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Douglas A. Ducey, Governor Jami Snyder, DirectorConflict of Interest Disclosure Form As detailed in the Committee Operational Policy, Committee members and public individuals external to the Committee
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How to fill out ahcccs ihs638 pharmacy claims

01
Obtain the AHCCCS IHS638 pharmacy claims form from either the AHCCCS website or your healthcare provider.
02
Fill out the patient information section with accurate details, including name, date of birth, and AHCCCS ID number.
03
Provide the prescription information, including the name of the medication, dosage, quantity, and prescriber information.
04
Indicate any additional information required, such as prior authorizations or special instructions.
05
Make sure to sign and date the form before submitting it to the pharmacy for processing.

Who needs ahcccs ihs638 pharmacy claims?

01
Individuals who are eligible for AHCCCS and receive healthcare services through Indian Health Services (IHS) facilities may need to fill out AHCCCS IHS638 pharmacy claims for medication coverage.
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AHCCCS IHS638 pharmacy claims refer to the claims submitted to the Arizona Health Care Cost Containment System (AHCCCS) for reimbursement of pharmacy services provided by Indian Health Service (IHS) facilities.
IHS facilities that provide pharmacy services to eligible AHCCCS members are required to file AHCCCS IHS638 pharmacy claims.
To fill out AHCCCS IHS638 pharmacy claims, providers must complete the appropriate claim form noting the patient's information, medication details, NDC codes, and any necessary supporting documentation.
The purpose of AHCCCS IHS638 pharmacy claims is to obtain reimbursement for prescription medications and pharmacy services provided to AHCCCS members by IHS facilities.
On AHCCCS IHS638 pharmacy claims, providers must report patient identification data, prescription details, National Drug Code (NDC), quantity dispensed, and billing codes.
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