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 medical service provider for SCF Arizona?
How do I become an SCF Preferred Connection Network provider?
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. Per Arizona statutes we have 30 days to make a payment decision and another 30 days to process and send the payment for a total of 60 days to make a final processing decision.
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Q. How long do I have to submit bills?
A. Dates of service that are greater than two years old may be denied.
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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 “Reconsideration”
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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 Customer Contact Center at 602.631.2300.
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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.
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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.
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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. www.ica.state.az.us/director/FSSignUp.asp
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Q. How do I become a medical service provider for SCF Arizona?
A. Please send a current W-9 form to SCF Arizona. If you need a W-9 you may download it here.
Send the W-9 via fax to 602.631.2683
or via U.S. mail:
SCF Arizona
3030 N. 3rd St.
Phoenix, AZ 85012
Attn: URND Team
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Q. How do I become an SCF Preferred Connection Network provider?
A. To join SCF's Preferred Connection Network, send a letter of interest including your specialty, physical address, mailing address, office phone number, contact person and tax identification number on your letterhead.
Submit via e-mail to:
pcn@scfaz.com
or via fax: 602.631.2509
or via U.S. mail:
SCF Arizona
3030 N. 3rd St.
Phoenix, AZ 85012
Attn: URND Team
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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.
