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ALAMEDA ALLIANCE PROVIDER DISPUTE RESOLUTION REQUEST INSTRUCTIONS Please complete the below form. Fields with an asterisk ( * ) are required. Be specific when completing the DESCRIPTION OF DISPUTE.

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Alliance Group Care provides coverage to In-Home Supportive Services (IHSS) who work in Alameda County. This plan includes coverage for medical, behavioral health/chemical dependency, and pharmacy services. Dental and vision coverage is provided to IHSS workers by the Public Authority (PA).

About the IDR Process Starting January 1, 2022, if a provider or facility and a health plan can't agree on the payment amount for an out-of-network service covered by No Surprises rules, they may select IPRO to make a payment determination.

Disputes and Claims means all disputes and/or claims concerning contract price, time, payment, and/or interpretation of this Agreement.

To submit a claim appeal, complete a Notice of Provider Dispute form (NOPD), attach any relevant and supporting documentation, and submit it to the Claims department within 365 days of the Alliance's action or inaction.

The Federal Independent Dispute Resolution (IDR) system is live.

A provider dispute is a written notice from the non-participating provider to Health Net that: Challenges, appeals or requests reconsideration of a claim (including a bundled group of similar claims) that has been denied, adjusted or contested. Challenges a request for reimbursement for an overpayment of a claim.

Dispute resolution processes fall into two major types: Adjudicative processes, such as litigation or arbitration, in which a judge, jury or arbitrator determines the outcome. Consensual processes, such as collaborative law, mediation, conciliation, or negotiation, in which the parties attempt to reach agreement.

Welcome to the Alliance! Thank you for joining Alameda Alliance for Health (Alliance). 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.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232