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Q: How long has the Arizona Foundation for Medical Care (AFMC) network been in Arizona?
A: AFMC has been a managed care PPO Network since 1969.
Q: How many payors are contracted with AFMC?
A: AFMC is contracted with over 80 Carriers and Third Party Administrators.
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: What is the AFMC provider renewal rate?
A: 98% of our participating providers renew each year.
Q: How are claims paid?
A: AFMC doesn't pay claims. Instead we reprice claims in accordance with a pre-determined fee schedule. Claim payment is made by the Plan Administrator.
Q: Who determines AFMC's physician fee schedule?
A: An independent committee sets AFMC's physician schedule.
Q: How long does it take to process a claim?
A: AFMC reprices clean claims in 1.2 days.
Q: How are claims processed?
A: Over 75% of claims are auto-repriced electronically.
Q: Can AFMC accommodate employer groups with members outside of Arizona?
A: Yes, AFMC is a founding partner of VentureNet Healthcare, a regional coalition of five other healthcare networks who have come together to offer members and corporate clients boundless access to high-quality, affordable healthcare across an eight state region.
By joining together to form this new entity, VentureNet Healthcare will be able to provide its members with access to more than 93,000 providers, 670 hospitals and 10,000 ancillary services across an eight state region including Alaska, Arizona, California, Idaho, Montana, Nevada, Oregon, Southwest Washington. This vast network will provide businesses that have multi-state operations in this region with a healthcare benefits packages that allows its members to access high-quality care anywhere in the region.
For more information about VentureNet Healthcare or for estimates on custom heath plans available for your clients, please call AFMC's Senior Sales Consultants at 800-624-4277 or e-mail them at info@venturenethc.com. Or, visit VentureNet Healthcare's Web site.
Q: How can network status be checked on a Foundation Regional provider?
A: Foundation Regional networks are available on this website.
NOTE: Members do not automatically have access to this network 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 member's ID card.
Q: Does AFMC have a Medical Management Package?
A: AFMC has strategic partnerships that offer a full array of programs, which include utilization, case and disease management, as well as our comprehensive wellness programs. These programs all work in concert to ensure that your client's healthcare costs stay down.
Please contact AFMC Senior Sales Consultants at 800-624-4277 or click here for more information.
Q: Is AFMC compliant with current HIPAA regulations?
A: Yes, AFMC is HIPAA compliant.
Q: Who do I contact to learn more about AFMC networks and services?
A: AFMC's Senior Sales Consultants are available to answer questions and accommodate your requests. They can be reached at 800-624-4277 or by clicking here.
Q: Where do I direct marketing-related requests for information such as RFP's, RFI's and Geo Access Reports?
A: These requests can be directed to the attention of Business Relations & Communications at marketing@azfmc.com or your AFMC Senior Sales Consultant.
Q: Where can I find a list of AFMC rates?
A: For a current Schedule of AFMC Rates & Services, contact your AFMC Senior Sales Consultant.
Q: Where can I find a list of carriers and TPAs that partner with (AFMC)?
A: A detailed listing of carriers and TPAs that work with AFMC can be found in The Guide to Arizona Foundation Fully Insured and Self-Funded Plans located on this website.
Q: My client has offices located in multiple locations across Arizona. Is it possible to provide them with a listing of doctors and facilities in their immediate area?
A: Yes, in Provider Search you can search for all the providers in the AFMC Network. In addition, a Custom Directory can be created so that your employees will have the most current listing of providers in their area.
Q: How can my client's employees check the status of their claim?
A: To check payment status, direct your clients to contact their company's Plan Administrator. Call the phone number for Benefits and Eligibility listed on their ID cards. To check repricing status, please contact AFMC Call Center at 602-252-4042 (local) or 800-624-4277 (toll-free).
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: How can I verify that a physician is an AFMC provider? How can I find a listing of doctors or facilities in a specified area?
A: Through the Provider Search option on this Web site. You can also e-mail AFMC to  . Lastly, you can call AFMC's Call Center at 800-624-4277.
Q: How can I obtain new provider directories for my clients or for marketing AFMC plans?
A: You can order a provider directory online using the Directory Request Form or contact AFMC Customer Service at the numbers listed above to place your request.
Q: How can I nominate a doctor for AFMC membership?
A: Contact AFMC Network Management at 602-252-4042 (local) or 800-624-4277 (toll-free). Or, you can complete the Provider Nomination Form located on this website.
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