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Documentation Requirements for Claim Submission and Concurrent Review

This video provides general guidance on AHCCCS documentation requirements for Claim Submission and Concurrent Review, and assists providers in how to find more specific information pertaining to their provider type. It is a provider's responsibility to respond to requests for additional documentation to ensure timely claim processing. The Division of Fee-for-Service Management's Provider Training web page can be found here: https://www.azahcccs.gov/Resources/Tr... The DFSM Provider Training web page offers trainings on a variety of subjects, and there is a longer and more detailed PowerPoint presentation on documentation requirements located on this page, beneath 'Trainings by Subject'. The AHCCCS Medical Policy Manual can be found here (along with individual chapters detailing additional documentation requirements): https://www.azahcccs.gov/shared/Medic... The Fee-for-Service Provider Billing Manual, along with documentation information, can be found here: https://www.azahcccs.gov/PlansProvide... The IHS-Tribal Provider Billing Manual, along with documentation information, can be found here: https://www.azahcccs.gov/PlansProvide... Prior Authorization Documentation Requirements for FFS Programs can be found here: https://www.azahcccs.gov/PlansProvide...