Transactions and Code Sets (TCS) Documents
This section contains AHCCCS HIPAA references including
copies of AHCCCS HIPAA implementation documents. Document Version
numbers (e.g. Version 1.1) are used to indicate a document that has been
updated since the initial posting (Version 1.0). Dated update notices are
also posted on the HIPAA News page. The following documents are included in this section:
All documents are provided in PDF format. To access the
Adobe Acrobat Reader site for a free, downloadable version of this
program, click here:
270/271
Companion Document
AZ
270/271 Companion document, Draft Version for NPI Changes v1.6 12-21-07 [PDF]
The final version of the 270/271 Companion Document is
available for review.
277
Unsolicited Encounter Status Transaction
277 Unsolicited
Encounter Status Companion Documentation Draft v1.2 06-20-08
[PDF]
The revised draft 277 Unsolicited Status Transaction
Companion Document is available for review.
834/820 Companion Document
834/820
Companion Document, Version 1.4.3, 02-26-04 [PDF]
834/820 Companion Document, Version 1.4.4,
12-14-06 [PDF]
Action
Types and Codes to 834 Matrix Example [PDF]
AZ 834 Master
Transaction Examples [PDF]
820 AZ Examples [PDF]
HIPAA 820 BHS Examples [PDF]
The final version of the 834/820 Companion Document for Enrollment and
Capitation Transactions is available for review.
835
Companion Document
835 Claim
Remittance Advice Companion Document, Version 1.6, 08-20-07 [PDF]
The Companion Document for the electronic claims
remittance advice is available for review.
837 Claims Companion Document
837
Claims Transaction Companion Document, Version 1.4, 06-04-07
[PDF]
The final version of the 837 Claims Transaction
Companion Document for fee-for-service claims is available for review.
837 Encounter
Transaction Companion Document
AZ 837 Encounter Companion Document, Version 5.2, 09-24-07 [PDF]
The Companion Document for 837 Encounters is available for
review.
NCPDP
Encounter Transaction Companion Document
Review the draft version of the NCPDP Encounter
Transaction Document.
NCPDP Encounter Transaction Companion Document, Version 1.2, 10-26-07
AHCCCS
HIPAA Transaction Work Papers
The following AHCCCS HIPAA Project Transaction Work Papers
have been developed by the AHCCCS HIPAA Project Work Groups and are posted
as DRAFT reference documents. The content of all DRAFT Transaction Work
Papers is subject to change.
Crosswalk Documents
Review the 834 Action Codes Crosswalk, AHCCCS Local Codes Crosswalk,
Indian Health Service Crosswalk, and Nursing Facilities Crosswalk
documents.
AHCCCS
270/271 Batch Processing Procedures
If you are interested in using the 270/271 Batch Transaction via FTP, please contact us to initiate testing.
AHCCCS 835 Remittance Processing Procedures
Review the step by step procedures for 835 Remittance
Processing.
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