Reimbursement Guidelines

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The Alliance Provider Relations Team

Kyle Monroe

Kyle L. Monroe
VP, Network Development & Provider Relations
Email Kyle

Deb Kunferman

Heather Oliva
Director of Provider Relations
Email Heather

Deb Kunferman

Deb Kunferman
Provider Relations Manager
Email Deb

Beth Strait
Ancillary Network Manager
800.223.4139 x6617
Email Beth

For all other provider contracting inquiries please contact 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.