Medical billing services in Arizona
Billing, coding, credentialing and A/R follow-up for providers in Arizona.
Billing in Arizona: what is different
AHCCCS delivers most care through contracted health plans, with separate programs for long-term care and behavioral health.
Key payers and contractors in Arizona
- Medicare Part A/B
- Noridian Healthcare Solutions, Jurisdiction JFPortal: Noridian Medicare Portal (NMP)
- Medicare DME
- Noridian, DME MAC Jurisdiction DDME supplier claims only · Portal: Noridian Medicare Portal (NMP)
- Medicaid
- AHCCCSPortal: AHCCCS Online
- Blue Cross Blue Shield
- Blue Cross Blue Shield of Arizona
- Medicare Advantage
- UnitedHealthcare, Humana, Aetna, Wellcare, Blue plans and others, depending on the county
Contractor assignments and plan lists change. We confirm the current setup for your practice during onboarding.
How we work with Arizona providers
- Medicaid enrollment with the state, then credentialing with each managed care plan you need
- Medicare enrollment through PECOS and claims with Noridian Healthcare Solutions through the Noridian Medicare Portal (NMP)
- Credentialing and contracting with commercial and Blue plans
- Eligibility checks that confirm each patient’s plan and assigned MCO before the visit
- Prior authorization tracking by plan
- Denial, appeal and A/R follow-up under each payer’s filing limits
Medical billing in Arizona: common questions
Do you bill AHCCCS and its managed care plans?
Yes. We bill AHCCCS fee-for-service claims and each Medicaid managed care plan, after confirming the patient’s assigned plan for the date of service.
Who processes Medicare claims in Arizona?
Medicare Part A and B claims in Arizona are processed by Noridian Healthcare Solutions (Jurisdiction JF), and we submit and track them through the Noridian Medicare Portal (NMP). DME supplier claims go to a different contractor, Noridian (DME MAC Jurisdiction D), through the Noridian Medicare Portal (NMP).
Can you credential new providers in Arizona?
Yes. We handle state Medicaid enrollment, Medicare enrollment, CAQH and credentialing with the commercial and managed care plans you need in Arizona.
Neighboring states and key payers
Get a free billing audit for your Arizona practice
Send a few details and we will set up a short call to review your claims, denials and A/R. No cost and no commitment.
We sign a Business Associate Agreement before we handle any patient data.