Electronic Data Interchange (EDI) Technical Documents

AHCCCS Companion Guides are intended to be a technical document describing the specific technical and procedural requirements for interfaces between AHCCCS and its trading partners and are not intended to repeat or take the place of specific information as contained in the TR3 for each transaction.

• Communications/Connectivity Information CCI Companion Guide
  • CCI
  
  
• 270/271 Batch Eligibility Request and Response Companion Guide
  • 5010a
    
  • 270/271 Real Time Vendor Listing
    • Any problems with your 271 response file please contact your Vendor
      
    
    
• 275 Additional Information to Support a Health Care Claim or Encounter
  • 5010
    
    
• 276/277 Batch Claim Status Request/Response
  • 5010
    
    
• 277 Unsolicited Encounter Status Companion Guide
  • 3070
  
  
• 278 Health Care Services Review – Request for Review and Response Companion Guide
  • 5010
  
  
• 834 Benefit Enrollment and Maintenance Companion Guide
  • 5010a
    
    
• 835 Claim Remittance Advice Companion Guide
  • 5010a
  • 835 Supplemental File
    
    
• 837 Fee for Service Claims Companion Guide
  • 5010a
    
    
• 837 Encounter Companion Guide
  • 5010a
    
    
• NCPDP Post Adjudicated History (PAH) 2.2
  • NCPDP Post Adjudicated History Transaction Companion Guide
    
    

Contact

For EDI inquiries, roster issues, or to become an AHCCCS Trading Partner, please email us at: servicedesk@azahcccs.gov