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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 Customer Service at the numbers listed above to place your request.
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. To check repricing status, please contact AFMC customer service 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 check the status of my precertification through AFMC?
A: To check precertification status, please contact Foundation CHOICE at (602) 252-4042, toll free (800) 624-4277.
Q: How can I nominate my doctor for AFMC membership?
A: Please contact AFMC Network Management at (602) 252-4042 or (800) 624-4277. Or, you can complete the Provider Nomination Form located on this website.
Q: Who do I contact for benefit information?
A: Contact your Plan Administrator for this information. Call the phone number for Benefits and Eligibility listed on your ID card.
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.
Q: How large is the provider network?
A: There are nearly 12,000 physicians with over 24,000 locations in AFMC's network.
Q: In what timeframe are the AFMC Providers contracted?
A: AFMC Providers are contracted on a calendar year basis. 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 1.2 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 Arizona Foundation Fully Insured Plans located on this website.
NOTE: AFMC's Fully Insured Guide is being updated; it will be posted soon. Please check back.
Q: How can I verify that my physician is an AFMC provider?
A: Use the Provider Search option on this website or call AFMC's Call Center at (602) 252-4042 or (800) 624-4277.
Q: How can I find a physician, specialist, urgent care center, hospital or other facilities located close to my home or job?
A: By using the Provider Search or Facility Search functions on this Web site.
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