Alpha+

Partners uses Alpha+ for its Managed Care Operations. More details regarding Alpha+ are available in the Partners’ Provider Operations Manual and the links below.

Access the Alpha+ Provider Portal

Provider Portal Handbook

Request Individual/Unique Alpha+ Logins

Each staff member will need their unique Alpha+ Provider Portal login. To obtain an Alpha+ login or to schedule Alpha+ Provider Portal online training, call the Partners’ Information Technology Service Desk at 704-842-6431.

Alpha+ Provider Set Up

Provider agencies that transmit or receive HIPAA-Compliant X12 Electronic Transactions must mail an original, completed and signed Trading Partner Agreement (TPA) to:

Partners Health Management
Attn: Information Technology
901 S New Hope Rd.
Gastonia, NC 28054

Please allow 72 hours for processing.

ZixMail

Partners uses ZixMail, a desktop email encryption solution that offers a high level of email security. ZixMail lets users encrypt and decrypt emails and attachments with a single click, rendering any hacked or stolen information indecipherable to anyone outside of the Partners’ Provider Network. ZixMail not only helps safeguard information but also assists to be compliant with the Health Insurance Portability and Accountability Act (HIPAA).

All email sent from Partners is encrypted. To view encrypted email, individuals and providers should set up their individual profiles in the Zixmail Portal.

 

Billing Set Up

Electronic Data Interchange (EDI) Format Testing

To set up EDI, providers need to submit a test 837 file by uploading it to Partners’ secure file transfer protocol (FTP) site. Once the format testing is complete, providers will receive their login credentials for a permanent FTP site inside of Alpha+. Instructions for completing this testing are included within the Trading Partner Agreement.

Adding Users for Third-Party Billers

Providers who use a third party for billing need to complete the following steps to establish access for the third party biller. To initiate this process, contact the IT Service Desk at 704-842-6431.

Additional Documents

837I Clarification Guide AlphaMCS Back Up Staffing Module
837P 5010 Clarification Guide AlphaMCS Denials Guide
AlphaMCS File Export-Authorization Claims Validation Process Guide
AlphaMCS File Export-Claims Place of Service Crosswalk
AlphaMCS File Export-Client Place of Service to Procedure Code

Partners’ Service Desk

Providers with questions regarding Alpha+ can contact the Partners Service Desk by calling 704-842-6431. The Service Desk is available Monday – Friday, 8 a.m. – 5 p.m.