Welcome to Alignment Health Plan's Provider web page! This portion of our website has been designed especially for our partners and their staff, to assist you with your day to day operations as well as provide important drug formulary information, medical disease treatment guidelines and chronic care improvement programs.
Some of the pages require a Login account to access. Please go to either Login Page or Register a new account.
By clicking the buttons to the left, you will be able to verify Member Eligibility and access disease management information. You will also be able to access Alignment Health Plan’s Provider Manual to reference our policies and procedures, and information and assistance with Risk Adjustment Factor (RAF) coding. RAF coding is crucial to successful documentation of your member's acute and chronic medical conditions and to comply with the Centers for Medicare & Medicaid Services (CMS) coding requirements.
If you have any questions or comments, you may contact us at ProvInfo@ahcusa.com.
For provider inquiries, please contact us at ProvInfo@ahcusa.com.
For contracting opportunities, please contact us at ProvContr@ahcusa.com.
For submission of provider network changes and profile sheets, please contact us at ProvData@ahcusa.com.