Please note that accounts inactive for more than 24 months are deactivated as a security precaution. If your account has been deactivated, please create a new account; all prior data will be available through this new account.
Health Resources for Providers
Questions about
Electronic EOBs and EFT
Please have your name, contact information, and Tax ID available and contact Zelis at
877-828-8770 | PayorService@zelispayments.com
Become a Preferred Provider
How to Submit a Claim Electronically
Visit www.availity.com
and follow the registration process.
At that time, you will be able to submit claims via the "EDI File Management" option on the portal.
Credentialing Information
Allegiance Benefit Plan Management, Inc. groups now require credentialing of in-network providers. Providers who have not
completed credentialing with Allegiance will be considered out-of-network for all Allegiance and Cigna members.
Allegiance Provider Direct now accesses CAQH for credentialing purposes. CAQH ProView is available to providers free of charge.
CAQH, the online tool for collection of Allegiance Provider Direct provider credentialing information, has launched the next
generation of the Universal Provider Datasource (UPD), now called CAQH ProView. CAQH established CAQH ProView Provider Transition
Support Center to help providers and practice managers with the transition. If you need assistance completing your application or
have any questions, please email proview@caqh.org or call
844-259-5347.
For communication and questions regarding credentialing for Allegiance and Cigna health plans, please email
Credentialing@AskAllegiance.com.
- Credentialing Application
- Release of Information Form
- Cigna Resources for Your Montana Cigna Membership
- Pre-Treatment Review
-
Pre-Treatment Request Forms
- Inpatient Admission Prior Authorization Request
- Standard Outpatient Prior Authorization Request
- Bariatric Surgery Prior Authorization Request
- Cancer Prior Authorization Request
- Dialysis Prior Authorization Request
- DME Prior Authorization Request
- Genetic Testing Prior Authorization Request
- Home Health Prior Authorization Request
- Infusion Prior Authorization Request
- Ongoing Therapy Prior Authorization Request
- Organ and Tissue Prior Authorization Request
- Spinal Surgery Prior Authorization Request
Contact Us
For eligibility or benefit questions, authorization information, or claim status, please contact customer service or log in to the provider portal.
If you would like to initiate a 30-day open negotiation period, as permitted by law, please contact Multiplan by sending an email to NSAService@mutiplan.com or by calling 888-593-7427. If the 30-day negotiation period does not result in a determination, you may initiate the applicable dispute resolution process within four days after the end of the open negotiation period. The Independent Dispute Resolution (IDR) process is also through Multiplan at the email and phone number above. For additional information please visit here.