Medicaid Arizona: New! Submitting Claim Disputes on AHCCCS Online

Dear AHCCCS Fee-for-Service Providers,

Effective August 16, 2018, AHCCCS Online users have the option of submitting claim disputes to the AHCCCS Office of Administrative Legal Services (OALS). Please keep in mind that there are no changes to the claim dispute requirements. The claim dispute must state in detail the factual and legal basis for the claim dispute and the relief requested (e.g., payment, specific claim denial, quick pay discount, etc.). Claim disputes lacking specificity will be denied. The provider should include any documents which support the facts of the case.

A claim dispute is not a venue for submitting corrected claims, documentation requested by DFSM, or to file resubmissions or reconsiderations.

Please refer to Chapter 28 of the AHCCCS Fee-For-Service Provider Billing Manual for additional information regarding claim disputes.

Source: https://www.azahcccs.gov/PlansProviders/RatesAndBilling/FFS/providermanual.html