Proveedor Archives - Alliant Health Plans Un proveedor líder de seguros de atención médica Tue, 05 Aug 2025 17:41:55 +0000 es-ES hourly 1 https://wordpress.org/?v=6.9 https://alliantplans.com/wp-content/uploads/2023/10/Alliant-Health-Plans-Logo-Blue-150x150.png Proveedor Archives - Alliant Health Plans 32 32 Free Colorectal Cancer Screening Kits Sent to Eligible Alliant Health Plan Members https://alliantplans.com/es/free-colorectal-cancer-screening-kits-sent-to-eligible-alliant-health-plan-members/#utm_source=rss&utm_medium=rss&utm_campaign=free-colorectal-cancer-screening-kits-sent-to-eligible-alliant-health-plan-members Mon, 09 Jun 2025 14:17:51 +0000 https://alliantplans.com/?p=27255 Beginning June 9, 2025, eligible Alliant Health Plan Members will receive an at-home colorectal cancer screening kit delivered directly to their mailbox – at no cost to them. As part of our ongoing efforts to support colorectal cancer screening, Alliant Health Plans has partnered with Exact Sciences to provide Cologuard® test kits to eligible members who have a recommendation from the Exact Science clinical team. Letters announcing the program were mailed out by Exact Sciences on May 27, 2025. What...

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Beginning June 9, 2025, eligible Alliant Health Plan Members will receive an at-home colorectal cancer screening kit delivered directly to their mailbox – at no cost to them.

As part of our ongoing efforts to support colorectal cancer screening, Alliant Health Plans has partnered with Exact Sciences to provide Cologuard® test kits to eligible members who have a recommendation from the Exact Science clinical team. Letters announcing the program were mailed out by Exact Sciences on May 27, 2025.

What is Cologuard?

Recommended for adults 45 and older, the Cologuard test is a prescription-based use-at-home colon cancer screening test that looks for both abnormal DNA and blood in stool. The results are usually ready in two weeks and – if needed – a follow-up colonoscopy is covered as a preventative screening under Alliant Members’ plan benefits.

Why it Matters – Colorectal Cancer Screening Helps Save Lives

Colorectal cancer screening is a crucial step in early detection and helps ensure Alliant Members have access to best-in-class screening options. The Cologuard test offers a convenient, non-invasive option to help Alliant Members stay on track with their preventive care and reduce the risk of complications related to colorectal cancer.

What Eligible Members Can Expect Next

  • A Cologuard kit will arrive at your home in a few days.
  • Follow the instructions inside your kit. You can also visit Cologuard.com/Why or scan the QR code for a helpful video.
  • Return your kit to UPS®. A prepaid shipping label is included with your kit.
  • If you have previously completed or set up an upcoming Colon Cancer Screening, please feel free to disregard the Cologuard kit.

If you have any questions about your kit or results, Cologuard Support is available 24/7 at (844) 340-1594 or visit Cologuard.com/Why.

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Alliant Health Plans receives 2024 Press Ganey Human Experience Pinnacle of Excellence Award https://alliantplans.com/es/alliant-health-plans-receives-2024-press-ganey-human-experience-pinnacle-of-excellence-award/#utm_source=rss&utm_medium=rss&utm_campaign=alliant-health-plans-receives-2024-press-ganey-human-experience-pinnacle-of-excellence-award Mon, 20 Jan 2025 17:26:07 +0000 https://alliantplans.com/?p=18507 Alliant Health Plans is recognized as a leader in Member Experience within the healthcare industry for consecutive years, signifying the best practices businesses should consider implementing regarding patient care in a new year. January 20, 2025– Alliant Health Plans today announced that it has been named a 2024 Human Experience (HX) Pinnacle of Excellence Award® winner by Press Ganey, the global leader in healthcare experience solutions and services. This award is part of Press Ganey’s annual ranking of the top...

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Alliant Health Plans is recognized as a leader in Member Experience within the healthcare industry for consecutive years, signifying the best practices businesses should consider implementing regarding patient care in a new year.

