It is important to verify member eligibility before providing services. Patients must be eligible Arizona Priority Care members at the time of service in order for services to be covered. Individual enrollment for participation in health plan programs is determined by the specific health plan.
Patients who have questions regarding participating in specific programs should be referred to the AZPC dedicated Customer Service department during business hours from 8AM to 5PM, 480-499-8750. AZPC will assist with the transfer of calls to the appropriate health plan if we are unable to assist the caller.
Arizona Priority Care obtains its eligibility data from the contracted health plans. It is best to verify the most current eligibility date directly from the health plan.
Effective Date:
The contracted health plan(s) maintain responsibility for notifying the patient in writing of his/her effective date of coverage. This is not a responsibility delegated to Arizona Priority Care.
Note: The health plan website will always have the most current member eligibility information available.
To Verify Eligibility
Alignment Health Plan
Fully Delegated
Website: https://www.alignmenthealthplan.com/providers/
Provider Inquiries: (480) 499-8720
Member Inquiries: (480) 499-8750
Maricopa County
Blue Cross Blue Shield AZ
Fully Delegated as of 4/1/2024
Website: https://www.azblue.com/healthcareprofessionals
Provider Inquiries: (480) 499-8720
Member Inquiries: (480) 499-8750
Maricopa & Pinal County
eternalHealth
Fully Delegated
Website: https://www.eternalhealth.com/for-providers
Provider Inquiries: (480) 499-8720
Member Inquiries: (480) 499-8750
Maricopa & Pima County
SCAN
Fully Delegated
Website: https://www.scanhealthplan.com/providers
Provider Inquiries: (480) 499-8720
Member Inquiries: (480) 499-8750
Maricopa, Pinal, & Pima County
Aetna
Value Based
Website: https://www.aetna.com
Provider Inquiries: 1 (855) 493-7019
Member Inquiries: 1 (833) 570-6670
Maricopa & Pinal County
WellCare by AllWell
Value Based
Website: https://provider.wellcare.com
Provider Inquiries: 1 (800) 977-7522
Member Inquiries: 1 (800) 977-7522
Maricopa & Pinal County
Call AZPC’s Provider Service Line at (480) 499-8720