Your Company Profile

Make sure your Company Profile is Complete and Accurate. Reminder: Marketing information from this page will be displayed on the Directory Page for Alliance member companies.

Organization Information

*Organization Name
Membership Type	Vendor
*Corporate Headquarters Address
Address 2
*City	Type only the first four letters of the city where your company headquarters is located and select from the drop down
*State	Type the first 3 letters of your company headquarters' state and select from the drop down. Do not use state abbreviations
*Country	Select OneAfghanistanAlbaniaAlgeriaAngolaAnguillaAntiguaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBoliviaBosnia and HerzegovinaBotswanaBrazilBritish Virgin IslandsBulgariaBurkina FasoBurmaBurundiCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChannel IslandsChileChinaColombiaCongoCook IslandsCosta RicaCroatiaCubaCyprusCzech RepublicDenmarkDominicaDominican RepublicEcuadorEgyptEl SalvadorEnglandEquatorial GuineaEstoniaEthiopiaFalkland IslandsFijiFinlandFranceGabonGeorgiaGermanyGhanaGibraltarGrand BahamaGrand CaymanGreeceGreenlandGrenadaGuatemalaGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJordanKazakhstanKenyaKoreaKumasiKuwaitKyrgyzstanLa MartiniqueLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaliMaltaMariana IslandsMauritiusMexicoMoldovaMonacoMongoliaMoroccoMozambiqueMyanmarNamibiaNegara Brunel DarussalamNepalNetherlandsNetherlands AntillesNew GuineaNew ZealandNicaraguaNigeriaNiueNorthern IrelandNorwayOmanPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaudi ArabiaScotlandSenegalSierra LeoneSingaporeSlovak RepublicSlovakiaSloveniaSolomon IslandsSouth AfricaSpainSri LankaSt. KittsSt. LuciaSt. VincentSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTanzaniaThailandTogoTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks & Caicos IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVenezuelaVietnamWalesYemenYugoslaviaZaireZambiaZimbabwe
*Zip Code
*Phone	(xxx) xxx-xxxx; general phone number
Website	Please include http://
Email	General email address, i.e. 'info@'
Description	For Vendors only: use this field to enter a description of your services. We encourage you to include a few lines about how your company differentiates itself from your top competitors.
*Federal Tax ID Number
Number of Employees
*Primary Products/services Category	Select OneAdministrative SystemsAutomation, Workflow and IT ServicesClaimsConsultingCore SystemCritical SystemsCybersecurityEnterprise DataFHIR and InteroperabilityFinancial OperationsMarketing/Member MaterialsPharmacyPopulation HealthPortals/Other UIProvider Data/Provider Data MgmtReinsuranceReportingSupplemental BenefitsTransparencyUtilization/Care/Disease Management
*Secondary Products/services Category	Select OneAdministrative SystemsAutomation, Workflow and IT ServicesClaimsConsultingCore SystemCritical SystemsCybersecurityEnterprise DataFHIR and InteroperabilityFinancial OperationsMarketing/Member MaterialsPharmacyPopulation HealthPortals/Other UIProvider Data/Provider Data MgmtReinsuranceReportingSupplemental BenefitsTransparencyUtilization/Care/Disease Management
Current Alliance Customers	Please enter a comma-delimited list of Alliance health plans with which you currently do business. We recommend you provide at least one referral at each plan, providing contact information and length of relationship in your comma-delimited list.
Corporate Annual Revenue
Accreditations/Certifications	NCQA, SOC-2, HITRUST, etc.
Are you a certified diverse supplier?	Yes/No
Does your company offshore any services?	Specify location and what services.
Are you willing to agree to SLAs or performance guarantees?
How did you hear about us?	Select OneLinkedInTwitterInternet SearchColleagueWorked with the Alliance in previous roleOther
	Check if you're not a robot.