1. Information for Providers
September 18, 2014 … Page
Confidential, unpublished property of Allegiance Benefit Plan Management, Inc. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel.
© 2014 Allegiance Benefit Plan Management, Inc.

2. © 2014 Allegiance Benefit Plan Management, Inc.
Table of Contents
Background
Who Is Allegiance?
Allegiance and Huntsville Hospital Health System
Working with Allegiance
Online Tools
Pre-Certification / Pre-Treatment Review
Submitting Claims
Claims Processing and Payment
Claims and Benefit Questions
Claim Processing Overview
Am I a Preferred Provider?
In-Network Providers
Enrolling with Cigna
Additional Information
September 18, 2014 … Page
Confidential, unpublished property of Allegiance Benefit Plan Management, Inc. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel.
© 2014 Allegiance Benefit Plan Management, Inc.

3. © 2014 Allegiance Benefit Plan Management, Inc.
Who is Allegiance?
Our History
Originally founded in 1980, Allegiance has administered Self- Funded Health Plans for more than three decades.
Over 100 clients across the country representing more than 166,000 lives.
Clients include hospital systems, school districts and government organizations, insurance trusts, and MEWAs.
Claims processing, customer service, enrollment, and all other services are coordinated from our corporate office in Missoula, MT.
Allegiance became a wholly-owned subsidiary of Cigna in enabling us to offer the flexibility and customized service of our TPA model alongside Cigna’s extensive network and analytic products.
September 18, 2014 … Page
Confidential, unpublished property of Allegiance Benefit Plan Management, Inc. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel.
© 2014 Allegiance Benefit Plan Management, Inc.

4. Allegiance and Huntsville Hospital Health System
Our Relationship
Effective November 1, 2014, the Huntsville Hospital Health System Health Plans will be administered by Allegiance.
HH Heath System Health Plans covers 14,000 lives throughout the Huntsville, Athens and Decatur areas.
Employees and their families will access the Cigna PPO network of providers.
September 18, 2014 … Page
Confidential, unpublished property of Allegiance Benefit Plan Management, Inc. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel.
© 2014 Allegiance Benefit Plan Management, Inc.

5. Working with Allegiance
September 18, 2014 … Page
Confidential, unpublished property of Allegiance Benefit Plan Management, Inc. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel.
© 2014 Allegiance Benefit Plan Management, Inc.

6. Working with Allegiance
Online Tools
Many of the processes discussed on the following pages can be made easier by taking advantage of Allegiance’s Online Tools for Providers.
Providers can find helpful information at:
September 18, 2014 … Page
Confidential, unpublished property of Allegiance Benefit Plan Management, Inc. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel.
© 2014 Allegiance Benefit Plan Management, Inc.

7. Working with Allegiance
Pre-Certification / Pre-Treatment Review
Pre-certification and Pre-treatment Review for services will be coordinated through StarPoint Health Group, an Allegiance company.
A Pre-treatment Review list is available online at
StarPoint’s Nurse case managers and reviewers are available by phone at (800)
September 18, 2014 … Page
Confidential, unpublished property of Allegiance Benefit Plan Management, Inc. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel.
© 2014 Allegiance Benefit Plan Management, Inc.

8. Working with Allegiance
Submitting Claims
All medical claims are required to be sent to Cigna PO Box
Chattanooga, TN
or Payer ID: 62308
Cigna will forward priced claims to Allegiance electronically for processing.
Claims submitted electronically will be accepted or rejected based on an eligibility match. If rejected, the provider will receive a 999 response file. If submitted via paper and there is no eligibility match, the provider will receive the claim along with a form letter stating the member could not be found.
September 18, 2014 … Page
Confidential, unpublished property of Allegiance Benefit Plan Management, Inc. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel.
© 2014 Allegiance Benefit Plan Management, Inc.

9. Working with Allegiance
Claims Processing/Payment
All claims will be processed by Allegiance at its facility in Missoula, MT.
Checks and EOBs will come from Allegiance.
Providers interested in electronic payments and ERAs should contact PayPlus Solutions for enrollment information.
(877)
More information on PayPlus is available online at
September 18, 2014 … Page
Confidential, unpublished property of Allegiance Benefit Plan Management, Inc. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel.
© 2014 Allegiance Benefit Plan Management, Inc.

10. Working with Allegiance
Benefits & Questions
Online Verification of Benefits (beginning 11/1/14) is available at:
Allegiance Customer Service is available from 7a-7p CST, Monday through Friday at (855)
An Automated Voice Response system (IVR) is also available 24/7/365 for claims and benefit information
Providers interested in HIPAA transactions; 270/271, 276/277 should have their clearinghouse contact Health-e-Web (877)
September 18, 2014 … Page
Confidential, unpublished property of Allegiance Benefit Plan Management, Inc. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel.
© 2014 Allegiance Benefit Plan Management, Inc.

11. Working with Allegiance
Claims Processing/Payment Overview
Process
Contact
Add’l Information
Claim Submission
Cigna
PO Box , Chattanooga, TN
Payer ID: 62308
Claim Processing
Allegiance
(855)
Claim Status
askallegiance.com/hhsys
Claim Payment
September 18, 2014 … Page
Confidential, unpublished property of Allegiance Benefit Plan Management, Inc. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel.
© 2014 Allegiance Benefit Plan Management, Inc.

12. Working with Allegiance
Claims Processing/Payment Overview
Process
Contact
Add’l Information
Pre-Certification / Pre-treatment Review
StarPoint / Allegiance
(800)
Payment Refunds
Allegiance
PO Box 3018
Missoula, MT 59806
(855)
Benefit Verification
askallegiance.com/hhsys
September 18, 2014 … Page
Confidential, unpublished property of Allegiance Benefit Plan Management, Inc. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel.
© 2014 Allegiance Benefit Plan Management, Inc.

13. Am I a Preferred Provider?
September 18, 2014 … Page
Confidential, unpublished property of Allegiance Benefit Plan Management, Inc. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel.
© 2014 Allegiance Benefit Plan Management, Inc.

14. Am I a Preferred Provider?
In-Network Providers for Huntsville Hospital Health System
HH Health System employees will access the Cigna PPO Network.
Providers not currently contracted with Cigna are encouraged to enroll with Cigna prior to implementation on November 1, 2014 to avoid potential service disruption for HH Health System members.
September 18, 2014 … Page
Confidential, unpublished property of Allegiance Benefit Plan Management, Inc. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel.
© 2014 Allegiance Benefit Plan Management, Inc.

15. Am I a Preferred Provider?
Enrolling with Cigna
Providers who wish to enroll with Cigna can do so online
or by phone
(800)
September 18, 2014 … Page
Confidential, unpublished property of Allegiance Benefit Plan Management, Inc. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel.
© 2014 Allegiance Benefit Plan Management, Inc.

16. Additional Information
September 18, 2014 … Page
Confidential, unpublished property of Allegiance Benefit Plan Management, Inc. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel.
© 2014 Allegiance Benefit Plan Management, Inc.

17. New Member Identification Cards
Sample ID Card (front)
September 18, 2014 … Page
Confidential, unpublished property of Allegiance Benefit Plan Management, Inc. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel.
© 2014 Allegiance Benefit Plan Management, Inc.

18. New Member Identification Cards
Sample ID Card (back)
September 18, 2014 … Page
Confidential, unpublished property of Allegiance Benefit Plan Management, Inc. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel.
© 2014 Allegiance Benefit Plan Management, Inc.