Nominate a Provider

If you learn that your health care provider is not part of The Alliance network you can “nominate” them to be contacted by The Alliance. Unfortunately, this does not guarantee that a provider will sign an agreement with our network. Until they do, any services provided will be billed at out-of-network rates. Fill out the nomination form below or you can call The Alliance at 800.223.4139 and ask to speak to Customer Service.

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