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| Frequently Asked Questions |
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Q: How can I obtain a new provider directory?
A: You can order a provider directory online using the Directory Order form on this website or contact AFMC at 800-624-4277 or click here for e-mail.
Q: How do I check the status of my claim?
A: To check payment status, contact your Plan Administrator. Call the phone number for Benefits and Eligibility listed on your ID card.
AFMC does not verify or provide health insurance benefits and/or eligibility, and we do not know what benefits your plan offers. AFMC does not pay claims we re-price claims according to a predetermined rate schedule. AFMC is the network of providers.
To check repricing status, please contact AFMC's Call Center at (602) 252-4042 or (800) 624-4277.
Q: How do I set up my user ID and password?
A: If the option you select requires a Login, a screen will appear asking you to either login or register. If you have not yet registered, follow the steps for registration. Keep your User ID and password in a safe place for future reference. It will allow you to access your proprietary information.
Q: Who do I contact to obtain a precertification (or preauthorization) for hospital admissions, services at an outpatient facility or ambulatory surgery center?
A: Check your ID card to obtain the contact information for precertification services.
Q: How do I request precertification through AFMC?
How do I check precertification status through AFMC?
A: To request precertification, click here.
To check precertification status, call 800-624-4277.
Q: How can I nominate my doctor for AFMC membership?
A: By completing the Provider Nomination Form located on this website.
Q: Who do I contact regarding my benefits, eligibility or payment on a claim?
A: Contact your health insurance plan (located on your ID card), claims administrator (located on your ID card) or your employer. AFMC does not verify or provide health insurance benefits and/or eligibility, and we do not know what benefits your plan offers. AFMC does not pay claims. We re-price claims according to a predetermined rate schedule.
Q: If my employer has access to Foundation Regional network, how can I check that status?
A: The Foundation Regional network is available on this website.
NOTE: Members do not automatically have access to these networks when using AFMC's Arizona network. Contact AFMC to verify access first. It is also recommended that a provider's network status be confirmed by calling the number printed on the your ID card.
Q: How long has the Arizona Foundation for Medical Care (AFMC) network been in Arizona?
A: AFMC has been a PPO managed care network since 1969. We are celebrating 40 years in 2009!
Q: How large is the provider network?
A: There are nearly 13,000 physicians with over 31,000 locations in AFMC's network.
Q: In what timeframe are the AFMC Providers contracted?
A: AFMC Providers are contracted on a calendar year basis (1/1 - 12/31). Providers contractually agree to remain in the AFMC network for the entire year.
Q: How long does it take to process a claim?
A: AFMC reprices clean claims in 1.5 days.
Q: Is AFMC compliant with current HIPAA regulations?
A: Yes, AFMC is HIPAA compliant.
Q: Where can I find a list of insurance carriers that partner with AFMC?
A: A detailed listing of carriers that work with AFMC can be found in The Guide to AFMC's Fully Insured Plans located on this website.
Q: How can I verify that my physician is an AFMC provider or find a physician, specialist, urgent care center, hospital or other facilities located close to my home or job?
A: Using the Provider Search function. Click here to access the Provider Search function. You can also customize a provider directory that can be saved or printed. Click here for the custom provider directory.
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