To Serve Others,
This is Our Calling

At Alignment Health, we believe the relationship between doctors and the communities they serve is second to none. That’s why we’ve carefully chosen dedicated local doctors and empowered them with some of the most innovative tools in the world to provide their patients with a new, higher level of care.

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01.

Alignment’s Patient 360 is a provider-facing dashboard that presents a snapshot of a member’s health and treatment history to help providers facilitate care coordination. The longitudinal patient record allows care providers to access the health plan’s view of information associated with a member including gaps in care, claims, eligibility, utilization, pharmacy, labs, care management, communications and documents.

02.

With more than 5000+ clinical alerts from AVA, our proprietary command center, we are able to better monitor and track our members’ health care utilization and changes in health status, enabling us to identify potential challenges earlier, giving health care professionals more time to try preventive actions.

03.

Focused on the delivery of in-home care, Care Anywhere is Alignment’s program for our highest risk members. Our clinical team, in coordination with a member’s primary care physician, provides a differentiated care experience to not only reduce unnecessary ER visits and inpatient care, but also to improve health outcomes and quality of life.

04.

We believe service has never been more needed—or more valuable. Alignment strives to meet all Medicare STAR rating criteria and provide a five-star experience for every member. The health plan’s STAR rating directly impacts quality bonus payments, which are used to improve benefits and services for members.

Provider Resources

Provider Operations Manual

Alignment’s operational policy and procedures that support many of our programs and services are outlined in our provider operations manual.

Provider Portals

ALIGNMENT HEALTH PLAN
Alignment Health Plan providers and their staff can verify member eligibility, submit reports and find information to assist with day-to-day operations through a dedicated portal.

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ACCESS EXPRESS
A provider authorization system, Access Express is currently available for contracted IPA providers and directly contracted providers. This tool is used by providers to initiate and request authorizations, view status of authorized services and view claim status.

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Work with us

Transforming health care delivery starts with Alignment. We are purposeful and passionate believers in what we can do for seniors. To put the senior first, Alignment supports their doctors.

If you are interested in contracting with Alignment, please click the “Reach Out” button to email us and make sure to include:

  • Provider/entity name
  • Service(s) provided
  • State(s) where services are provided
  • County/counties where services are provided
  • Contact individual and information
  • Letter of intent and W9 (attachment)
  • National Provider Identifier (NPI) and Council for
    Affordable Quality Healthcare (CAQH) numbers