January 20, 2025– Alliant Health Plans today announced that it has been named a 2024 Human Experience (HX) Pinnacle of Excellence Award® winner by Press Ganey, the global leader in healthcare experience solutions and services. This award is part of Press Ganey’s annual ranking of the top hospitals and health systems in the country, according to performance in patient experience.

As a winner of three Press Ganey HX Pinnacle of Excellence Awards®, Alliant Health Plans has ranked in the top 5% of healthcare providers in delivering member experience over a minimum of three consecutive years. Press Ganey works with more than 41,000 healthcare facilities in its mission to reduce patient suffering and enhance caregiver resilience to improve the overall safety, quality and experience of care.

“We extend our congratulations to Alliant Health Plans, which on a daily basis reinforces our belief in the transformative power of patient-centered care, positive employee experiences, and effective clinical outcomes,” said Patrick T. Ryan, CEO and Chairman at Press Ganey. “We look forward to working together in the future to help them continue to provide exceptional healthcare experiences.”’

To learn more about Alliant Health Plans, visit AlliantPlans.com.

About Press Ganey
Press Ganey partners with healthcare providers and health plans to improve the experiences of their patients, consumers, and workforce by marrying data with unparalleled technology, analytics, and expertise. Our Human Experience (HX) platform unites and enlivens disparate data, enabling clients to gather, analyze, visualize, and act on key insights to retain talent, improve access to care, and ensure the care journey is safe, equitable, and patient-centered. We are the trusted partner to 41,000+ healthcare provider organizations globally and 85% of health plans in the United States. Press Ganey is a PG Forsta company.

About Alliant Health Plans
Alliant, a leading health care insurance carrier in Georgia for more than 25 years, offers affordable and health insurance products in rural counties across Georgia.  Founded by community-based physicians and hospitals, Alliant offers fully insured Individual Family Plans and group health plans.

As the state’s only Provider Sponsored Health Care Corporation (PSHCC), Alliant strives to improve access to quality health care for its members.  For more information, visit AlliantPlans.com.

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Alliant Health Plans Introduces Updated Member ID Cards with New Pharmacy Information for 2025 Policies https://alliantplans.com/es/alliant-health-plans-introduces-updated-member-id-cards-with-new-pharmacy-information-for-2025-policies/#utm_source=rss&utm_medium=rss&utm_campaign=alliant-health-plans-introduces-updated-member-id-cards-with-new-pharmacy-information-for-2025-policies Fri, 03 Jan 2025 19:55:39 +0000 https://alliantplans.com/?p=18150 Alliant Health Plans Introduces Updated Member ID Cards with New Pharmacy Information for 2025 Policies Dalton, GA – Alliant Health Plans is reminding members to use their newly issued 2025 Member ID cards at the pharmacy to ensure seamless processing of their prescription claims. These updated cards feature new Rx BIN and PCN numbers, which are critical for accurate pharmacy claims submission and approval. Failure to provide the new ID card may result in rejected pharmacy claims. Members are encouraged...

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Alliant Health Plans Introduces Updated Member ID Cards with New Pharmacy Information for 2025 Policies

Dalton, GA – Alliant Health Plans is reminding members to use their newly issued 2025 Member ID cards at the pharmacy to ensure seamless processing of their prescription claims. These updated cards feature new Rx BIN and PCN numbers, which are critical for accurate pharmacy claims submission and approval.

Failure to provide the new ID card may result in rejected pharmacy claims. Members are encouraged to:
· Present their updated ID card during their next pharmacy visit.
· Request their pharmacist to update their account information with the new Rx BIN and PCN numbers.
· Refile any claims with a 2025 fill date that were processed under the old Rx BIN and PCN numbers to avoid unnecessary out-of-pocket expenses.
o NOTE: Any Alliant pharmacy claims with a 2024 fill date should continue to be processed under the old RX BIN and PCN numbers.

