Do you handle AHCCCS?

Yes, including registration with AHCCCS and participation with the contracted health plans in your geographic service area, tracked separately per provider.

How long does credentialing a new provider take?

It depends on the payer, and that is exactly why it is tracked against deadlines rather than submitted and hoped for. We report status per payer so you know what is outstanding.

Do you bill Medicare Advantage in Arizona?

Yes, worked as commercial plans against their own medical policy, which is what an appeal is judged on.

Can you recover A/R that is already past 120 days?

Often, yes, and it is available as a standalone project with a contingency option. Whether it is recoverable is the first thing the free A/R review tells you.

Arizona

Medical billing for Arizona practices

Arizona runs its Medicaid program, AHCCCS, almost entirely through contracted health plans. That makes plan-level participation the gate on getting paid, and it is the thing practices most often assume is handled.

AHCCCS registration and plan participation

These are two separate things and only the second one gets claims paid. A provider registered with AHCCCS but not contracted with the plan covering a patient will see those claims denied. Participation is confirmed per provider per plan and per service area before the first claim, and revalidation dates are tracked.

Growth markets and new provider onboarding

Practices in the Phoenix and Tucson areas add providers frequently, and enrollment lead times are what delay revenue rather than billing capacity. Credentialing is run as tracked work against deadlines, so a provider’s claims are billable from their start date instead of accruing as unbillable encounters.

Medicare Advantage and commercial authorization

Advantage plans authorise on their own medical policy rather than Medicare’s, and Arizona practices carry a substantial Advantage population. Authorizations are tracked to approval with expiry dates watched, and Advantage denials are appealed against the plan’s policy rather than Medicare guidance.

AHCCCS

AHCCCS members are enrolled with a contracted health plan in their geographic service area. Registration with AHCCCS is necessary but does not by itself make a provider billable to each plan.

Program: AHCCCS
Administered by: Arizona Health Care Cost Containment System
Managed care: AHCCCS contracted health plans, by geographic service area

Payers we work in Arizona

Blue Cross Blue Shield of Arizona
UnitedHealthcare
Aetna
Cigna
Humana
AHCCCS contracted health plans

Not an exhaustive list, and not a claim of network participation on your behalf — your contracts are yours. It is the payer mix we are set up to work in Arizona.

Services available to Arizona practices

Billing in Arizona — common questions

Do you handle AHCCCS?: Yes, including registration with AHCCCS and participation with the contracted health plans in your geographic service area, tracked separately per provider.
How long does credentialing a new provider take?: It depends on the payer, and that is exactly why it is tracked against deadlines rather than submitted and hoped for. We report status per payer so you know what is outstanding.
Do you bill Medicare Advantage in Arizona?: Yes, worked as commercial plans against their own medical policy, which is what an appeal is judged on.
Can you recover A/R that is already past 120 days?: Often, yes, and it is available as a standalone project with a contingency option. Whether it is recoverable is the first thing the free A/R review tells you.

Everywhere else

All billing services

Next step

Start with the free A/R review.

Send an aging summary and a handful of denials. You get a written read on what is recoverable — no fee, no obligation to sign anything.

Book the A/R review See pricing