AHCCCS (Arizona Medicaid)
Also covers / subsidiaries: Arizona Health Care Cost Containment System, Arizona Medicaid, AHCCCS FFS
Core Payer & Clearinghouse Profile
Electronic Payer ID
10125
AHCCCS FFS claims are submitted via the AHCCCS Online provider portal / Transaction Insight (TI) portal, not a conventional commercial EDI payer ID. Most members are in managed-care contractors. (Arizona)
Timely Filing Limit (TFL)
FFS: first submission within 6 months of DOS (participating commonly 120 days; non-participating 180 days); correction up to 12 months
Appeal Window
Varies — confirm via portal / clearinghouse
Clearinghouse Gateway
AHCCCS Online / Transaction Insight (TI) portal
Provider Services
602-417-7670
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Varies — confirm via portal / clearinghouse
Provider Portal
https://www.azahcccs.gov
Arizona's state Medicaid agency and the FFS payer. Most claims route to managed-care plans — confirm the member's plan first.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for AHCCCS (Arizona Medicaid).
Associated Clearinghouse Payer IDs
National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under AHCCCS (Arizona Medicaid).
| Clearinghouse Name | Electronic Payer ID | Status | Enrollment | Supported Services |
|---|---|---|---|---|
| Edic | J1289 | Non-Par | None | Workers Comp |
| Edic | WB021 | Non-Par | None | Workers Comp |
| Medica | 10125 | Non-Par | None | 837P837I270/271276/277Dental |
| Medica | 94265 | Non-Par | Required | 837P837I835 ERA |
Resolution Tools for AHCCCS (Arizona Medicaid) Claims
Values vary by plan, line of business, and provider agreement. Confirm in the payer portal or with your clearinghouse gateway before submitting electronic claims.
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