HOSPITAL DISCHARGE DATA SUBMISSION SPECIFICATIONS 2008 CY Data Reporting Manual for Hospital Inpatient and Emergency Department Discharge Records of Patients Discharged during Calendar Year 2008 [PDF 1955K]
Top Submitters [PDF 242K] Reporting Calendar [PDF 16K]
ISO 3166 Country Code List for 2008 [XLS 31K] Arizona Hospital Facility ID List [PDF 16K] 2008 Discharge Data Reporting Summary Layout [XLS 66K] 2008 Discharge Data Reporting\UB04 Crosswalk [XLS 22K]
REQUIRED SUBMISSION FORMS Contact Information Form [PDF 12K] Contact Information Form Read-Only Version in MS Word [Word 29K]
Attestation Form [PDF 68K]
Attestation Form Read-Only Version in MS Word [Word 28K]
ADHS Web Privacy Policy. This page last modified on May 21, 2008 . Copyright 2008 Arizona Department of Health Services. All rights reserved. General comments, questions, or concerns: ADHS Webmaster