AHCCCS insurance info AZ
Not sure where else to post this but I have an appointment soon with a women’s health clinic and I haven’t been to a doctor by myself so forgive me on my cluelessness on the new patient forms but if my only health coverage is AHCCCS how do I fill out the insurance portion of the form? My insurance card (Mercy Care) only has my name and my AHCCCS ID so not really sure how to fill out the co pay or the activation date portion. It has two sections that say primary insurance information and if applicable secondary insurance information and that alone confuses me.
In the insurance portion it asks for NAME OF INSURANCE COMPANY, POLICY #, NAME OF INSURED, GROUP#, ADDRESS OF INSURANCE COMPANY, COPAY AMOUNT, CITY, STATE, ZIP PHONE #, DEDUCTIBLE, RELATIONSHIP TO PATIENT, EFFECTIVE DATE, and EXPIRATION DATE
Thanks