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Provider Update - Eligibility, Enrollment & Covered Service Denials

Date: 12/05/18

Arizona Complete Health-Complete Care Plan has noticed a significant increase in provider claims denying for lack of member eligibility/enrollment and lack of member benefit coverage. As a reminder, all providers should check member eligibility and benefit coverages prior to rendering services.

Providers receiving the following claim denials should thoroughly review this communication as a means to prevent further denials.

Provider Update - Eligibility, Enrollment & Covered Service Denials (PDF)