Health Alliance Medical Plans: Secure Provider Access Portal

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Healthcare providers seeking efficient, streamlined communication and resource management can leverage the Health Alliance Provider Resources Portal. This digital platform offers comprehensive tools and resources designed to support medical professionals in delivering exceptional patient care.

Official Portal Link

What Providers Can Access

The Health Alliance Provider Portal offers an extensive suite of resources including:

Key Functional Areas

  • Prior Authorization Requests
  • Clinical Review Criteria
  • Credentialing Applications
  • Provider Information Management
  • Telehealth Service Guidelines
  • Formulary Documentation

Available Portal Features

Credentialing Resources

  • Illinois Credentialing Application
  • Iowa Credentialing Application
  • CAQH Provider Addition Forms
  • Provider Attestation Forms
  • Ancillary Facility Checklists

Authorization Management

  • Prior Authorization Request Forms
  • Electronic Prior Authorization Submissions
  • Pharmacy Preauthorization Requests
  • Specialized Reference Checklists
    • Acute Inpatient
    • Mental Health
    • Substance Abuse
    • Outpatient Services
    • Transplant Admissions

Clinical Guidelines

  • Medicare Advantage Overview
  • Commercial Service Manuals
  • Robotic Surgical Technique Guidelines
  • Ophthalmological Exam Frequency Standards

Provider Authentication

Login Requirements

While specific login details are not explicitly outlined, providers can:

  • Register as Office Personnel
  • Register as Provider
  • Use CAQH credentials
  • Complete necessary attestation forms

Privacy and Security

Health Alliance emphasizes:

  • Compliance with federal privacy laws
  • Protection of personal information
  • Standards established under 45 CFR regulations

Compliance Commitment

  • Providers can report potential compliance concerns
  • Dedicated fraud, waste, and abuse reporting mechanism

Support Resources

Contact Information

  • Provider Support: 1-800-851-3379
  • Comprehensive online resources
  • Training recordings available

Additional Portal Capabilities

Quality Measurement Tools

  • Healthcare quality metric tracking
  • Performance improvement tip sheets
  • Screening and care management guidelines

Pharmacy Services

  • Medication formulary access
  • High-risk medication charts
  • Specialty drug enrollment forms

Unprovided Information

Some specific details not directly available include:

  • Exact login procedure
  • Mobile app availability
  • Detailed step-by-step portal navigation instructions

Recommended Actions for Providers

  1. Visit official provider portal
  2. Review available resources
  3. Complete necessary registration forms
  4. Familiarize with available tools and guidelines

The Health Alliance Provider Portal represents a comprehensive digital platform enabling seamless healthcare provider interactions, resource management, and quality care coordination.

Note: Always refer to the most current official documentation for precise, up-to-date information.

FAQ

Is HAP owned by Aetna?HAP and Aetna have an agreement that allows Aetna to serve as HAP’s national network partner. HAP and its wholly owned subsidiary ASR Health Benefits are committed to making sure our members have access to quality health care, no matter where they are.

Is Health Alliance a PPO?Exclusively designed to your needs and budget, plans include four Alliance Select PPO options, four Blue Access HMO options, and a qualified high-deductible health plan (QHDHP). Extras such as BeWell 24/7, Advanced Care, Blue365, and myWellmark, mean employees get more from their health care benefits.

Is HAP Michigan Medicaid?Our HAP CareSource Medicaid plan has the health benefits and services to help you get and stay healthy. It gives you the care you need when you need it. It’s hard to predict when you or a family member will need medical care.

What is the payer ID for Health Alliance Plan?Payer Name: Health Alliance Medical Plan|Payer ID: 77950|Professional (CMS 1500)

https://www.hap.org/providers

Medicaid and MI Health Link providers · Provider portal log in · COVID-19 coronavirus · Noncontracted provider resources 2025 Health Alliance Plan of Michigan

https://provider.healthalliance.org/

Find forms and resources to better work with us as you care for your patients. Prior Authorization Request FormPrior Authorization & Clinical Review Criteria

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