Provider Enrollment

Alliant Health Plans is a Quality Health Plan striving to provide our members with the highest quality network of providers. In order to do so, we welcome provider applications for the credentialing and contracting process. Our credentialing criteria is available for review in the Provider Manual link found below. To apply, please complete and return the Contract Request Form per the included instructions. AHP encourages all participating providers to take advantage of our electronic funds transfer option; therefore, please submit the enrollment form with your application for participation. 

Alliant Provider Manual
Contract Request Form
Facility Credentialing Application
EFT Flyer 2015
EFT Agreement

For additional information, please contact Provider Relations at 800-664-8480 or providerrelations@alliantplans.com.

  • PROVIDER ENROLLMENT
    PROVIDER ENROLLMENT
  • PROVIDER RESOURCES
    PROVIDER RESOURCES
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