Medical Billing Services in Arizona
MedPrecision is a remote-first medical billing company serving Arizona practices statewide, pairing AHCCCS managed-care expertise and urgent care billing support with AAPC-certified billing experts. The Arizona clock most often missed is the Medicaid one. Under Arizona Revised Statutes 36-2904(G), an initial claim must be received no later than six months after the date of service — the date of discharge for inpatient hospital claims, or the date eligibility was posted if that is later — and the same subsection writes that bar for AHCCCS and for the plans it contracts with alike, so it is not a fee-for-service-only rule. A claim that did arrive inside six months then has twelve months from the date of service to reach clean-claim status or be adjusted, after which payment is barred. Commercial claims run on a different rule: Arizona Revised Statutes 20-3102 gives a health care insurer 30 days from receipt to adjudicate a clean claim, or the period its contract with you specifies, and 30 days after adjudication to pay the approved portion, with interest at the legal rate from the date payment was due. MedPrecision's Arizona workflow layers payer-specific scrubbers, plan-portal follow-up and deadline-aware A/R so the six-month gate is never what loses a claim. Statute text read from the Arizona State Legislature's published Arizona Revised Statutes on 17 September 2026.
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The Arizona Billing Landscape
Arizona's Medicaid program, AHCCCS, contracts with AHCCCS Complete Care plans that each serve a defined geographic service area — Arizona Complete Health - Complete Care Plan, Banner-University Family Care, Blue Cross Blue Shield of Arizona Health Choice, Mercy Care, Molina Healthcare and UnitedHealthcare Community Plan, with Arizona Complete Health and Mercy Care also holding the regional behavioral health agreements. Those plans are not the whole roster: the agency's published directory also lists Arizona Long Term Care System plans, American Indian tribal contractors, tribal regional behavioral health authorities and a Department of Child Safety Comprehensive Health Plan, alongside the fee-for-service American Indian Health Program. The timing rule that decides most Arizona Medicaid write-offs is statutory rather than contractual: Arizona Revised Statutes 36-2904(G) requires an initial claim to be received within six months of the date of service, or of the date eligibility was posted, whichever is later, and a claim received after that is not paid — and the same subsection writes that bar for the administration and for its contracted plans alike, so it is not a fee-for-service-only rule. A claim that arrived in time then has twelve months from the date of service to reach clean-claim status or be adjusted. Commercial claims run on a separate section, Arizona Revised Statutes 20-3102, which gives a health care insurer 30 days to adjudicate a clean claim — or whatever period its provider contract specifies — and 30 days after adjudication to pay, with interest at the legal rate on late payment and a one-year limit on adjusting a claim after it was paid or denied. Arizona also has its own surprise-billing regime in Title 20, Chapter 20, Article 2, which turns partly on whether the patient received, and signed, a written disclosure of non-contracted status before non-emergency care. Telehealth is covered one carrier class at a time — Section 20-841.09 for hospital and medical service corporations, Section 20-1057.13 for health care services organizations, with parallel sections at 20-1376.05 and 20-1406.05 for the rest — each carrying payment parity for audio-visual services and, for behavioral health and substance use disorder services, for audio-only as well. Rural areas including tribal lands add Indian Health Service coordination to the same workflow. Statute, program and plan facts verified against the Arizona State Legislature and AHCCCS on 17 September 2026.
Who We Serve in Arizona
Our Arizona client mix skews toward solo practices, group practices, behavioral health practices , plus urgent care centers and telehealth providers. We work with providers in Phoenix, Tucson, Mesa and across the rest of the state, all remotely.
