Welcome to the Allegiance website for participants in the Kwik Trip, Inc. Health Plan. Allegiance is here to answer your questions about:
- Claims
- Precertification
- Pretreatments
We have a service team dedicated to processing claims efficiently and correctly so that you can focus on your well-being
Better Health Benefits
Start with Allegiance
Since 1981, the Allegiance Companies have earned a reputation for quality,
service, and efficiency unmatched throughout the country. Since its earliest days, our company has
been a leader in providing health benefit plans to employer groups and plan participants throughout
the United States.
We have always remained dedicated to one thing: outstanding customer service. That commitment continues today as strong as ever.
Our corporate spirit has always been one of allegiance to the companies we serve. Our people are deeply committed to our clients
and to plan participants.
Resources for Members
Health Forms
- Accident Questionnaire
- Authorization to Release Confidential Health Claim
- Alternate Payee Request Form
- Coordination of Benefits Questionnaire
- Submit a Medical Claim
- Request an ID Card
- Dependent Disability Form
- Pharmacy Reimbursement/Claim Form
- Out of Area Application Form
- Continuity of Care
- Online Features For Members
Videos
Please Note: The walkthrough video reflects general login instructions. Please continue to log in using the login link on this custom site.
Health Plan Videos
Take Allegiance On the Go
Our website offers personalized services at the click of a mouse. By registering, you will have 24
hour access to information regarding your health plan. You can check the status of a claim, review coverage
and benefits, and verify who is covered under your plan.
These services are also available through the Allegiance Mobile App available in Google Play and Apple App
stores.
Contact Us
PO Box 21074
Eagan, MN 55121
7:00 am - 7:00 pm CST
Customer Service 1-855-999-2276
Allegiance Holiday Closures
| New Year's Day | Thursday, January 1 |
| Martin Luther King Jr. Day | Monday, January 19 |
| Memorial Day | Monday, May 25 |
| Independence Day | Friday, July 3 |
| Labor Day | Monday, September 7 |
| Thanksgiving Day | Thursday, November 26 |
| Day after Thanksgiving | Friday, November 27 |
| Christmas Day | Friday, December 25th |
Notice
For assistance regarding a claim or to pre-notify for medical services,
please call the customer service number at 1-855-999-2276.
CAA Customer Balance Billing Disclosure Out-of-Network