Getting Answers is Easy
When you know Who to Call
The chart below will help you find the right person, right away.
WHO
|
THE ALLIANCE
|
TPA
|
Reprices claims for Alliance members?
|
X
|
|
| Answers questions about my contract? |
X
|
|
| Maintains eligibility information? |
|
X
|
Determines if services are covered?
|
|
X
|
Processes claims for payment?
|
|
X
|
Handles precertification, if needed?
|
|
X
|
Who should you call?
Are you calling about:
Then call The Alliance at 800.223.4139 or 608.276.6630
Are you calling about:
Claims status, payment, and/or denial?
Benefits and eligibility?
Pre-authorization?
Then call the TPA listed on the patient’s ID card. You can also find that information in the TPA file below:
TPA Contact Information by Employer (.pdf, updated July 7, 2010)
This report provides you with an updated listing of current employers, their TPA and the TPA phone number.