Major Metros Served
What billing costs in Arizona
We publish one national rate card and bill Arizona practices on exactly the same terms as everywhere else — there is no regional markup and no quote-only tier below enterprise. You pay a percentage of what we actually collect, so if we do not collect, you do not pay.
| Practice size | Rate | Basis | Note |
|---|---|---|---|
| Solo practice | 7.0% | of monthly collections | Monthly minimum applies |
| Group practice | 6.0% | of monthly collections | Volume discounts available |
| Enterprise | Custom | tiered pricing | Scoped per engagement |
- No setup or implementation fee
- No per-claim charge
- No software fee and no markup on third-party costs — clearinghouse fees, postage and payer application fees are passed through at cost
- 12-month initial term, then month-to-month — 60 days' notice either way, no early-termination penalty
Payer Landscape in Arizona
AHCCCS (Arizona Health Care Cost Containment System) routes members through Arizona Complete Health - Complete Care Plan, Banner-University Family Care, Blue Cross Blue Shield of Arizona Health Choice and 3 more plans, each with its own authorization rules and fee schedule. On the commercial side, Blue Cross Blue Shield of Arizona, UnitedHealthcare, Aetna drive the bulk of Arizona claim volume, so we maintain payer-specific denial playbooks and appeal templates for each. Claim clocks in Arizona run 180 days for Medicaid and 90-180 days for commercial payers — deadlines our A/R queues are built around. Arizona's prompt-pay statute: Arizona Revised Statutes 20-3102 requires a health care insurer to adjudicate a clean claim from a contracted or non-contracted provider within 30 days of receipt, or within the period specified by contract, and to pay the approved portion within 30 days of adjudication unless an express written contract sets a different period. Interest at the legal rate runs from the date payment was due. Where a claim is not clean, the insurer must request the additional information in writing within 30 days and adjudicate within 30 days of receiving it. Neither party may adjust a claim more than one year after payment or denial, except in cases of fraud. Verified against the Arizona State Legislature on 17 September 2026. AHCCCS filing is separate and sits in Arizona Revised Statutes 36-2904(G), which binds the administration and the plans it contracts with alike: six months from the date of service (or from the date eligibility was posted, if later) to file, twelve months to reach clean-claim status. That statute states its deadline in months rather than days, so the 180-day Medicaid figure shown alongside is the conservative working deadline our queues run on, not a statutory day count — count six calendar months from the date of service.
Medicaid Program
AHCCCS (Arizona Health Care Cost Containment System)
Managed Care Organizations
Key Commercial Payers
Timely Filing Deadlines
Prompt Pay Law
Arizona Revised Statutes 20-3102 requires a health care insurer to adjudicate a clean claim from a contracted or non-contracted provider within 30 days of receipt, or within the period specified by contract, and to pay the approved portion within 30 days of adjudication unless an express written contract sets a different period. Interest at the legal rate runs from the date payment was due. Where a claim is not clean, the insurer must request the additional information in writing within 30 days and adjudicate within 30 days of receiving it. Neither party may adjust a claim more than one year after payment or denial, except in cases of fraud. Verified against the Arizona State Legislature on 17 September 2026. AHCCCS filing is separate and sits in Arizona Revised Statutes 36-2904(G), which binds the administration and the plans it contracts with alike: six months from the date of service (or from the date eligibility was posted, if later) to file, twelve months to reach clean-claim status. That statute states its deadline in months rather than days, so the 180-day Medicaid figure shown alongside is the conservative working deadline our queues run on, not a statutory day count — count six calendar months from the date of service.
