The Alliance Authorization Request (AAR) form is used for all services requiring prior authorization from the Alliance. The Provider Services department supplies each provider that is contracted with the Alliance with the AAR. Contracted providers may click here for the AAR form or request the form by e-mailing or calling Provider Services at
Providers may contact the Alliance UM Department to request a copy of the UM decision making criteria (510-747- 4540 or Fax 877-747-4507).
