Fee Analysis Request

Participating Providers

The Alliance will provide the current contract reimbursement rate(s) based on your current fees and your agreement with The Alliance. Complete the form, submit to us and expect a response within approximately three to seven business days.

Fee Analysis Request Form

Interested in Joining our Provider Network?

Complete our intake form if you are interested in becoming a participating provider.  We will evaluate your request and get back to you within approximately 10 business days.

New Provider Contract Intake Form

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