Technical Interface
Guidelines
|
Introduction
|
|
Definition:
Health Plan |
For the sake of brevity, the term
‘Health Plan' is used throughout this document to mean 'Health
Plan/Program Contractor', 'Managed Care Organization'.
|
| In this section |
This section covers the following
topics:
|
| Back To Top |
|
Objective
|
|
| Document objective |
The Technical Interface Guidelines is distributed
to Health Plans and program contractors to further their
understanding of the AHCCCS technical environment. Information
on ways in which Health Plans and program contractors will
provide information to and receive information from the AHCCCS
administration through the AHCCCS environment is covered. In
addition, a section on electronic claims submission is included
for providers and/or processing agents that submit
fee-for-service claims to AHCCCS. |
| Back To Top |
|
Disclaimer Statement
|
|
| Disclaimer |
This document is a technical document describing
the specific technical and procedural requirements for
interfaces between AHCCCS, contracted Health Plans and their
subcontractors, and fee-for-service claim submitters. It does
not supersede either the Health Plan contracts or the specific
procedure manuals for various operational processes. Where there
are conflicts between this document and either the Health Plan
contracts or operational procedure manuals, the contract or
procedure manual will prevail. Substantial effort has been taken
to minimize any such conflicts or errors; however, AHCCCS, the
Information Services Division, or its employees will not be
liable or responsible for any errors or expenses resulting from
the use of information in this document. If you believe there is
an error in the document, please notify the AHCCCS Information
Services Division immediately.
|
| Back To Top |
|
HIPAA Resources
Key Contacts
|
|
| AHCCCS telephone numbers |
The main AHCCCS telephone number is (602)
417-4000. The in-state toll-free number is 1-800-654-8713.
The following are extension numbers at which you can reach
key AHCCCS contacts:
Department
|
Extension |
| AHCCCS Computer
Operations |
4814 |
| ISD Help Desk |
4451 |
| Director's
Office |
4680 |
| Provider
Assistance |
7680 |
| Purchasing/Contracts
Administration |
4762 |
|
| Back To Top |
|
|
|
| 
