Arizona Complete Health
How To Submit Claims To Arizona Complete Health
Provider-side claims submission guidance for Arizona Complete Health, including channels, payer IDs, paper addresses, and follow-up resources.
For Arizona Complete Health, the practical claims workflow usually starts with electronic submission guidance and only falls back to paper instructions when the payer documents a mailing address for specific claim types or exceptions. The details below keep the workflow broad instead of reducing it to a single address.
At a glance
- Arizona Complete Health supports claims submission through the secure provider portal, Availity Essentials, approved clearinghouses/EDI, and paper mailing to line-of-business-specific PO boxes. The provider portal supports claim submission, corrected claims, reconsiderations, disputes, authorizations, and status checks. Electronic transactions use payer ID 68069 for Medicaid, Medicare, and Exchange on the official clearinghouse list. For corrected claims, the original claim number and replacement indicators must be used.
Submission channels
- secure provider portal
- Availity Essentials
- approved clearinghouses/EDI
- paper mail
Electronic claims payer IDs
- 68069
Paper claims addresses
- Arizona Complete Health-Complete Care Plan, P.O. Box 9010, Farmington, MO 63640-9010
- Ambetter from Arizona Complete Health, P.O. Box 9040, Farmington, MO 63640-9040
- Wellcare by Allwell, P.O. Box 9030, Farmington, MO 63640-9030
Corrected claims and follow-up
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Use claim frequency code 7 / replacement of previous claim for corrected EDI claims.
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Include the original Arizona Complete Health generated claim ID with REF segment / F8 qualifier when known.
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For paper UB-04, the 3rd digit of the bill type should indicate 7 and the payer claim ID goes in Box 65.
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For CMS-1500, Box 22a should contain 7 and Box 22b should contain the original reference number.
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Corrected claims should reference the original claim number and use the correct bill type when required.
Caveats
- Claims submission rules vary by line of business and may change; use the current claims/payment and provider portal pages for operational details.
- Some portal functionality is now also available through Availity Essentials, but the current AzCH provider portal remains active.
- Paper address differs by line of business.
Provider resources
- Provider Portal Login (official)
- Prior Authorization (official)
- Claims and Payment (official)
- Remittance Advice (official)
- Electronic Transactions (official)
- Medicaid Provider Claim Resolution Process (official)
- Arizona Complete Health Transition to Availity Essentials (official)
Sources
| Fact | Value | Source | Confidence |
|---|---|---|---|
| Provider portal functions | Verify member eligibility; submit and check claims; submit corrected claims, claim reconsiderations and formal claim disputes; submit and confirm authorizations. | Official | high |
| Availity functionality | Starting January 20, 2025, Availity Essentials supports validate eligibility and benefits, submit claims, check claim status, and submit authorizations. | Official | high |
| Portal and Availity status | Secure Provider Portal and Availity allow verify member eligibility, check/submit claims and submit/confirm authorizations. | Official | high |
| EDI payer ID | Arizona Complete Health’s Payer ID (Medicaid, Medicare and Exchange): 68069 | Official | high |
| Paper claim addresses | Medicaid/Complete Care Plan P.O. Box 9010; Medicare/Wellcare by Allwell P.O. Box 9030; Ambetter P.O. Box 9040. | Official | high |
| Corrected claim instructions | Claim Frequency code 7 for replacement; original claim ID with REF F8 qualifier; paper corrected claims must be marked appropriately. | Official | high |
Last reviewed: March 27, 2026
Sources used: 4 official