|
AFMC Providers Require Timely Payment
As stated in your contract with Arizona Foundation for Medical Care (AFMC), Payors that have groups who utilize AFMC hospitals must adhere to a strict payment schedule to earn hospital discounts. To earn the discount, a claim must be paid within thirty (30) calendar days of the date all information from AFMC, its participating or contracting providers, which is necessary for processing the claim, is received by the payor or its designate.
In addition, AFMC physician contracts include a statement that in the event of payment or notification of claims status is not received within ninety (90) days after submission of claim(s), the physician has the right to bill the insured person or covered dependent for services rendered.
Search for a Provider and Create a Personalized Directory
The easiest and most convenient method to find up-to-date information on a doctor, hospital or other healthcare service provider in the AFMC Network is by using our provider search and custom directory tools via this website.
The online provider search and custom directories include the most detailed provider information available and is updated regularly.
Access to our provider search online is available 24/7, 365 days a year. The custom directory tool allows you to create your own provider directory that includes only the information you want and can be printed on demand.
We encourage you to utilize these tools often, but, AFMC is always happy to provide a hard copy directory should you need one. Request a printed directory. |
|
|
Online Claim Status
AFMC has made a special commitment to payors to ensure that they have all the tools necessary to streamline their day-to-day business operations. To that end, AFMC has created the Claim Status Review.
The Claim Status Review allows payors to print AFMC's Explanation of Review (EOR) reducing the time spent on claim repricing research. To gain access to your claim status information click on the following link: Claim Status. You will be asked to sign in for general admittance to the proprietary information found in this area. If you are not already registered, please follow the registration instructions to set up your account.
Once you have registered, please send an e-mail to payor@azfmc.com with "Payor Claim Status" in the subject line.
The body of the e-mail should include all contact names, e-mail addresses and phone number of people within your company that should have access to this PHI (Personal Health Information). You will receive an e-mail notification when your request is processed. Note: Persons with payor claim access will need to renew their access every 90 days.
Should you have any questions, please call 800-624-4277 or e-mail payor@azfmc.com.
Some of the links below are pdfs. You must have the latest version Adobe Reader installed on your computer to view these files.
NEW - Your Checklist for Good Health! What can you do to stay healthy and prevent disease? You can get certain screening tests, take preventive medicine if you need it, and practice healthy behaviors. Men's Checklist. Women's Checklist.
Learn about HearPO, a hearing care discount program for your clients that makes hearing-aid services accessible, as well as affordable.
Pre-cert 101 - Everything you wanted to know about AFMC's Pre-cert process, but condensed down in an easy-to-use flyer.
How to Create a Custom Directory and Search for Providers - These applications let you search and create a customized listing of facilities and/or practitioners participating in AFMC's Network.
Enrollment Upload - Upload new groups or members.
Renewal Form - Is it time for your client to renew their contract with AFMC? Do you want to inquire about their rates for the new contract? Use the Renewal Rates Form.
Network Numbers - The amount and type of providers participating in AFMC's Network Plans. 2nd Quarter Now Available
Workers' Comp Network Numbers - The amount and type of Workers' Compensation providers participating in AFMC's Foundation COMP Network Plan. 2nd Quarter Now Available
Medical Management Programs and Wellness Services - To help control the rising cost of healthcare, AFMC - through our strategic partnerships - has compiled a comprehensive package of Medical Management Services and Wellness Programs.
Convenience Clinics - An alternative to urgent care centers, convenience clinics diagnose and treat a variety of common illnesses and minor injuries for patients 18 months and older. They also offer wellness and preventive services and vaccinations.
|
