CONTACT US

Reimbursement Guidelines

want to become a provider?

 

The Alliance Provider Relations Team

Kelly Davit

Kelly Davit
Regional Manager
815.299.5945
Email Kelly



Deb Kunferman

Deb Kunferman
Provider Relations Manager
715.299.1122
Email Deb


Deb Kunferman

Heather Oliva
Director of Provider Relations
608.210.6616
Email Heather


Beth Strait
Provider Relations Specialist
800.223.4139 x6617
Email Beth


For all other provider contracting inquiries please contact providerservices@the-alliance.org or 800.223.4139


Provider Forms (For Participating Providers)

Provider Update Forms

  • pdf icon Add a New Practitioner
  • pdf icon Provider Updates
    Use this form to:
    • Change or Term a Practitioner
    • Add an Additional Clinic/Facility Location
    • Change or Term a Clinic/Facility
    • Update a Billing Address
    • Update your Organization Contacts

Contracting Forms


The Alliance® is a cooperative of employers moving health care forward by controlling costs, improving quality, and engaging individuals in their health.