AHCCCS IHS/Tribal Provider Billing Manual
The AHCCCS Billing Manual for Indian Health Service (IHS)/Tribal Providers contains information ranging from introductory information about AHCCCS to claim disputes.
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The IHS/Tribal Provider Billing Manual is intended to outline billing requirements for providers who are billing the AHCCCS IHS/Tribal unit for reimbursement.
This is a Master PDF that contains all chapters of the IHS/Tribal Provider Billing Manual and its corresponding exhibits.
Download Individual Chapters
- Manual Table of Contents
- Chapter 1: Introduction to AHCCCS
- Exhibit 1-1, AHCCCS Acute Care Health Plans
- Exhibit 1-2, AHCCCS Long Term Care Program Contractors
- Exhibit 1-3, Indian Health Services [IHS] Offices
- Exhibit 1-4, Help Line Directory
- Chapter 2: Eligibility
- Chapter 3: Provider Records and Registration
- Chapter 4: General Billing Rules
- Chapter 5: Claim Form Requirements
- Chapter 6: Prior Authorizations
- Chapter 7: Medicare/Other Insurance Liability
- Chapter 8: Individual Practitioner Services
- Exhibit 8-1, Hysterectomy Consent Form
- Exhibit 8-2, Participating Provider
- Chapter 9: Hospital and Clinic Services *Policy is currently undergoing revisions
- Chapter 10: Pharmacy Services
- Chapter 11: Transportation Services
- Chapter 12: Behavioral Health Services
- Chapter 13: Home Health Care Services
- Chapter 14: ALTCS Services
- Exhibit 14-1, Sample ALTCS Authorization Letter
- Exhibit 14-2, ALTCS Offices
- Chapter 15: Nursing Facility Services
- Chapter 16: Claims Processing
- Chapter
17: Correcting Claim Errors
- Chapter 18: Understanding the Remittance Advice
- Exhibit 18-1, Sample Remittance Advice - Address Page
- Exhibit 18-2, Sample Remittance Advice - Financial Summary
- Exhibit 18-3, Sample Remittance Advice - Paid Non-Facility Claims
- Exhibit 18-4, Sample Remittance Advice - Denied Non-Facility Claims
- Exhibit 18-5, Sample Remittance Advice - Adjusted Non-Facility Claims
- Exhibit 18-6, Sample Remittance Advice - Voided Non-Facility Claims
- Exhibit 18-7, Sample Remittance Advice - Non-Facility Claims in Process
- Exhibit 18-8, Sample Remittance Advice - Processing Notes
- Exhibit 18-9, Sample Remittance Advice - Paid Facility Inpatient Claims
- Exhibit 18-10, Sample Remittance Advice - Paid Facility Outpatient Claims
- Exhibit 18-11, Sample Remittance Advice - Denied Facility Claims
- Exhibit 18-12, Sample Remittance Advice - Adjusted Facility Claims
- Exhibit 18-13, Sample Remittance Advice - Voided Facility Claims
- Exhibit 18-14, Sample Remittance Advice - Facility Claims in Process
- Chapter 19: Claim Disputes
- Chapter 20: 638 FQHC