|
|
| Introduction |
Review files Identify:
- acute members who are up for review at either DES or
KidsCare in the next month.
The Review Files process provides an opportunity for health plans
to remind patients to comply with the eligibility agency's
requirements for review in order to prevent a stoppage in coverage.
Processing of this file is on a voluntary basis, but it is
recommended.
|
| Schedules |
The following table outlines the
schedule for the Review Files process.
| Processing |
Schedule |
| Review File |
Runs on the
third day of each month and is normally
completed by midnight.
File is named ccyymm.REV and is
available in the plan’s folder under
AZ/hpmnemonic/PROD/OUT |
|
|
|
| Media |
Review File
notifications are produced in data file format.
Health Plans, or their services bureaus, must
connect to the Arizona Health Care Cost Containment
System (AHCCCS) FTP server and download the
data file for batch processing.
|
| Testing |
It is highly recommended that Review File
transmissions be tested in coordination with the
AHCCCSA ISD operations staff prior to production
implementation of a new Health Plan or change in
service bureau, or as a result of changes.
Typical testing of file transmission takes
approximately one week.
|
| Reference
documents |
Review File Layout
|