Electronic Transactions

Arizona Complete Health is working hard to make claims procedures easier for providers. Arizona Complete Health' Electronic Data Interchange (EDI) solutions make it easy for more than 125,000 in our national provider network to submit claims electronically. Whether on-line, through your practice management system, vendor or direct through a data feed, EDI ensures that your claims get submitted quickly.

Instead of cumbersome paper forms and time consuming mailings, you can generally submit claims in just a few moments. With the click of a mouse or a keystroke, claims can be sent electronically. You can also submit via EDI any time, making it easier to attend to patient priorities. For our complete list of Electronic Clearing House Vendors please visits the Electronic Transactions page.

Get Started

For successful EDI claim submission, you'll need to use electronic reporting made available by your vendor and clearinghouse. View our approved vendor list and corresponding payer ID numbers below. Please reach out to your own vendor on connecting through one of these channels. Arizona Complete Health returns claims acknowledgments back to the clearinghouse with notifications of acceptance or rejections of individual claims. Providers can review these reports to check the status of their submission.

If you have not met your assigned Provider Engagement Specialist or do not have their contact information please email AzchProviderEngagement@azcompletehealth.com to obtain this information.

Secure Web Portal

Partial list of secure website functions include verify member eligibility, check/submit claims and submit/confirm authorizations.

EDI

Electronic Transactions (EDI) support for HIPAA transactions is provided for the health plan by Centene Corporation. Centene is currently receiving professional, institutional, and encounter transactions electronically, as well as generating an electronic remittance advice/explanation of payment (ERA/EOP). To conduct other HIPAA transactions not listed, please contact our EDI department at 1-800-225-2573, ext. 25525 or by email at EDIBA@centene.com.

We work with the following clearinghouses:

Clearinghouse chart

Clearinghouse/ Direct Submitter

Arizona Complete Health’s Payer ID (Medicaid, Medicare and Exchange)

Ability

68069

Allscripts

68069

Availity

68069

ClaimRemedi

68069

Claimsource

68069

Emdeon/Capario

68069

First Health

68069

Gatewayedi/Trizetto

68069

Great Expectations

68069

Greenway

68069

IGI

68069

Mckesson/Relay

68069

Netwerkes

68069

Physicians CC

68069

Practice Insight

68069

Smart Data Solutions

68069

SSI

68069

Viatrack

68069

Zarepathj

68069

Zirmed

68069