AHCCCS EDI Transmission Administrative Procedures
AHCCCS EDI transmission with providers is released directly with AHCCCS or through an AHCCCS certified Clearinghouse.
With the exception of Web Upload Attachment (275), each trading partner must establish an SFTP/EFT user account in order to exchange electronic data with AHCCCS. To setup an SFTP/EFT user account, the Electronic Data Exchange Request and External User Affirmation Statement forms must be completed for each individual user accessing SFTP/EFT. Please be sure to indicate the transaction(s) you will be exchanging with AHCCCS on the Electronic Data Exchange Request form. You can obtain these forms and instructions at: https://www.azahcccs.gov/PlansProviders/ISDresources.html.
It is recommended that trading partners initiate the SFTP/EFT account setup as soon as possible. Trading partners may conduct Community Manager testing of the 270/271, 276/277 and 837 transactions pending their SFTP/EFT account setup.
Clearinghouse
If your software vendor cannot connect directly to AHCCCS, the following information will assist you with connecting through a third party AHCCCS registered clearinghouse:
- Contact your software vendor to see if they are affiliated with a clearinghouse. Some software vendors will require that the provider/submitter connect through a designated clearinghouse.
- The third party clearinghouse is responsible for assisting the provider/submitter with EDI file submissions to AHCCCS.
To learn more about EDI and become a certified EDI Professional please visit our course schedule page.