Provider Materials
Manuals
Compliance Forms
Provider Addition and Change Forms
Credentialing Forms
Preauthorization and Referral Forms
- Preauthorization Request Form
- Substitution Code Crosswalk Table
- Provider Reference Checklist – CCR
- Provider Reference Checklist – EviCore
- Provider Reference Checklist – Outpatient
- Provider Reference Checklist – Post Acute
- Provider Reference Checklist – Transplant (Admissions)
- Provider Reference Checklist – Transplant Center
ePayment Information
Digital Tools and Guides
Pharmacy
Forms
Formularies
- 2021 Health Alliance Individual and Small Group Formulary
- 2021 Simplete Small Group Formulary
- 2021 Health Alliance State of Illinois Employee Formulary
- 2021 Large Group and Self-Funded Standard Formulary
- 2021 Large Group and Self-Funded Enhanced Formulary
- 2021 Health Alliance Northwest Individual & Small Group Formulary
- 2021 Health Alliance Northwest Large Group Formulary
- 2021 Medicare Midwest Formulary
- 2021 Medicare Northwest Formulary
- 2021 Medicare Simplete Formulary
- 2021 OSF MedAdvantage Formulary
- 2021 Medicare State of Illinois Formulary
- 2020 Health Alliance Individual & Small Group Formulary
- 2020 Health Alliance Northwest Individual and Small Group Formulary
- 2020 Large Group & Self-Funded Standard Formulary
- 2020 Large Group & Self-Funded Enhanced Formulary
- Medicare Illinois Pharmacy Directory
- Medicare Midwest Formulary
- Medicare Northwest Formulary
Drug Lists
Generics
Medicare Information
Provider Education
- Health Alliance Medicare Advantage Overview
- Health Alliance Medicare Provider Education
- Health Alliance Northwest Medicare Provider Education
- Reid Health Alliance Medicare Provider Education
- Health Alliance Confluence Health Medicare Provider Education
- Health Alliance Simplete Medicare Provider Education
- Riverside Health Alliance Simplete Medicare Provider Education
Star Ratings Fliers
- 2018 IL Medicare Star Ratings Flier
- 2018 IL Medicare Star Ratings Flier – Spanish
- 2018 IA Medicare Star Ratings Flier
- 2018 IA Medicare Star Ratings Flier – Spanish
- 2018 WA Confluence Medicare Star Ratings Flier
- 2018 WA Confluence Medicare Star Ratings Flier – Spanish
- 2018 WA Pioneer Medicare Star Ratings Flier
- 2018 WA Pioneer Medicare Star Ratings Flier – Spanish
- 2018 WA SignalAdvantage Medicare Star Ratings Flier
- 2018 WA SignalAdvantage Medicare Star Ratings Flier – Spanish
- 2018 Reid Medicare Star Ratings Flier
- 2018 Reid Medicare Star Ratings Flier – Spanish