AHCCCS Encounter Adjudication Resources

The information on this page will help contractors submit complete, accurate and timely encounter data.

Adjudication Edit List

This document is a list of all adjudication edits and the status of those edits. An edit's status may be:

• hard (Y)
• AHCCCS denied = (D)
• blank (spaces) = edit set to "off"

Encounter Adjudicated Edit List [PDF, 340KB]

The edit list is posted quarterly.

Adjudication Edit Resolutions

The Adjudication Edit Resolutions [PDF, 64KB] document provides a list of edits and how to resolve errors.

Adjudication News

This section contains information regarding provider, reference, and/or encounter table updates and other system information that may affect encounter submissions or pend correction.

• Accessing AHCCCS PMMIS Encounter System [PDF, 936KB]
• Instructions for Secured File Transfer Server [PDF, 20KB]
• Fee For Service Program Rates Reduction [PDF, 20KB]
• Replacement and Voids [PDF, 10KB]
• Encounter Monthly Data File [PDF, 11KB]

Contact

Encounter Unit staff is available Monday through Friday (excluding State holidays)
to assist contractors in resolving encounter errors or to research specific encounter
issues. Questions regarding the validator or TI should be submitted to the AHCCCSTIEncounters@azahcccs.gov e-mail address. All other encounter questions, including those concerning mainfame, should be sent to the AHCCCSEncounters@azahcccs.gov e-mail address.