Alliance Health offers Claims Technical Assistance sessions each Tuesday morning from 9:30 am to noon. Providers may contact their assigned Claims Research Analyst or the general Claims queue (919-651-8500, option 1) to schedule a session. The sessions are also available on a drop-in basis Tuesdays from 9:30-12, but scheduling is appreciated. When you attend a Claims Technical Assistance session, please bring: your laptop, your AlphaMCS provider login (username and password), and any claims information you want to review.
How will I know if my claims lack the taxonomy data?
Providers, especially those entering portal claims, are urged to review their Claims Download Que to see which claims are denied.
I have denied claims. What do I do now?
You will need to re-enter the claim and make sure to properly enter the taxonomy in two places within AlphaMCS-in the claim line and in 33b. Alliance is unable to re-adjudicate these claims.
Remember to select the taxonomy from the drop down menu to prevent denials. Below are images of the two areas where you must enter the taxonomy via the drop down menu.
Where to Call for Help
For claims questions, concerns and support, it is always most efficient to contact your assigned Claims Specialist or Claims Analyst. If you do not know who your assigned claims contact is, go here for a list of assignments.
If you are still unsure of whom to contact, the Alliance Help Desk is available between 8:30am and 5:15pm Monday through Friday at (919) 651-8500.
- Option 1 – Claims (Business Operations) for assistance with completion of CMS1500 or UB04, Download Q, viewing Remittance Advices, or assistance with denied claims
- Option 2 – IT/Log in Issues – for assistance with new Alpha portal logins or password resets. Also responsible for the 837 testing and EDI certifications
- Option 3 – Clinical Operations – for assistance with SARS, Client Updates or Client Enrollments
- Option 4 – Provider Network – for assistance with NPI mapping, sites and contract issues