• Commercial Manual
• MA Manual

• Compliance Attestation Form

• Prospective Provider Form (for non-contracted providers)
• Provider Information Change Form (for contracted providers)
• Provider Addition Form (for contracted providers)
• CAQH Provider Addition Form (for contracted MDs and DOs only)

• Provider Attestation Form
• IL Credentialing Application
• IA Credentialing Application
• Health Alliance Credentialing Application
• CAQH Provider Addition Form (for contracted MDs and DOs only)

• Preauthorization Request Form
• MHS Chiropractor Referral Form (for Memorial Health System Employees and Dependents only)
• CVS Specialty Pharmacy Services Enrollment Form
• High Cost Medical Drugs List

• ePayment Enrollment and Authorization Form
• Change Healthcare ePayment Flier

• eviCore Resources
• Preauthorization Overview for Providers and Office Personnel
• YourHealthAlliance.org Overview for Providers and Office Personnel
• Clear Coverage Tutorial
• Compliance Training Presentation

And check out Coding Counts for regular updates on Risk Adjustment coding and ICD-10 updates.

• CVS Caremark Specialty Pharmacy Services Enrollment Form
• Morphine Equivalent Dose (MED)/Opioid Medication Supplemental Information Form – (fill)
• Pharmacy Preauthorization Request Form

• 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

• Health Alliance Northwest Emergency Fill List – Included Drugs
• Health Alliance Northwest Emergency Fill List – Excluded Drugs
• High-Risk Medication Chart
• Simplete High Risk RX Flyer
• OSF MedAdvantage High Risk Rx Flier

• Help Patients Save on Meds Flier
• Antidepressants Comparison Guide
• ARB Antihypertension Comparison Guide
• Atypical Antipsychotics Comparison Guide
• Statin Comparison Guide

• 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

• 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

• Health Alliance Breast Cancer Cheat Sheet with codes
• Health Alliance CDC A1c Cheat Cheat Sheet with codes
• Health Alliance Colorectal Cancer Screening Cheat Sheet with codes
• Health Alliance Diabetes Kidney Disease Monitoring Cheat Sheet with codes
• Health Alliance Eye Exam Cheat Sheet with codes
• Health Alliance Statin Therapy for Patients Cheat Sheet with codes