Electronic Data Interchange (EDI) Technical Documents

AHCCCS Companion Documents are intended to be a technical document describing the specific technical and procedural requirements for interfaces between AHCCCS and its trading partners.

Note: Information provided in PDF files.

• 270/271 Batch Eligibility Request and Response Companion document v1.7 03-18-09 [412KB]
• 277 Unsolicited Encounter Status Companion Document v1.3 03-18-09 [144KB]
• 834/820 Enrollment and Capitation Companion Document v1.5, 09-25-08 [211KB]
• 835 Claim Remittance Advice Companion Document v2.0 04-21-09 [327KB]
• 837 Fee for Service Claims Companion Document v1.4, 06-04-07 [ 218KB]
• 837 Encounter Companion Document v5.3, 09-25-08[111KB]
• NCPDP Encounter Transaction Companion Document v1.2, 10-26-07 [137KB]

NOTE: 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 EDI Changes page.

Contact

For EDI related issues, inquiries, or to become an AHCCCS Trading Partner, please email us at: EDICustomerSupport@azahcccs.gov