Provider Services
Alliance ACA Health SupplementBenefits to Providers
For services eligible under the patients’ primary health insurance, Alliance ACA Health Supplement pays the patients’ out-of-pocket expenses such as deductibles and coinsurance. Claims are paid directly to the healthcare provider via our third party administrator MWG Administators. Alliance ACA Health Supplement provides many benefits to healthcare providers such as, but not limited to:
- Timely direct deposit payments.
- Reduction in Accounts Receivable.
- Reduction in the volume patient services that are delayed or avoided.
- Reduction in bad debt.
- Increase in patient utilization.
- Improvement in patient’s physical and financial wellbeing.
Claims Process
One of the unique advantages of Alliance ACA Health Supplement is that healthcare providers are able to file all of the claims for patients via an electronic payer code that is clearly labeled on the member’s secondary insurance card (note providers can also file US mail). Here is how the claims process works:
1
Member Shows
Both Cards
Provide both primary & secondary cards at visit.
2
Provider
Verification
Provider verifies coverage with both primary and secondary insurance. Verification Information shown on the back of member ID Card.
3
Provider Files
the Claim
Once the primary insurance has processed the claim, the provider will submit the claim to the secondary insurance by filing electronically or by mail.
4
Alliance Pays
Provider
Secondary insurance processes the claim. The claim will be sent to the provider and the member.
Standard Covered Services
Inpatient - Physicians & Facilities
Maternity Services
Emergency Room Services
Outpatient - Physicians & Facilities
Outpatient Surgeries
Home Healthcare
Mental & Behavioral Health Services
Substance Abuse Treatment
Dependent Pregnancy
HSA Compatibility
Labs, X-rays, Testing, Pathology
Major Diagnostic & Imaging
Physical Therapy
Chiropractic Services
Ambulance Services
Durable Medical Equipment
IV Therapies & Infusions
Chemo & Radiation Therapy
In-Office Physician Procedures
No Exclusion for Pre-Existing Conditions
Non-Covered Services
Office Copays/Physician Consult Fees
Rx Copays: Tier 1, 2, 3 & 4
Services Excluded from Major Medical
Preventative Wellness Services (Covered by Major Medical)
Provider Portal
Click the button below to verify coverage or register to the provider portal:
Claim Filing
Provider Verifying Coverage
MWG Administrators:
(888) 888-2519
Submit Electronic Claims To:
US Mail Claims Submissions
AmFirst Insurance Company
P.O. Box 211747
Eagan, MN 55121
Provider Filing Claims Must Include
- Itemized Bill or HCFA Form
- Copy of Primary Carrier EOB