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Welcome to Your Member Resource Center

Your health and well-being are our top priorities. This resource center is designed to provide you with easy access to the tools, information and support you need to make informed decisions about your care. Whether you're looking for coverage details through the Self-Service portal, wellness programs, provider directories or help navigating your benefits, everything you need is just a click away.

For additional assistance, our customer advocates are here
to help from 8 a.m.-4:30 p.m. Monday-Friday (CST). Call
​800-825-7531 or email [email protected].
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General Resources for Allied National Members

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Additional Member Resources

Appeals 
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Learn more about the process for appealing
​a claim.
  • Appeal procedure
  • HealthCare Management appeal information
  • Appeal information for ​Nebraska residents
California Members
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View information about your mental health coverage on your health plan.

Need to File an Appeal? We've Made it Simple

If your claim was denied, don’t worry—you have options, and we’re here to help. There are two forms when it comes to appeals: Claim Appeal and Healthcare Management Appeal. While they sound similar, here’s what they mean:
  • Claim Appeal
    This is the specific request you submit when you want us to review and reconsider a denied claim. It’s your way of saying, “Please take another look.”
  • Healthcare Management Appeal
    This refers to the overall process we use behind the scenes to manage and prevent claim denials. It includes steps like internal reviews and analyzing why denials happen so we can improve.
Why does this matter to you?
For compliance, both terms apply—even though the forms look the same, you need to fill out and send in both.
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Members' Frequently Asked Questions

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Where do I search for providers? 
Click here to search for high quality providers near you. 

How do I access my self-serve portal?  
Click here to access your self-serve portal and view your benefits; download your digital PDF ID cards; view your claims status and more.   

I Lost My ID CARD? How Do I Order a New One? 
Call us at the number shown on the back of your ID card to order a new one.  
 
What is Pre-Notification? 
Pre-notification is a process where a provider or patient informs our healthcare management team before certain medical services are performed. It helps our nurses coordinate treatment plans with doctors and make sure patients have access to the best healthcare possible and the most affordable price.  

How do I file claims?  
A claim should be filed when you or a dependent incurs medical expenses that are eligible for coverage. It is customary that medical providers submit claims to the address shown on your member ID card on your behalf as a courtesy to the patient.  

If you need to manually submit a paper claim or a request for reimbursement, please contact our Customer Service team for assistance. You can find the appropriate contact information on your member ID card. 

How do I view my benefits? 
You can view your benefits on your member self-serve portal.   

How do I read my Explanation of Benefits (EOB)? 
Glad you asked. Because we know EOBs can be complex to understand, we created a dedicated educative page to it – see it here! 

What do I do if I’m balance billed by my provider? 
We’re here to help! Our Freedom plans are equipped with balance bill protection. If you ever face a balance bill situation: 
  1. Pay your share (and nothing else) as shown on the EOB you received. 
  2. Contact our advocacy Team at 866-332-1987 or email your bill to [email protected] - with Subject line “balance bill”. 
  3. We’ll take it from there—working directly with the provider to resolve any excess charges.  

Quick tip: Respond promptly to any requests for information so we can resolve your bill as fast as possible. 

How do I add dependents to my plan? Missing info.  
Ask Kelly or Kayle ////////////////////////////////

I’m overwhelmed by healthcare and not sure what to do? 
Call us at 800-825-7531!

We get it. Healthcare is complicated and we are here to simplify it for you. Our U.S.-based advocates are here to help you navigate your health plan, and ensure you have access to the absolute best, affordable, health care possible.   
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  • Home
  • Employers
    • Self-Service Login
    • Prescription Benefits
    • Lab Program
    • Allied Member Discounts
    • EBA Newsletter
    • Downloadable Forms
  • Members
    • Member Resources for Funding Advantage >
      • Explanation of Benefits for Funding Advantage Members
      • Member FAQs
      • Member-Hybrid >
        • Member-Hybrid-Plan-Info
        • Member-Spanish-Hybrid-Plan-Info
      • Member-Traditional >
        • Member-Traditional-Plan-Info
        • Member-Spanish Traditional-Plan-Info
      • Member-Essentials >
        • Member-Essentials-Plan-Info
        • Member-Spanish Essentials-Plan-Info
      • Member-PPO >
        • Member-PPO-Plan-Info
        • Member-Spanish-PPO-Plan-Info
      • Member-Cost Saver >
        • Member-Cost Saver-Info
        • Member-Spanish-Cost Saver-Info
      • Member-Minimum Essential Coverage >
        • Member-Spanish Minimum Essential Coverage
      • Member - Community Health Plan >
        • Member-Community Health-Plan-Info
      • Member-H&H PLan >
        • Member-H&H Plan-Info
      • Member-Vault PPO Resources >
        • Member-Vault-PPO-Plan-Info
      • Member-Vault RBP >
        • Member-Vault RBP-Plan-Info
      • Member-Fundamental Care
      • Member-Fundamental Care Value Plan
    • Benefit Extras >
      • Allied Member Discounts
      • Elite Experience Team
      • HealthCare Assistant
      • HealthChoices
      • Lab Program
      • Telehealth
    • Self-Service Login >
      • Self -Service Site Info
    • Find A Provider
    • Prescription Benefits
    • Member Download Forms >
      • Appeals
  • Agents
    • Agent Edge
    • Plans >
      • Level Funding Group >
        • Freedom Plan >
          • Hybrid
          • Traditional
          • Essentials
        • PPO
        • Cost Saver Plan
        • Minimum Essential Coverage
        • Direct Primary Care
      • Dental Design Group
      • Premium Only Plan Group
      • Individual Plans
    • Self-Service Login
    • Download Forms - Agents
    • Product Availability
    • Training Webinars
    • Agent FAQs
    • Bulletin (Agent)
  • Provider
    • Provider Verification
    • DPC & Benefit Plans
  • About Us
    • History
    • Testimonials
    • Blog
    • Newsroom >
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  • Contact Us