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Special Claims Project

Effective September 2017, Customer Services is instructed to redirect new claims issues to this link for providers to complete a claims project spreadsheet.

Contracted and non-contracted providers must submit claims projects via e-mail using the spreadsheet located below.

Download Special Claims Spreadsheet

Please look for the file in your downloads folder

As Phoenix Health Plan (s) operations wind down we’ve enhanced and streamlined our internal processes, PHP has redesigned the process related to any possible open claim incidents (outstanding claims), in such that providers can submit all of their outstanding incidents on one spreadsheet. Our expectation is that most of these have been resolved, however, if you have any open claims remaining, we ask that you submit, on the attached spreadsheet, a single / consolidated project of all open incidents/claims. Attached to this page is a link of the ‘Claims Detail Spreadsheet’ to be use to submit your open claim incidents.

  • If you already have incidents/claims projects in process, DO NOT include those claims here.
  • The spreadsheet must be completed and submitted in EXCEL FORMAT.
  • Email the Spreadsheet and any necessary supporting documentation to the following email address: AHF-ProviderSupport@tenethealth.com.

Please take the time to review and follow the step-by-step instructions below.

STEP-BY-STEP INSTRUCTIONS

  1. Completing the spreadsheet
    a. Fill out the Contact Information.
    b. Complete the correct ‘Claim Line’ tab for the appropriate line of business.
    c. Only one Date of Service per line.
    d. Do not create additional columns or fields.
    e. Be sure to be detailed in providing your comments.
    f. The spreadsheet must be completed and submitted in EXCEL FORMAT
    g. We will not be processing any claims 2015 or older
  2. Supporting Documentation
    a. Include any documentation, i.e., primary EOB, Prior Authorization Approval, Medical Records, etc. to support your claim(s) request.
    b. Documents can be in PDF or Word format.
  3. Naming Convention of the EMAIL
    a. Please name the Email Subject line as follows:
          i. DATE_TAX ID_GROUP NAME
          ii. Use this same naming convention for the spreadsheet and the email subject line.
  4. **IMPORTANT** Encrypting HIPAA information within the EMAIL **IMPORTANT**
    a. If your office doesn’t not have the capability to submit HIPAA information securely, please contact us so we can arrange a secure format of transmission.
    b. Email us at: AHF-ProviderSupport@tenethealth.com.

Please allow 30-45 days before following up on the status as claims inquiries/projects are worked in date order received. Please do not hesitate to contact us with any questions you may have.

DISCLAIMER: Health Care Information is personal and sensitive information related to a person’s health care. You are obligated to maintain it in a safe, secure and confidential manner. Re-disclosure without patient consent or as permitted by law is prohibited. Unauthorized re-disclosure or failure to maintain confidentiality could subject you to penalties described in federal and state law.

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