Claims Submission

Claims Submission Via 837 File Guidelines (Alliance Behavioral Healthcare) Claims Submission Via 837 HIPAA compliant EDI file is available for poviders, including hospital facilities. Once an agency is EDI Certified, a secure FTP login and password will be assigned. 837s may be submitted using this Claims Submission method or by uploading the file through the provider portal using Read More →

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AlphaMCS Claims And Secondary Claims Processing AlphaMCS Claims can be submitted via a web-based provider portal that allows providers to submit claims to the LME/MCO. Claims can be submitted via a CMS 1500/UB04 or via an 837P/I. The daily cutoff for nightly adjudication is 5pm. The claims are adjudicated nightly. For claims submitted via CMS1500/UB04, the claims status is Read More →

Claim Submission

Claim Submission Guidelines For Alliance Behavioral Healthcare Providers (Fiscal Year 2019) Claim Submission guidelines for providers require an attestation for claims submitted through the provider portal. The claim submission deadlines for Medicaid and State contracts are different. Both timelines are stated in the respective contracts and are also listed below. State or Locally Funded Services Original Read More →