Prior authorization request form Form

Questions? Please call the Alliance Provider Services Department Monday – Friday, 7:30 am – 5 pm Phone Number: 1.510.747.4510 www.alamedaalliance.org 1/1 UMPRVDRPROC CODE SEARCH TOOL 09/2025 FAXED: 1/26/2026 Important Announcement: New Procedure Code Search Tool At Alameda Alliance for Health (Alliance), we value our dedicated provider partner community. We have an important announcement to share with you. We are excited to announce a new procedure code search tool available on the Alliance website. The tool does not require a login and allows providers to input a procedure code (CPT or HCPC) to determine if a prior authorization may be required for Alliance members to receive certain services. Instructions:

1. Visit the Alliance website at www.alamedaalliance.org/providers/authorizations and click the hyperlink for the Procedure Code Search tool.
2. Select the appropriate Line of Business of your patient from the drop-down menu.
3. Enter a valid Procedure Code/Description and click Search. Prior authorization requests may be submitted in the Alliance Provider Portal or by faxing a completed Alliance Prior Authorization Form to 1.855.891.7174. For more information on how to submit a prior authorization request, please visit the Alliance website at www.alamedaalliance.org/providers/authorizations/authorization-management.
   Thank you for your continued partnership. We appreciate and thank you for the high quality care you provide your patients and our members. Together, we are creating a healthier community for all.