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The analysis of any legal or medical billing is dependent on numerous specific facts — including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

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Arizona Medicaid Managed Care

Prior Authorization
  • Standard Authorization Requests
  • Expedited Authorization Requests
  • Adverse Benefit Determinations
  • Contents of an Adverse Benefit Determination
  • Delivery of the Notice of Adverse Benefit Determination
  • Extensions
Computation of Time
  • Service Request Computation of Time
  • Working Days
  • Legal Holidays
Appeals
    • Standard Appeal
    • Expediated Appeal
    • Time Limit to File an Appeal
    • Provider or Authorized Representative
    • Timeframes for Resolving the Appeal
    • Expedited Review Process
    • Member Rights During the Appeal
    • Notice of Appeal Resolution
Provider Claims Appeals
    • Provider Claim Dispute Policy

Continuation of Benefits 

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