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  1. Provider Resources. Register Today. Register for your own website account and gain access to valuable online tools and features including member eligibility and claim status, deductible and out of pocket information, ID card images, plan information and various self-service forms and reports. Use FastTrack.

    • Use FastTrack

      You can use our secure web-based Provider FastTrack system...

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      Members: We’ve upgraded the login process for the Allied...

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      Healthy people are happy people. We aim for happiness by...

    • Resources

      Allstate Benefits Termination Form; Federal Request for...

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      Organization or individual provider name and Tax...

  2. You can use our secure web-based Provider FastTrack system for immediate access to member claims and eligibility status including: Access plan documentation. Verify member eligibility status. View member benefit and coverage information. View Explanation of Benefits (EOB) statements. View member claims status.

  3. Members: We’ve upgraded the login process for the Allied Member Portal. Click Sign In to update your account.

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  5. To find providers in your PPO network, simply click on the applicable link below. If you are a covered member, you can log into your member portal for a more personalized experience. Your Allied ID card will also show your PPO network name and phone number. Note: Which PPO network you have access to is dependent upon your specific health plan.

  6. Provider Forms. Claim Form - Medical. Claim Form - Dental. Claim Form - Vision. Formulary Drug Removals. Formulary Exclusion Prior Authorization Form. Claim Submission Cover Sheet. HIPAA Authorization Form. Retail Pharmacy Prior Authorization Request Form.

  7. Provider Networks. Allied partners with several high-performing provider networks, so you can customize your care options to align with your needs. Look Up Providers. Join Our Team. Allied team members are problem-solvers, innovators and collaborators.

  8. The Allied Benefit Systems Provider Portal is an online platform designed to give healthcare providers a fast and efficient way to access patient eligibility, benefit information, claim statuses, and to submit claims associated with the Allied Benefit Systems health plans.

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