ARIZONA EDI SOLUTIONS

Southwestern Provider Services, Inc.

ARIZONA SERVICES

SPSI is more than just a clearinghouse, we are EDI consultants. We are committed to supporting your organization throughout setup, implementation and any issues you encounter while sending claims through SPSI. Unlike many other clearinghouse organizations, we have a local presence in Arizona and staff with over 20 years of public behavioral health work experience. We offer training and support to our clients as well as online videos and a comprehensive FAQ section on our website that is updated regularly as additional information becomes available. Our local office focuses solely on Arizona providers and as such, bring unparalleled expertise to our clients.

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AHCCCS, RBHA, COMMERCIAL PAYERS AND MORE

SPSI's Arizona office has over 20 years of combined experience working with the state AHCCCS plan (Medicaid) and multiple RBHAs (Regional Behavioral Health Authority). SPSI is able to send claims and receive electronic remittances from all commercial payers, not just the RBHAs and ACC plans. This level of local expertise is unparalleled and why we are more than a clearinghouse, we are EDI consultants... Read More

ARE YOU READY FOR OCTOBER 1ST?

As of October 1, 2018, all AHCCCS GMHSA (General Mental Health and Substance Abuse) patients were migrated to one of seven ACC (AHCCCS Complete Care) plans. These are commercial insurance companies providing coverage to the GMHSA population and being compensated by AHCCCS.

CENTRAL GSA (Maricopa, Gila and Pinal Counties): Banner University Family Care, Care 1st, Steward Health Choice Arizona, Arizona Complete Health, Magellan Complete Care, Mercy Care, UnitedHealthcare Community Plan
NORTH GSA (Apache, Coconino, Mohave, Navajo and Yavapai Counties): Care 1st and Steward Health Choice Arizona
SOUTH GSA (Cochise, Graham, Greenlee, La Paz, Pima, Santa Cruz and Yuma Counties): Banner University Family Care, Arizona Complete Health, UnitedHealthcare Community Plan (Pima County only)

ARE YOU READY FOR OCTOBER 1ST?

CENTRAL GSA (Maricopa, Gila and Pinal Counties): Banner University Family Care, Care 1st, Steward Health Choice Arizona, Arizona Complete Health, Magellan Complete Care, Mercy Care, UnitedHealthcare Community Plan
NORTH GSA (Apache, Coconino, Mohave, Navajo and Yavapai Counties): Care 1st and Steward Health Choice Arizona
SOUTH GSA (Cochise, Graham, Greenlee, La Paz, Pima, Santa Cruz and Yuma Counties): Banner University Family Care, Arizona Complete Health, UnitedHealthcare Community Plan (Pima County only)

ARIZONA REPRESENTATIVES

It is important for SPSI to maintain local representation and local expertise. Medicaid plans vary from state to state and our local representatives for Arizona have over 20 years of combined experience working in the Arizona public behavioral healthcare system. This level of local expertise is unparalleled and why we are more than a clearinghouse, we are EDI consultants.

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SPSI NEWS

Court Ordered Evaluation Project Deployment

Banner University Health Plan Provider Forums

Care 1st to Wellcare transition delayed

Payer ID change: Steward ACC plan and HCIC RBHA