Here is an example of where the new pharmacy numbers can be found on ID cards:

For members who have not received their new Member ID card for 2025, a detailed list of the new BIN and PCN numbers by line of business – SoloCare, SimpleCare, or 4Corners – can be viewed here: 2025 BIN/PCN Numbers

Members with questions or concerns about their updated ID cards or prescription claims can contact our Client Services team at (866) 403-2785.

About Alliant Health Plans

Alliant, a leading health care insurance carrier in Georgia for more than 25 years, offers affordable and health insurance products in rural counties across Georgia. Founded by community-based physicians and hospitals, Alliant offers fully insured Individual Family Plans and group health plans.

As the state’s only Provider Sponsored Health Care Corporation (PSHCC), Alliant strives to improve access to quality health care for its members. For more information, visit AlliantPlans.com.

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Alliant Health Plans ha restablecido oficialmente la conexión con Change Healthcare (CHC) https://alliantplans.com/es/alliant-health-plans-ha-restablecido-oficialmente-la-conexion-con-change-healthcare-chc/#utm_source=rss&utm_medium=rss&utm_campaign=alliant-health-plans-ha-restablecido-oficialmente-la-conexion-con-change-healthcare-chc Mon, 29 Apr 2024 17:51:00 +0000 https://alliantplans.com/alliant-health-plans-ha-restablecido-oficialmente-la-conexion-con-change-healthcare-chc/ Alliant Health Plans ha restablecido oficialmente la conexión con Change Healthcare (CHC).(Lista de pagadores conectados de CHC) Presentación electrónica de reclamaciones Alliant está recibiendo ahora los datos de las reclamaciones electrónicas, por lo que su centro de compensación puede reanudar el envío de información sobre reclamaciones para su presentación electrónica. Estamos aumentando la frecuencia de los ciclos de pago en un futuro previsible con el fin de entregar más rápidamente el pago a los proveedores. Remesas electrónicas CHC está ingestando...

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Alliant Health Plans ha restablecido oficialmente la conexión con Change Healthcare (CHC).(Lista de pagadores conectados de CHC)

Presentación electrónica de reclamaciones

Alliant está recibiendo ahora los datos de las reclamaciones electrónicas, por lo que su centro de compensación puede reanudar el envío de información sobre reclamaciones para su presentación electrónica. Estamos aumentando la frecuencia de los ciclos de pago en un futuro previsible con el fin de entregar más rápidamente el pago a los proveedores.

Remesas electrónicas

CHC está ingestando los archivos 835 de Alliant y entregándolos a los proveedores. Si estaba inscrito para recibir avisos electrónicos de remesas, su conexión debería restablecerse a través de su cámara de compensación.

Reclamaciones en papel

Seguimos cargando y procesando el volumen de solicitudes en papel que recibimos desde el ciberataque al CHC.  Si la presentación electrónica es su método preferido de presentación de reclamaciones, deje de hacerlo en papel para agilizar la tramitación.

Gracias por su paciencia y cooperación mientras todos hemos navegado por los impactos del ataque a Change Healthcare.  Valoramos a nuestra comunidad de proveedores y su colaboración en la atención a nuestros afiliados.

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Alliant Health Plans’ Response to Change Healthcare Connectivity Issues: Updates on Claims Submissions and Timely Filing https://alliantplans.com/es/alliant-health-plans-response-to-change-healthcare-connectivity-issues-updates-on-claims-submissions-and-timely-filing/#utm_source=rss&utm_medium=rss&utm_campaign=alliant-health-plans-response-to-change-healthcare-connectivity-issues-updates-on-claims-submissions-and-timely-filing Mon, 15 Apr 2024 16:35:00 +0000 https://alliantplans.com/?p=7462 Alliant Health Plans has been monitoring the situation with Change Healthcare (CHC) and communicating with them regarding resolution.  While they have begun to restore some connections, they have not yet restored the EDI connection with all payers, including Alliant Health Plans. Claims SubmissionsWe continue to accept paper claims; however, the process of loading volumes of paper claims is time consuming.  We have dedicated our resources to this process but our turnaround time on paper claims is requiring almost 30 days. ...

