Provider FAQs
- How can I find out if I am contracted with the Alliance?
- I am certain that I am not an Alliance contracted provider, but I wish to treat an injured worker. What do I do?
- I know our practice is contracted, but I need to know which providers are currently contracted.
- How long does it take to become a provider after I return the contract and credentialing documents?
- Where do I send billing?
- How do I sign up for E-Billing?
- Who do I call for claims payment status?
- Do I have to refer to an in-network provider?
- I'm not certain if the procedure we're planning requires preauthorization. Where can I find that information?
How can I find out if I am contracted with the Alliance?
If this tax ID is associated with a contracted practice, you will either see a list of providers that are contracted or a list of practice locations that are contracted. If a list of practice locations appears, then all providers with this practice are contracted. If there is a list of providers and your name does not appear, you are not a contracted provider. Please apply to become a provider by completing a Provider Application.
I am certain that I am not an Alliance contracted provider, but I wish to treat an injured worker. What do I do?
Exceptions for non-contracted providers are rare. To request an exception you need to gain authorization from the assigned adjuster. Contact information for our risk pools can be found here.
I know our practice is contracted, but I need to know which providers are currently contracted.
These are the providers who are currently contracted and able to treat Alliance injured workers. If you need to remove providers or update practice locations, you will need to complete an Exhibit C (Excel file) and return to us. To add providers, you will need to submit a Provider Application Form. We will respond within 45 days with a determination.
How long does it take to become a provider after I return the contract and credentialing documents?
The turnaround time to process a contract and new provider credentialing documentation is approximately 6 weeks.
Where do I send billing?
Do NOT send any medical bills to the Alliance office. Medical bills should be sent to the Responsible Pool. If you don’t already know which pool is the Responsible Pool, you can usually figure it out based on the employer.
| If the employer is a… | The Responsible Pool is usually… | Phone Number | Mailing Address | |
|---|---|---|---|---|
| School District | TASB RMF | 800-297-6909 | PO Box 2893 Clinton, IA 52733 |
|
| City | TMLIRP | 800-630-3060 | PO Box 2894 Clinton, IA 52733 |
|
| County | TAC RMP | 800-297-6909 | P.O. Box 14152 Lexington, KY 40512 |
|
| Community Center | TCRMF | 800-297-6909 | PO Box 26655 Austin TX 78755-0655 |
|
| Water Districts and Authorities | TWCARMF | 800-297-6909 | PO Box 26655 Austin TX 78755-0655 |
|
| Other entities (appraisal districts, emergency service districts, hospital districts, etc.) please call the employer to verify which pool is providing coverage. | ||||
How do I sign up for E-Billing?
E-Billing is highly encouraged, and may be required by law depending on the size of your practice and volume of claims. Details regarding Labor Code 133.501 703 can be found here. Below are the E-Billing providers for the pools:
Texas Association of School Boards Risk Management Fund
WorkCompEDI
Phone: 800-297-6909
Website: www.workcompedi.com
Payer ID: WR902
Texas Municipal League Intergovernmental Risk Pool
Jopari Solutions Inc. eBill
Phone: 800-630-3060
Enroll online at www.jopari.com/ebill-enrollment/
Payer ID: A0245
Texas Association of Counties Risk Management Pool
WorkCompEDI
Phone: 800-297-6909
Website: www.workcompedi.com
Payer ID: WZ902
Texas Water Conservation Association Risk Management Fund (Payer ID is Careworks)
WorkCompEDI
Phone: 800-297-6909
Website: www.workcompedi.com
Payer ID: CB888
Texas Council Risk Management Fund (Payer ID is Careworks)
WorkCompEDI
Phone: 800-297-6909
Website: www.workcompedi.com
Payer ID: CB888
If you do not utilize E-Billing, mailing addresses for our pools can be found here.
Who do I call for claims payment status?
To inquire about the status of a claim payment, contact the Responsible Pool. The Alliance does NOT handle the claims payments. If you don’t already know which pool is the Responsible Pool, you can usually figure it out based on the employer.
| If the employer is a… | The Responsible Pool is usually… | Phone Number | Mailing Address | |
|---|---|---|---|---|
| School District | TASB RMF | 800-732-0153 | PO Box 2893 Clinton, IA 52733 |
|
| City | TMLIRP | 800-537-6655 | PO Box 2894 Clinton, IA 52733 |
|
| County | TAC RMP | 800-752-6301 | P.O. Box 14152 Lexington, KY 40512 |
|
| Community Center | TCRMF | 800-752-6301 | PO Box 26655 Austin TX 78755-0655 |
|
| Water Districts and Authorities | TWCARMF | 800-752-6301 | PO Box 26655 Austin TX 78755-0655 |
|
| Other entities (appraisal districts, emergency service districts, hospital districts, etc.) please call the employer to verify which pool is providing coverage. | ||||
Do I have to refer to an in-network provider?
Yes, you must refer to an in-network specialist unless there are no options in your area. If you would like to refer to an out-of-network provider, you may request an exception from the adjuster. If you would like to nominate a provider that you prefer to refer patients to, you can complete a Provider Application form.
I'm not certain if the procedure we're planning requires preauthorization. Where can I find that information?
The list of procedures that require preauthorization can be found in Appendix A of our Provider Manual (pg. 31). Preauthorization forms are located both in the Provider Manual and on the Resources page of our site.
