azfmc.com

FTP Encryption
We require that data containing Protected Health Information (PHI) be encrypted. Please use one of the following options when transmitting PHI.

Encryption Option 1: PGP encrypt the file using our public key. Click here to download PGP Key
Encryption Option 2: Encrypt the data transmission using a 128-bit Secure Socket Layer (SSL) ftp client.

FTP Access Request
Please fill out this form for access to our FTP server. Once the account is activated, you can add more contacts.

Notice:
This form is for our FTP site, not claim status. For claim status click here, or if you would like assistance with claim status please call 602-252-4042 or 800-624-4277.

Clients that we have tested:
GNU General Public License GUI Client (Win)	FileZilla
Commercial GUI Client (Win)	CuteFTP Pro
Free SurgeFTP command line client (Win, FreeBSD, OSX 10, Linux, Solaris)	sslftp

Primary Contact Information Fields marked with an are required*
Company Name*
First Name*
Last Name*
Title
Address Line 1*
Address Line 2
City*
State*
Zip*
Email*
Phone*
Fax
Comments*
Please describe the purpose for this FTP access request, plus any other comments you would like to submit.