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.
Blue Cross® Blue Shield® of Arizona (AZ Blue) Plans
Federal Employee Program® (FEP®) Plans
BlueCard® (Out-of-Area) Plans
Medicare Advantage Plans
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).AZ Blue Plans
FEP Plans
BlueCard (Out-of-Area) Plans
Medicare Advantage Plans
AZ Blue Medicare Advantage Provider Portal
Other plan administrators:
Arizona Priority Care (AZPC)
P3 Health Partners
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).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)
2023 May-Current (Excel)2022 December (Excel)2021 October (Excel)2023 April (Excel)2022 November (Excel)2021 September (Excel)2023 February (Excel)2022 October (Excel)2021 July (Excel)2023 January (Excel)2022 September (Excel)2021 June (Excel)2022 August (Excel)2021 May (Excel)2022 June (Excel)2021 April (Excel)2022 April (Excel)2021 March-Revised (Excel)2022 February (Excel)2021 February (Excel)2022 January (Excel)2021 January-Revised (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 Codes List 2023 January-Current (PDF)
Previous versions:
2022 March (PDF)
2022 January (PDF)
2021 July (PDF)
2021 January Revised (PDF)
2020 July (PDF)
2020 January (PDF)
Modifier 22 – Increased Procedural Services Guidelines (PDF)
Modifier 26 TC Lists (Excel)
Modifier 50 Table 2023 January-Current (PDF)
Previous versions:
2022 July (PDF)
2022 April (Excel)
2022 January (PDF)
2021 July (PDF)
2021 January (PDF)
2020 October (PDF)
2020 July (PDF)
2020 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)
Mammography Pricing Guidelines (PDF)
Obsolete Pharmacy CPT/HCPCS Code Lists 2022 July -Current (PDF)
Previous version: 2021 August (PDF)
Same Day Readmission Pricing Guidelines (PDF)
TENS Supply Pricing Guidelines (PDF)