Provider Operations
Manual

Alignment Health is pleased to announce that we have updated our Provider Operations Manual, effective January 1, 2025 (or as otherwise indicated in the notification requirement in your contract). The Provider Operations Manual provides key information about Alignment Health’s programs, claims payment, referrals, policies, procedures, tools, and other resources to our IPAs, Medical Groups, and Participating Providers. Together, we are making a difference and this manual aims to deliver the best care for our mutual members. 

Effective October 1st, 2024, Alignment Health is providing early access to the updated Provider Operations Manual in advance of publication: view here. On January 1st, 2025, this version of the Provider Operations Manual is available electronically and for download on our Providers page.

The Provider Operations Manual is incorporated into your agreement with Alignment Health, and as such, you are required to comply with its terms. In the event of a conflict between the Provider Operations Manual and your agreement with Alignment Health, the terms of your agreement with Alignment Health take precedence.

Thank you for your partnership.