The Arizona Foundation comprehensive suite of solutions gives you the opportunity to access one of Arizona’s largest, independent, not-for-profit PPO to help you avoid paying expensive healthcare claims.

Payor clients include insurance carriers, third-party administrators (TPAs), stop-loss carriers and the consultants that serve these organizations. Our network can be used in a self-funding or fully insured arrangement.

In addition to our network of providers, the Arizona Foundation also provides re-pricing services and EDI/Clearinghouse Services.

Payor Services

Our partnerships, local presence and pursuit of excellence allow us to complement any employer, payor, or third party administrator in the areas of cost containment, provider network management, utilization review, and other medical management services. The Arizona Foundation understands that as payors, you need easy access to information relevant to your business.

Clean Claims

The Arizona Foundation specializes in providing full front-end services, from scanning and optical character recognition (OCR) to complete re-pricing service applications including the loading of your pricing, provider and member data. By receiving “clean claims” in HIPAA-compliant formats, payors will achieve higher auto-adjudication rates, maintain peak-level processing capacity, and eliminate their backlog – all with guaranteed turnaround time and data accuracy.

Ongoing and Comprehensive Support

We understand the importance of continuing a relationship with our customers after the implementation process has been completed. Our experienced staff can recommend solutions that will help you increase electronic claim volumes, reduce support issues regarding eligibility and claim status, and covert paper claims to an electronic format allowing for online access to claim images.