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NC Medicaid Behavioral Health and Intellectual/Developmental Disabilities Tailored Plans will launch July 1, 2024. Choice period ends on May 15, 2024. Please call to select your PCP. Find PCPs available in our health plan.

Important reminder: UM JIVA provider portal transition deadline approaching Access more information here.

Alliance Health
Provider Support: 855-759-9700
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Home / Provider Central / Auth / Billing and Claims

Billing and Claims

This page provides a variety of general information related to the submission of claims and the reimbursement for services.

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Alliance is committed to ensuring that network providers are aware of the information necessary to provide care to individuals served by Alliance and are able to comply with Allianceā€™s requirements. Below is general information related to the submission of claims and the reimbursement for services.

Feel free to contact [email protected] if you have additional questions or concerns.

Benefits and Services

Alliance Health authorizes an array of Medicaid and non-Medicaid (state-funded) services for individuals with mental illness, substance use disorders, and intellectual and developmental disabilities who reside in Cumberland, Durham, Harnett, Johnston, Mecklenburg, Orange and Wake counties.

For details on benefit plan coverage, please visit our new Benefit Plan Service Details tool.

UM Resources – I/DD

This page provides information about the authorization of services for individuals with intellectual/developmental disabilities.

Claims Information and Resources

On this page, youā€™ll find a variety of information and resources to assist you in the claims preparation and submission process, including instruction manuals and Alliance Medicaid and non-Medcaid rate sheets.

Out-of-Network Authorizations

Alliance makes every effort to first link consumers with Network Providers, but will consider enrolling an Out-of-Network Provider if a Network Provider is not available or accessible to the enrollee.

Invoice and Travel Reimbursements

Invoices must be submitted on the most current fiscal year Invoice Template, exclude sales tax paid, and include supporting documentation.
This page was last reviewed for accuracy on 07/06/2021

Alliance Provider Support is available to answer provider questions about authorization, billing, claims, enrollment, ACS, or other issues.

Call 855-759-9700 Monday-Saturday from 7:00am-6:00pm.