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Member Services Center

Our member services area is available to all members of plans administered by Alpha Data Systems.  This secure, confidential site will provide you with answers to many questions about your benefits with Alpha Data.  This includes eligibility verification, claims status and other useful items!  Please check back soon!

View and Print PDF version of Member Medical Claim Form

View and Print PDF version of Member Dental Claim Form

View and Print PDF version of Provider Medical Claim Form

This is a generic claim form that may be used for the Alpha Care Gold Medical Plan for your convenience.  This or any other claim form is not required to file a claim.  It is simply for your convenience.

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