Arizona Billing Regulations & Compliance
The Arizona Department of Insurance and Financial Institutions sets the rules our Arizona billing workflows have to satisfy. Surprise billing in Arizona: Arizona does have a state surprise-billing regime, in Title 20, Chapter 20, Article 2 of the Arizona Revised Statutes, alongside the federal No Surprises Act. Section 20-3113 defines a surprise out-of-network bill as a bill from a non-contracted provider at a network facility that is either for emergency services and directly related inpatient care, or for non-emergency care where the required written disclosure of non-contracted status and estimated cost was not given in reasonable time, or was given and the enrollee chose not to sign it. Signing that disclosure may waive the enrollee's rights under the article's dispute-resolution process. Verified against the Arizona State Legislature on 17 September 2026. Telehealth parity: Arizona writes its telehealth rule once per class of carrier. Arizona Revised Statutes 20-841.09 is the hospital and medical service corporation section — it binds “a corporation” as Section 20-822 defines that term for the same article — and it requires contracts issued, delivered or renewed in the state to cover a health care service delivered by telehealth where the same service would be covered in person for a subscriber receiving it in Arizona, and to reimburse providers at the same level of payment for an equivalent audio-visual telehealth service as for the in-person one. Audio-only carries that same payment requirement for behavioral health and substance use disorder services; audio-only coverage more broadly follows what the telehealth advisory committee under Section 36-3607 recommends. Payment parity does not apply to an encounter delivered on a telehealth platform the carrier itself sponsors, and the section does not apply to limited benefit coverage. Arizona Revised Statutes 20-1057.13 imposes materially the same requirements on health care services organizations, and sections 20-1376.05 and 20-1406.05 carry the identical caption for the remaining carrier classes — so which section reaches a given payer depends on how that carrier is organised, and several of the largest commercial payers in Arizona fall outside 20-841.09. Section text verified against the Arizona State Legislature on 17 September 2026.
State Insurance Regulator
Arizona Department of Insurance and Financial Institutions
Surprise Billing Protection
Arizona does have a state surprise-billing regime, in Title 20, Chapter 20, Article 2 of the Arizona Revised Statutes, alongside the federal No Surprises Act. Section 20-3113 defines a surprise out-of-network bill as a bill from a non-contracted provider at a network facility that is either for emergency services and directly related inpatient care, or for non-emergency care where the required written disclosure of non-contracted status and estimated cost was not given in reasonable time, or was given and the enrollee chose not to sign it. Signing that disclosure may waive the enrollee's rights under the article's dispute-resolution process. Verified against the Arizona State Legislature on 17 September 2026.
Telehealth Billing Parity
Arizona writes its telehealth rule once per class of carrier. Arizona Revised Statutes 20-841.09 is the hospital and medical service corporation section — it binds “a corporation” as Section 20-822 defines that term for the same article — and it requires contracts issued, delivered or renewed in the state to cover a health care service delivered by telehealth where the same service would be covered in person for a subscriber receiving it in Arizona, and to reimburse providers at the same level of payment for an equivalent audio-visual telehealth service as for the in-person one. Audio-only carries that same payment requirement for behavioral health and substance use disorder services; audio-only coverage more broadly follows what the telehealth advisory committee under Section 36-3607 recommends. Payment parity does not apply to an encounter delivered on a telehealth platform the carrier itself sponsors, and the section does not apply to limited benefit coverage. Arizona Revised Statutes 20-1057.13 imposes materially the same requirements on health care services organizations, and sections 20-1376.05 and 20-1406.05 carry the identical caption for the remaining carrier classes — so which section reaches a given payer depends on how that carrier is organised, and several of the largest commercial payers in Arizona fall outside 20-841.09. Section text verified against the Arizona State Legislature on 17 September 2026.
Common Questions
Common questions about medical billing services in Arizona.
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Get a Free Billing AuditHow does MedPrecision handle AHCCCS billing for Arizona practices?
AHCCCS routes members through several different kinds of contractor, not one. AHCCCS Complete Care plans are the largest group; the agency's published health plan directory also lists Arizona Long Term Care System plans, American Indian tribal contractors, tribal regional behavioral health authorities and a Department of Child Safety Comprehensive Health Plan, alongside the fee-for-service American Indian Health Program. As of 17 September 2026 the ACC plans AHCCCS lists are Arizona Complete Health - Complete Care Plan, Banner-University Family Care, Blue Cross Blue Shield of Arizona Health Choice, Mercy Care, Molina Healthcare and UnitedHealthcare Community Plan, with Arizona Complete Health and Mercy Care also holding the ACC regional behavioral health agreements. Each plan carries its own authorization requirements and fee schedule and serves a defined set of counties, so the first check on any AHCCCS claim is which plan and which geographic service area the member sits in. Plan list verified against the AHCCCS published health plan directory on 17 September 2026.
