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. 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.
Eligibility and Enrollment
The following documents are provided here to clarify the requirements for enrollment and client update requests for member admissions in Alpha. Please be advised that members with Medicaid are automatically uploaded into the AlphaMCS system from NC Tracks and an enrollment request in Alpha is not needed for these members.
Every member enrolled with Alliance is evaluated to determine their ability to pay for State-funded services. The combination of a member’s adjusted gross income and the number of dependents will show if they have the ability to pay. A member meets financial eligibility if their household income is at or below 300% of the federal poverty level and they have no assets or third-party funding or insurance available to pay for services. If a member’s income exceeds this amount, the individual will be required to pay 100% of the cost for the State-funded services provided to him or her.
Questions may be directed to the Provider Helpdesk at (919) 651-8500, Option 3.
Eligibility and Enrollment Guidelines
Client Update Guidelines
DMH Benefit Plan/Diagnosis and Service Arrays
Benefit Plan (Target Population) Descriptions
Federal Poverty Level
Medicaid Eligibility Categories
Cumberland Hospital and Legal Immigrant Behavioral Health Authorizations
Residency Verification Attestation Form
Past Provider Updates Regarding Rates
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