AHCCCS is currently experiencing technical difficulties affecting telephone service at all AHCCCS Call Centers. Technicians are working to correct the issue as quickly as possible.
AHCCCS providers of health care services may file a Claim Dispute to challenge payments or denials of claims. The request for a claim dispute should indicate the facts and the relief requested.
All claim disputes must be filed in writing, within the following timelines:
For claim disputes involving a Fee-For-Service (FFS) member, the written dispute must be filed with the Office of Administrative Legal Services (OALS).AHCCCS
For questions concerning a Fee-For-Service claim dispute:
For claim disputes involving enrolled members, the written dispute must be filed with the member's health plan.
After a claim dispute review is completed, a Notice of Decision will be issued. If the Notice of Decision is unfavorable, the provider has 30 days from receipt of the notice to request a state fair hearing.