MedicaidAdministrativeMedium impact
AHCCCS DFSM Claims Clues - Notice Remittance Advice Claim Denial Code AD364
Arizona Medicaid - AHCCCS·AZ · Psychiatry·Claims & Billing
Effective date
Feb 23, 2024
We identified it
Jun 17, 2026
Summary
AHCCCS has identified an issue with denial code AD364 ('No Records Submitted With Claim') not consistently appearing on EOBs and provider portals for behavioral health outpatient claims. When claims require documentation, providers should attach documents via Transaction Insight Portal using the 12-digit claim number with Purpose Code 11 (Solicited) - no need to resubmit the claim.
Action Required
Immediately: Billing team should be aware that behavioral health outpatient claim denials without visible denial codes may be due to AD364 ('No Records Submitted With Claim'). When documentation is required, attach via Transaction Insight Portal using the AHCCCS 12-digit claim number as the upload control number with Purpose Code 11 (Solicited). Do not resubmit the claim when adding required documentation.