Claims and Remits
In addition to claim status and online remit tools, we offer resources to help you understand requirements for claim submission, coding, and pricing.
AZ Blue Plans
FEP Plans
BlueCard (Out-of-Area) PlansACA StandardHealth with Health Choice Plan (prefix IAZ)
Medicare Advantage Plans (prefix M2K)
For plans administered by AZ Blue: Availity Essentials Portal
Other plan administrators:
Arizona Priority Care (AZPC)
Optum Health Network Arizona (OHNAZ)
Corporate Health Services (CHS) Group Plans (no prefix)
Contact the third-party administrator (TPA) named on the member ID card or use our search tool to find the TPA contact information:
CHS Group - TPA Information Finder BlueDentalSM Stand-Alone Plans (prefix 99D)
Content restricted by user role or network status (or both).AZ Blue Plans
Federal Employee Program® (FEP®) Plans
BlueCard® (Out-of-Area) Plans
Medicare Advantage PlansACA StandardHealth with Health Choice Plan (prefix IAZ)
Corporate Health Services (CHS) Group Plans (no prefix)
Contact the third-party administrator (TPA) named on the member ID card or use our search tool to find the TPA contact information:
CHS Group - TPA Information Finder BlueDental Stand-Alone Plans (prefix 99D)
Content restricted by user role or network status (or both).Claim Coding Resources (PDF)
Clear Claim Connection (C3) User Guide (PDF)
Clear Claim Connection (C3) Transparency Tool
Claim Coding-AZ Blue Provider Operating Guide Section 18 (PDF)
Code Edit Guidelines (PDF)
Outpatient Coding Guide (select edition below)
2025 March - Current (Excel)2024 December (Excel)2025 January (Excel)2024 October (Excel)2024 September (Excel)2024 July (Excel)2024 May (Excel)2024 April (Excel)2024 March (Excel)2024 February (Excel)2024 January (Excel)2023 May (Excel)2023 April (Excel)2023 February (Excel)2023 January (Excel)
Content restricted by user role or network status (or both).-
All content below requires a login and is restricted by user role or network status (or both).
Claim Pricing (AZ Blue Provider Operating Guide Section 20)
Assistant Surgeon List 2025 January-Current (PDF)
Previous versions:
Assistant Surgeon List 2024 September (PDF)
2024 April (PDF)
2024 January (PDF)
2023 July Revised (PDF)
2023 January Revised (PDF)
2022 March (PDF)
2022 January (PDF)
Modifier 22 – Increased Procedural Services Guidelines (PDF)
Modifier 26 TC Lists (Excel)
Modifier 50 Table 2025 January-Current (PDF)
Previous versions:
2024 April (PDF)
2024 January (PDF)
2023 July Revised (PDF)
2023 January Revised (PDF)
2022 July (PDF)
2022 April (Excel)
2022 January (PDF)
Modifier 62 or 66 Pricing Guidelines (PDF)
Modifier 63 Pricing Guidelines (PDF)Consultation Pricing Guidelines (PDF)
Drug Urine Screening Test Pricing Guidelines (PDF)
Emergency Department Leveling Policy (PDF)
Mammography Pricing Guidelines (PDF)
Obsolete Pharmacy CPT/HCPCS Code Lists September 2024 - Current (PDF)
Previous versions:
2024 July (PDF)
2023 August (PDF)
Same Day Readmission Pricing Guidelines (PDF)
TENS Supply Pricing Guidelines (PDF)
