Alliance Health Tailored Plan: Behavioral Health Billing Guide
Alliance Health is one of North Carolina's four Tailored Plans, and for many behavioral health providers in its counties it is the payer for their highest-need members. Its claims, treatment plans, and authorization status all run through one system, which makes getting access to it the first task.
Short answer
Alliance Health operates an NC Medicaid Behavioral Health and I/DD Tailored Plan. Providers use the Alliance Claims System to submit claims and treatment plans, view appointments, and check authorizations. Prior authorization instructions, codes that may require it, and clinical coverage policies are on Alliance's Clinical Resources page. Provider Services is at 800-510-9132.
Where Alliance fits
Alliance Health is one of North Carolina's Behavioral Health and I/DD Tailored Plans, which launched July 1, 2024 for members with significant behavioral health, substance use, I/DD, or TBI needs, and which manage the enhanced behavioral health services Standard Plans do not. Tailored Plans serve defined counties, so confirm both the member's plan and your contract with it.
Claims and portal access
The Alliance Claims System (ACS) lets providers view appointments, submit claims and treatment plans, and check authorizations. Access to Alliance's single sign-on portal and its supported applications is granted on request, with documentation, so build that into onboarding a new clinician or biller rather than discovering it at the first claim.
Prior authorization
Alliance's Clinical Resources page explains how to submit prior authorization, how to look up codes that may require it, and where to find clinical coverage policies and practice guidelines.
| Contact | Detail |
|---|---|
| Provider Services | 800-510-9132 |
| Prior authorization | Clinical Resources page on the Alliance Tailored Plan provider site |
As of October 2026.
Where behavioral health claims go wrong
- No portal access yet. Claims delayed while access for a new clinician or biller is requested.
- Treatment plan out of step with services. Services billed that the submitted treatment plan does not support.
- Member not in Alliance's plan. A Standard Plan member's behavioral health billed to the Tailored Plan.
Related: verifying NC Medicaid eligibility in NCTracks, associate-level clinician billing in NC, and the NC Medicaid behavioral health billing guide.
Sources, checked October 2026: Alliance Health provider quick reference guide; NC Medicaid Tailored Plan claims and prior authorization FAQ. Confirm current details on the plan's provider site.
Frequently asked questions
How do I submit claims to Alliance Health?
Through the Alliance Claims System, which also handles treatment plans, appointments, and authorization status.
Where are Alliance Health's prior authorization requirements?
On the Clinical Resources page of Alliance's Tailored Plan provider site, which explains how to submit prior authorization and look up codes that may require it.
What is Alliance Health's provider services number?
800-510-9132, as of October 2026.
Is Alliance Health a Tailored Plan?
Yes. Alliance operates a Behavioral Health and I/DD Tailored Plan for members with significant behavioral health, substance use, I/DD, or TBI needs in its counties.
Tailored Plan claims, checked before they go.
See Stable check Alliance claims against authorizations and treatment plans before submission.
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