Encounter Links and Contacts
This page includes links to sites that contain information
pertinent to AHCCCS Encounters and contact information for the AHCCCS Encounter Unit.
Encounter Unit Contact Information
Encounter Unit staff is available Monday through Friday
(excluding State holidays) to assist contractors in
resolving encounter errors or to research specific encounter
issues. Pended or adjudicated encounter assistance, or
training may be requested via the
AHCCCSEncounters@azahcccs.gov e-mail address. Questions
regarding validation and/or translation should be submitted
to the AHCCCSTIEncounters@azahcccs.gov e-mail address.
Links
The Accredited Standards
Committee X12
The Accredited Standards Committee (ASC) X12 develops
electronic data exchange standards that fulfill intra and
cross-industry needs.
The American Dental Association
The American Dental Association (ADA) Dental Content
Committee is a Designated Standard Maintenance Organization
that maintains and distributes dental procedures and
nomenclature for dental services.
The American Medical Association
The American Medical Association (AMA) maintains and
distributes physician procedures and nomenclature for
physician and other health care services
The Centers for Medicare and
Medicaid Services
The Centers for Medicare and Medicaid Services
(CMS) administers the Medicare and Medicaid programs, which
provides health care to almost one in every three Americans.
The Department of Health and Human Services
The Department of Health and Human Services is the United
States government's principal agency for protecting the
health of all Americans and providing essential human
services. The Department of Health and Human Services (HHS)
maintains and distributes: Volumes 1, 2, and 3 of the
International Classification of Diseases, 9th Edition;
Health Care Financing Administration Common Procedure Coding
System; and National Drug Codes in collaboration with drug
manufacturers.
The National Uniform Billing Committee
The National Uniform Billing Committee (NUBC) is a
Designated Standard Maintenance Organization that serves as
the forum for discussions that lead to mutually agreed data
elements for the institutional claim as well as the data
elements for other claim related transactions. The NUBC
includes the participation of all the major national
provider and payer organizations to develop a single billing
form and standard data set that is used nationwide by
institutional providers and payers for handling health care
claims.
The National Uniform Claim Committee
The National Uniform Claim Committee (NUCC) is a
Designated Standard Maintenance Organization that provides
national standard content and data definitions for
non-institutional health care claims in the United States.
The NUCC committee was created to develop a standardized
data set for use by the non-institutional health care
community to transmit claim and encounter information to and
from all third-party payers. The committee includes
representation from key provider and payer organizations, as
well as public health organizations, and a vendor
association.
The National Council for
Prescription Drug Problems
The National Council for Prescription Drug Programs
(NCPDP) is a Designated Standard Maintenance Organization
that provides a forum and support wherein the diverse
membership can develop and maintain standards through a
consensus building process. NCPDP creates and promotes
standards for the transfer of data to and from the pharmacy
services sector of the healthcare industry.
The Workgroup for Electronic Data
Interchange
The Workgroup for Electronic Data Interchange (WEDI)
provides a forum for facilitating improvements in
information exchange and management including the
development of strategies and tactics, definition of
standards, and resolution of implementation issues to focus
the healthcare industry on achieving improvements in
information exchange and management.
Washington Publishing Company
The Washington Publishing Company (WPC) is the entity
that creates and distributes HIPAA documents and related
information. WPC also distributes other electronic standards
not mandated by HIPAA.
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