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Get And Sign Alameda Alliance Prior Authorization Form

Service. Member must be eligible on date of service and procedure must be a covered benefit. REMAINING BALANCE MAY NOT BE BILLED TO THE PATIENT. If interested in becoming an AAH contracted provider, contact Provider Services at (510) 747-4510. Please verify eligibility using one of the following methods: 1. Web: https://www.alamedaalliance.org 2. AAH Customer Service: (510) 747-4567 TYPE OF REQUEST (please check only one): REQUESTING PROVIDER Routine Name: Urgent Address: Approval based...

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