Email InquirySchedule Meeting
Back to Payer Directory

Alignment Health Plan Medicare Advantage

Medicare AdvantageClearinghouse Participating (Par)EDI Enrollment Required

Also covers / subsidiaries: Alignment Health Plan, Alignment Healthcare

Core Payer & Clearinghouse Profile

Electronic Payer ID

CCHPC

Payer ID not confidently confirmed; confirm with your clearinghouse and Alignment's provider resources.

Timely Filing Limit (TFL)

Per provider contract; verify against your contract and the member's plan

Appeal Window

Medicare Advantage appeals follow CMS Part C rules (commonly 60 days from the denial/organization determination)

Clearinghouse Gateway

National Clearinghouse / EDI Gateway

Provider Services

Varies — confirm via portal / clearinghouse

Claims Fax

Varies — confirm via portal / clearinghouse

Claims Address

Varies — confirm via portal / clearinghouse

Provider Portal

https://www.alignmenthealthplan.com/providers

Alignment Health Plan is a Medicare Advantage carrier concentrated in California and several other states.

National EDI Clearinghouse Capabilities

Direct ANSI X12 electronic transaction support verified for Alignment Health Plan Medicare Advantage.

837P Professional Claims
837I Hospital Claims
837D Dental Claims
835 ERA Electronic Remittance
270/271 Real-Time Eligibility
276/277 Claim Status Inquiry
Secondary Claim Submission
Worker's Compensation EDI
Electronic Attachments (PWK)

Values vary by plan, line of business, and provider agreement. Confirm in the payer portal or with your clearinghouse gateway before submitting electronic claims.

Tired of Chasing Alignment Health Plan Medicare Advantage Denials & Delayed Payments?

Aethera's billing specialists work Alignment Health Plan Medicare Advantage every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.

Cookie preferences

With your permission, we use analytics and advertising services, including business visitor identification. Essential Only keeps these services off. Read our privacy policy.