Update on CrowdStrike Outage: All our service lines are now up and running following the recent CrowdStrike outage. Thank you for your patience and understanding.

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.

CLICK TO DISCOVER
01.

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

Online Resources for Providers

ALIGNMENTHEALTHPLAN.COM
The patient-provider relationship is an integral part of any treatment plan. We are committed to working with you to provide our members with the best quality of care possible. The Provider Resources section on our alignmenthealthplan.com website is designed for Alignment Health Plan providers and their staff to support day-to-day operations, such as verifying member eligibility, checking claims status, reviewing authorization status, and more.

Visit Online Provider Resources

AVA PROVIDER PORTAL
If you are a contracted provider with Alignment Health Plan, you can log on our AVA Provider Portal for secured access to verify member eligibility, check claims status, submit prior authorization, and access other tools and resources. If you are a new user, you can sign-up and access the AVA Provider Portal by clicking here.

AVA Provider Portal Login

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