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Alliant Health Plans has been monitoring the situation with Change Healthcare (CHC) and communicating with them regarding resolution.  While they have begun to restore some connections, they have not yet restored the EDI connection with all payers, including Alliant Health Plans.

Claims Submissions
We continue to accept paper claims; however, the process of loading volumes of paper claims is time consuming.  We have dedicated our resources to this process but our turnaround time on paper claims is requiring almost 30 days.  We understand the impact this has on providers and continue to search for efficiencies.

Reminders for Paper Claim Submissions:

  • Original Red/White forms are required
  • Please avoid staples
  • Handwritten claims cannot be accepted
  • Service locations cannot be a PO Box

EDI Connectivity
We are actively exploring options for EDI connectivity outside of CHC.  As soon as we have connectivity with any open clearinghouse, we will begin ingesting electronic claims and will update providers.

If you would like to explore direct connectivity with Alliant through your closed clearinghouse or revenue cycle management software, please reach out to Provider Relations by emailing ProviderRelations@AlliantPlans.com.  In your request, please include contact information for your vendor so we may properly evaluate the potential connection.

Timely Filing Requirements
Alliant Health Plans will review timely filing requirements on a case-by-case basis and will allow extensions as appropriate.  Please contact your Provider Engagement Liaison with specific questions.

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Change Healthcare (CHC), owned by United Healthcare and Optum, discovered its systems were under cyberattack https://alliantplans.com/es/change-healthcare-chc-owned-by-united-healthcare-and-optum-discovered-its-systems-were-under-cyberattack/#utm_source=rss&utm_medium=rss&utm_campaign=change-healthcare-chc-owned-by-united-healthcare-and-optum-discovered-its-systems-were-under-cyberattack Wed, 06 Mar 2024 13:17:00 +0000 https://alliantplans.com/?p=6497 On February 21, 2024, Change Healthcare (CHC), owned by United Healthcare and Optum, discovered its systems were under cyberattack, resulting in disruption in service to its health plan and medical provider clients. Alliant Health Plans (Alliant) uses Change Healthcare for its clearinghouse and electronic eligibility verification (270/271 feeds). The following functions managed by CHC are non-operational at this time: We are actively working to find solutions to replace the services handled by CHC. In the meantime, Alliant Health Plans has...

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On February 21, 2024, Change Healthcare (CHC), owned by United Healthcare and Optum, discovered its systems were under cyberattack, resulting in disruption in service to its health plan and medical provider clients.

Alliant Health Plans (Alliant) uses Change Healthcare for its clearinghouse and electronic eligibility verification (270/271 feeds). The following functions managed by CHC are non-operational at this time:

  • EDI Claims Submission (837 files)
  • Electronic Remittance Advice (835 files)
  • Electronic Eligibility Verifications (270/271 feed)

We are actively working to find solutions to replace the services handled by CHC. In the meantime, Alliant Health Plans has temporary solutions for claims, electronic remittance and eligibility as described below:

Claims Submissions

  • Original, scannable, red-ink paper forms may be submitted by mail.

Alliant Health Plans
PO Box 2667
Dalton, GA 30722

Electronic Remittance (835 file)

  • Paper Explanation of Payment (EOP) is available in the Alliant Health Plans Provider Portal

Eligibility Verification

  • Alliant Health Plans Provider Portal
  • Alliant Health Plans Automated telephone system (800-811-4793)
  • Alliant Health Plans Client Services (800-811-4793)

Alliant’s other critical operational functions remain active and are NOT impacted by the CHC disruption. These include, but are not limited to payment operations, provider portal functionality, premium payment operations, eligibility maintenance operations and Call Center operations.

Alliant appreciates your partnership and feedback as the Change Healthcare issue continues to unfold. Alliant will provide updates as more information and solutions become available.

Please reach out to your Provider Engagement Liaison or email ProviderRelations@AlliantPlans.com if you have questions.

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