How do I submit a claim to Alameda Alliance?

Send professional and institutional claims for Alliance members assigned to Children's First Medical Group (CFMG) to Children's First Medical Group, P.O. Box 3359, Oakland, CA 94609. Send all other medical claims/provider disputes to Claims Department, Alameda Alliance for Health, PO Box 2460, Alameda, CA 94501-0460.

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Letter Of Authority For Doctor In Alameda

Category:

Letters - Legal - Judgments

State:

Multi-State

County:

Alameda

Control #:

US-0023LTR

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Instant download

Description

This form is a sample letter in Word format covering the subject matter of the title of the form.

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Send professional and institutional claims for Alliance members assigned to Children's First Medical Group (CFMG) to Children's First Medical Group, P.O. Box 3359, Oakland, CA 94609. Send all other medical claims/provider disputes to Claims Department, Alameda Alliance for Health, PO Box 2460, Alameda, CA 94501-0460.

You can also call the Alliance Provider Services Department at 1.510. 747.4510.

How do I fill out a HIPAA release form? Provide instructions. Name the patient and individual authorized to use or disclose their PHI. Describe the information. Specify recipients. Specify the purpose of disclosure. Specify the time period. Detail their revocation rights. Obtain the patient's signature.

For general questions about Medi-Cal, members and medical providers can call the official helpline at 1-800-541-5555. Depending on the situation, you may also call Covered California at 1-800-300-1506 or your county's Medi-Cal office.

Income-based Medi-Cal Your family size:1 2 3 4 5 6 7 8 9 10 11 12 Income-based Medi-Cal, adults (138% FPG) $20,783 Income-based Medi-Cal, children (266% FPG) $40,060 Subsidized private plans, reduced fees (250% FPG) $37,650 Subsidized private plans (no income limit) --8 more rows

Medi-Cal is a state-sponsored health insurance program administered to you through the Alliance. Medi-Cal provides comprehensive health care coverage for those who meet income guidelines. This includes: Families and children.

The Alliance is a health plan for people who have Medi-Cal. The Alliance works with the State of California to help you get the health care you need.

More info

View and download the Provider Demographic Attestation Form. To view a copy of the Alliance Provider Directory, please select a health care program.Please completely fill in ALL areas to include the following: • Patient Information: Patient Name, Patient Date of Birth and Phone. Number. The Alliance medical services staff manages authorizations for members assigned to directly contracted providers. Authorization Process. Print and complete the Alameda County Behavioral Authorization to Disclosure Psychotherapy Notes form: English (PDF). Blank Application Forms. The below forms may be dropped at a secure drop box, at one of our offices, during regular business hours, am to pm. Blank Application Forms. The below forms may be dropped at a secure drop box, at one of our offices, during regular business hours, am to pm.

Letter Of Authority For Doctor In Alameda

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How do I submit a claim to Alameda Alliance?

What is the phone number for Alameda Alliance provider?

How to fill out authorization for release of medical information?

How do I contact Medi-Cal by phone?

What is the income limit for Medi-Cal in Alameda County?

Is Alameda Alliance Medi-Cal?

Is Alameda Alliance the same as Medi-Cal?

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