Welcome to Alignment Health Plan HMO's Provider website! This portion of our website has been designed especially for our providers and 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 among other topics.
Some of the sections of this website require you to have a Login account. 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, access Disease Management information, as well as monthly health eduction information through Health Builder. You will also be able to access AHP HMO'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 CMS coding requirements.
If you are a Provider, please click here to complete the Physician Satisfaction Survey.
Please feel free to explore the provider webpage as well as the other sites available on our website. 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.