Effective May 18, 2023, AHCCCS has made system updates to the AHCCCS Online Claims Submission system that restrict a provider’s ability to bill on behalf of other providers. This change increases system integrity and reduces the risk of fraudulent billing.
Providers may only submit claims for IDs associated with affiliated providers. Approved affiliated providers will display in a drop-down list. If an affiliated provider is not listed, the billing provider must create a new AHCCCS Online account for the provider they wish to bill for. Only providers registered with AHCCCS can create an AHCCCS Online account.
AHCCCS Online is the portal that registered providers use for several types of transactions, including electronic FFS claims submission. Along with the change described above, AHCCCS has taken aggressive action to prevent fraudulent billing, including creating additional claims flags, disallowing retroactive billing, and increasing provider registration requirements for three behavioral health provider types.
AHCCCS Provider Services representatives are able to answer basic claims questions. Call (602) 417-7670. Monday through Friday 7:30 a.m to 5:00 p.m. MST. To reset an AHCCCS Online password, click “Forgot your Password?” and follow the Password Recovery link directions or contact the master account holder. For any additional information regarding accounts, please click the FAQ link on the AHCCCS Online website.