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The Manual Payment process is used as a tool for manual adjustments to capitation records. Manual payments are utilized to create a payment or recoupment override to manually process records that would not be processed systematically.
From the Health Plan perspective the Manual Payment Process will be incorporated into the Weekly Capitation Notification (HIPAA 820) processes.
The Daily Manual Payment Roster and Weekly Capitation Notification file (HIPAA 820) are available on the AHCCCS communications server.
Daily Manual Payment Roster and Weekly Capitation Notification transmissions must be tested in coordination with AHCCCS 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 transmissions takes approximately one week and must be completed prior to implementation of any new processing arrangement.