HEALTHCARE PROVIDERS
Get the Answers You Need
This section contains answers to healthcare providers’ common questions about SCF Arizona procedures and workers’ compensation insurance.
If you would like to ask a question, please click here.
When are medical bills payable?
How long do I have to submit bills?
How long do I have to appeal a payment decision?
I haven't been paid or heard anything from SCF Arizona about a bill I submitted three weeks ago, what should I do?
What billing forms must I use?
Why don't I get paid the same amount I billed?
Where can I get a copy of the Arizona Industrial Commission's Physician Fee Schedule?
How do I become a provider for Arizona's injured workers?
I'm an out-of-state provider and my state's laws say you must pay me a certain way.
Q. When are medical bills payable?
A. SCF Arizona makes every effort to process and
pay within 30 days all medical bills with appropriate and necessary information on open
and accepted claims.
^ back to top
Q. How long do I have to submit bills?
A. Dates of service that are greater than three
years old may be denied.
^ back to top
Q. How long do I have to appeal a payment decision?
A. Medical providers have 12 months from receipt
of the Explanation of Benefits to contest and appeal
our decision. You may mail your appeal to:
SCF Arizona
Attn: Provider Inquiry
3030 North 3rd Street
Phoenix, AZ 85012
*Please mark your documents as “Appeal”
^ back to top
Q. I haven’t been paid or heard anything from SCF
Arizona about a bill I submitted three weeks ago,
what should I do?
A. Call our Medical Bill Research Representative
at 602.631.2521.
^ back to top
Q. What billing forms must I use?
A. Outpatient clinics should use the CMS-1500
form and hospitals or surgery centers use the UB-04
form.
^ back to top
Q. Why don’t I get paid the same amount I billed?
A. Reimbursement for services provided by
physicians, physical and occupational therapists as
well as various other providers of healthcare
services are governed by the Industrial Commission
of Arizona’s Physician Fee Schedule.
^ back to top
Q. Where can I get a copy of the Arizona
Industrial Commission’s Physician Fee Schedule?
A. Order the schedule from the Industrial
Commission of Arizona website.
^ back to top
Q. How do I become a provider for Arizona’s
injured workers?
A. To join SCF’s Preferred Connection Network, send by mail or fax a W-9 and letter of interest including your date of birth, specialty and contact person on your letterhead indicating your willingness to participate in treating Arizona’s injured workers and receiving reimbursement. We must have this document before we can process and pay any of your bills within the PCN.
Send the documentation to:
SCF Arizona
Attn: Network Development
3030 North 3rd Street
Phoenix, AZ 85012
Fax 602.631.2683
E-mail pcn@scfaz.com
^ back to top
Q. I’m an out-of-state provider and my state’s
laws say you must pay me a certain way.
A. All of SCF Arizona’s claims are administered
under the laws and statutes of the State of Arizona
regardless of where our injured worker lives or
seeks care.
^ back to top
