At Allegiance Benefit Plan Management, Inc. your healthcare is our first priority and we work hard to make sure you have access to everything you need to be an active member in your benefit plan. Our online system allows you to look-up claims, review your plan document, see your enrollment by coverage, and provides access to programs/information that can help you focus on getting and staying healthy.
HealthEquity is the nation’s oldest and largest dedicated health savings trustee. They help members build health savings while helping control premium costs. They provide hassle-free Health Savings Account administration through innovative technology and online tools, seamless end-to-end solutions, and 24/7/365 service excellence.
The following link will provide you with many helpful tools as well as allow you to login to the HealthEquity account.
MEE means the maximum dollar amount considered for payment by a Plan for any of its services or supplies. Keep in mind, these services are also subject the Plan maximums. This would be any annual or lifetime visit or dollar maximums on the policy.
How do I find an in-network provider? The provider search page. Click here. How do I view my EOBs (Explanation of Benefits) online?The EOBs can be viewed after logging into your personal account under “Claims History” by clicking the claim number associated with the service.
How to check status of a claim?You can locate your claims history by logging into your personal account. This login page is on the upper left hand side of this page. Once you are logged in you can view claims under 'Claims History'. There will be a description of the claim status in the far right column after the provider listed. For Example: "processed" or "reviewed & waiting to be paid".
Why can’t I see my dependent child or spouse’s claim when I login?Due to privacy laws in place, any dependent child or spouse who is 18 yrs of age or older will need to create their own account to login to view their claims history.
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If you do not wish to create an AskAllegiance account, but still access the benefits of Healthcare Bluebook, you can contact us at 800-877-1122
Healthcare Bluebook provides a comprehensive transparency solution that enables consumers to compare healthcare costs and quality. With Healthcare Bluebook, employers can be confident that their employees will be able to shop for care so that they get the most affordable, high quality care.
At Allegiance Benefit Plan Management, Inc. your healthcare is our first priority and we work hard to make sure you have access to everything you need to be an active member in your benefit plan. Our online system allows you to look-up claims, review your plan document, see your enrollment by coverage, and provides access to programs/information that can help you focus on getting and staying healthy.
Allegiance has extensive experience in providing the following services:
The HSA is a portable and non-forfeitable account. Each employee’s HSA funds are held in an individual trust or custodial account.
Allegiance offers a pricing transparency tool that allows participants to compare price differences in procedures and/or facilities. The Healthcare Bluebook (HCBB) helps reduce the cost of healthcare by enabling participants and employers to make better use of the high-value providers within their existing network.
Nurse LineA toll-free number gets participants connected to a doctor within minutes. The On Call Service provides telephone access to a physician when participants are seeking information on medical conditions, want advice or recommendations for common conditions. Other available tools include:
Allegiance works with our on-site sister-company, Allegiance Care Management, LLC, for Utilization Review (UR) services. Allegiance Care Management is URAC accredited and is a leader in utilization review, case and chronic condition management services.
Because of the system integration, and shared ownership within the Allegiance family of companies, we are able to integrate utilization review and case management into the daily operations of your health plan administration. Together, we have developed an integrated risk management program that is unmet in the industry. This integrated approach results in costs savings, close collaboration on high-dollar cases and immediate notification of inpatient admissions.
Allegiance Care ManagementAllegiance works with our on-site sister-company, Allegiance Care Management, LLC, for Case Management. Allegiance Care Management is committed to providing case management services that will help effectively coordinate and manage your most medically challenging needs. Case managers are paired with participants and are in regular contact with them by phone. Case managers will provide written information upon request and work with participants to:
Allegiance works with our on-site sister-company, Allegiance Care Management, LLC, for our Maternity Management Program, StarBaby. StarBaby provides a prevention-focused approach to early identification, intervention, and management of pregnancy complications with the goal to improve newborn outcomes.
We strive to reach all pregnant women within the first trimester and to identify individuals at risk for prenatal complications or premature labor. Early identification occurs through promotion of the program, coordination with the claims processor, coordination with individual campus human resource contacts, and through the Allegiance Care Management utilization management process.
Allegiance provides our customers innovative analytics and reporting tools, from both the clinical and financial perspective, to assist in better managing cost, quality and risk of their health plan. Through our partnership with Deerwalk, Allegiance is able to provide state of the art reporting and plan analytics through access to a web-based Plan Analytics portal, which provides ad-hoc reporting, drill down capabilities, quality metrics (gaps in care) and MARA risk models to quickly identify high-risk, high-cost members that may benefit from targeted care management intervention. Additional industry standard reports focus on utilization and cost for areas such as places of service, diagnoses, procedures, providers and drugs. Allegiance leverages these flexible and customizable reporting options to analyze trends in their clients healthcare spending and utilization by performing streamlined analysis, from the aggregate level down to the individual member level. These powerful tools allow our customers to optimize medical resources, improve quality, reduce cost, and maximize patient engagement.
Also referred to as “reinsurance,” stop loss is insurance coverage purchased by a self-funded employer group to limit their risk in paying healthcare claims. Stop loss is a reimbursement contract meaning that the employer group pays the claims and the stop loss carrier reimburses the group.
Allegiance offers comprehensive wellness options designed to allow employers to customize their company’s wellness goals.
Allegiance can bill fees and premiums for other employee benefits including, but not limited to, group life, group AD&D and/or group short term and long term disability to the Plan Sponsor, and will remit the premium collected to the applicable carrier.
Disease Management
Welcome to the Allegiance Online Provider Portal. Here you will find information, forms, and services to improve your experience working with Allegiance. In addition to tools to help you verify benefits, request allowable charges, and check your credentialed status, you will find practical and concise forms to make sure your provider directory listing is up-to-date for all of Allegiance's members.
Please have your name, contact information, and Tax ID available and contact Zelis at the following information: 877-828-8770 | PayorService@zelispayments.com