Do you specialize in behavioral health billing for Arizona providers?
Yes, and one Arizona rule matters more for behavioral health than for most specialties. Arizona writes its telehealth payment requirement separately for each class of carrier, and the sections read alike: Arizona Revised Statutes 20-841.09 covers hospital and medical service corporations, Arizona Revised Statutes 20-1057.13 covers health care services organizations, and further sections at 20-1376.05 and 20-1406.05 carry the identical caption for the remaining carrier classes. Each requires the same level of payment for an equivalent service delivered by audio-visual telehealth as for the in-person one, and each extends that same payment requirement to audio-only encounters for behavioral health and substance use disorder services specifically — a parity other services do not get for audio-only. Which section reaches a given plan depends on how that carrier is organised, so we read the contract rather than assume one section covers every payer. On the AHCCCS side, Mercy Care and Arizona Complete Health hold the regional behavioral health agreements, so which plan a member sits with decides the authorization path. We code to the current AHCCCS behavioral health code set and to each plan's authorization rules. Statute text read from the Arizona State Legislature on 17 September 2026.
What are Arizona's prompt pay requirements and how do you track compliance?
The Arizona provision is Arizona Revised Statutes 20-3102 — not the unfair-claim-settlement section at 20-461, which sets no clean-claim deadline. It requires a health care insurer to adjudicate a clean claim within 30 days of receipt or within the period specified by its contract with the provider, and, absent an express written contract term setting a different period, to pay the approved portion within 30 days of adjudication. Interest at the legal rate runs from the date payment was due. Our system tracks claim aging against both the adjudication date and the payment date and flags any payer past the statutory or contracted window, which is what an interest claim has to be built on. Statute text read from the Arizona State Legislature on 17 September 2026.
What specialties does MedPrecision support in Arizona?
We serve a broad range of Arizona specialties, including behavioral health, urgent care, family medicine, cardiology, dermatology, and physical therapy. Our team understands the payer mix common in the Phoenix and Tucson markets and tailors our approach to each specialty's billing requirements.
What happens if a payer misses the Arizona prompt-pay deadline?
Arizona Revised Statutes 20-3102 requires a health care insurer to adjudicate a clean claim within 30 days of receipt or within the period its contract specifies, and to pay the approved portion within 30 days of adjudication unless an express written contract sets a different period. Interest at the legal rate accrues from the date payment was due. Where the claim is not clean, the insurer must send a written request for the additional information within 30 days of receipt, give the specific reasons for the delay, and adjudicate within 30 days of receiving everything it asked for. Neither side may adjust a claim more than one year after it was paid or denied, except in cases of fraud. We track every clean claim against those dates, flag stalled payments in our A/R reports, and escalate to the Arizona Department of Insurance and Financial Institutions. Subsections (F) and (G) of the same section are what make that escalation worth making: every health care insurer must keep records of health care provider grievances and give the director a summary of them every six months, and on reviewing those records the director may examine an insurer where a significant number have gone unresolved. AHCCCS claims run on a different clock entirely, and Arizona Revised Statutes 36-2904(G) applies it to the agency and to its contracted plans alike: six months to file, twelve months to reach clean-claim status. Statute text read from the Arizona State Legislature on 17 September 2026.
How do I choose a medical billing company in Arizona?
Prioritize a billing company that already works with AHCCCS managed-care plans and BCBS of Arizona — payer-specific edits and the six-month AHCCCS filing window are where most AZ revenue leaks start. Ask about AAPC-certified coders, transparent pricing, and denial-rate and days-in-A/R reporting before you sign. Because billing is delivered remotely, a company's Arizona payer experience matters more than a local office address.
Services for Arizona practices
Specialties we bill for
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Services in Arizona
Specialties in Arizona
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