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
• 277 Unsolicited Encounter Status Companion Document
• 834/820 Enrollment and Capitation Companion Document
• 835 Claim Remittance Advice Companion Document
• 837 Fee for Service Claims Companion Document
• 837 Encounter Companion Document
• NCPDP Encounter Transaction Companion Document

Contact

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