOX 14010 ORANGE, CA 92863-9936 BLUE SHIELD 65 BLUE SHIELD 65 PLUS HMO PO BOX 927 6300 CANOGA AVENUE WOODLAND , https://www.epicmanagementlp.com/resources/claimsappeals.aspx, Health (7 days ago) WebThe following hospital and/or physician groups accept Alignment Health Plan Sutter Advantage (Medicare Advantage HMO). Through its unique integrated care delivery models, deep physician partnerships and use of proprietary technologies . Please check with your health , https://www.sutterhealth.org/health-plan/plan/alignment/alignment-health-plan-sutter-advantage-medicare-advantage-hmo, Health (8 days ago) WebThe original claim must be received by The Health Plan 180 days from the date of service. Alignment Health Plan Attn: Provider Claims Appeals PO Box 14010 Orange, CA 92863-9936 Anthem blue cross Attn: Appeals and Grievances Department Mailstop: OH0205-A537 4361 Irwin Simpson Road Mason, Ohio 45040 Fax: 1-888-458-1406 Blue Shield of California Appeals & Grievances Dept. Alignment Healthcare Payer ID: AHCA1; Electronic Services Available (EDI) Professional/1500 Claims: YES: Institutional/UB Claims: YES: Electronic Remittance (ERA) YES: ERA Enrollment Required: Secondary Claims: YES: This insurance is also known as: . While we strive to keep this list up to date, it's always best to check with your health plan to determine the specific details of your coverage, including benefit designs and Sutter provider participation in your provider network. If you disagree with the decision, you can help the participant appeal. Downey, CA 90241, 2339 W. Hammer Lane, Suite A