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Este documento proporciona guías sobre cómo intercambiar datos electrónicos de salud en cumplimiento con las normas HIPAA y los estándares ASC X12N para las transacciones de salud.
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How to fill out BCBSAZ HIPAA Companion Guide

01
Obtain the BCBSAZ HIPAA Companion Guide from the official BCBSAZ website.
02
Review the Table of Contents to familiarize yourself with the sections.
03
Follow the detailed instructions for each section relevant to your transactions.
04
Fill in the required data fields as specified in the guide, ensuring compliance with HIPAA regulations.
05
Consult the mapping guides for specific coding and formatting requirements.
06
Double-check for any updates or revisions to the guide before submission.
07
Submit the completed documents as per the instructions in the guide.

Who needs BCBSAZ HIPAA Companion Guide?

01
Healthcare providers who submit claims electronically to BCBSAZ.
02
Billing companies working on behalf of healthcare providers.
03
Insurance companies coordinating with BCBSAZ on claims processing.
04
Any entity handling protected health information (PHI) that interacts with BCBSAZ.
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Timely filing Initial Claim: 6 months from the date of service (If HCP is primary, the claim timeliness changes to 7-months from the date of service or eligibility date). Corrected Claim: 12 months from the date of service.
AZ Blue, a non-profit company, is an independent licensee of the Blue Cross Blue Shield Association. The company and its subsidiaries employ more than 3,200 people in its Phoenix, Flagstaff, and Tucson offices.
If you are looking to file a health or dental claim, you can do so by logging into My Health Toolkit. Once logged in, look under Claims & Authorizations and select File a Claim to get started.
Great news! AZ Blue members are covered in all 50 states. You can even search the national directory of providers (Opens in a new tab) in case you need to see a doctor while away from home. Be sure to carry your member ID card or download your digital credentials to your Android or Apple Wallet.
If you are looking to file a health or dental claim, you can do so by logging into My Health Toolkit. Once logged in, look under Claims & Authorizations and select File a Claim to get started.

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The BCBSAZ HIPAA Companion Guide is a document that provides specific instructions and clarifications to assist covered entities, such as healthcare providers and health plans, in understanding and implementing the standards set forth by HIPAA for electronic transactions.
Covered entities engaged in electronic healthcare transactions with Blue Cross Blue Shield of Arizona (BCBSAZ) are required to file the BCBSAZ HIPAA Companion Guide.
To fill out the BCBSAZ HIPAA Companion Guide, entities should follow the instructions in the guide, ensuring they provide specified data and adhere to the required formats for electronic transactions as outlined in the document.
The purpose of the BCBSAZ HIPAA Companion Guide is to facilitate compliant and efficient electronic transactions by providing detailed instructions, examples, and requirements specific to BCBSAZ's systems and processes.
The information that must be reported includes transaction types, data requirements, codes, definitions, and any specific formatting rules that need to be adhered to when processing electronic claims and other transactions.
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