Medical billing services in Arkansas
Billing, coding, credentialing and A/R follow-up for providers in Arkansas.
Billing in Arkansas: what is different
Arkansas uses PASSE plans for members with complex behavioral health and developmental disability needs.
Key payers and contractors in Arkansas
- Medicare Part A/B
- Novitas Solutions, Jurisdiction JHPortal: Novitasphere
- Medicare DME
- CGS, DME MAC Jurisdiction CDME supplier claims only · Portal: myCGS
- Medicaid
- Arkansas Medicaid
- Blue Cross Blue Shield
- Arkansas Blue Cross and Blue Shield
- Medicare Advantage
- UnitedHealthcare, Humana, Aetna, Wellcare, Blue plans and others, depending on the county
Contractor assignments and plan lists change. We confirm the current setup for your practice during onboarding.
How we work with Arkansas providers
- Medicaid enrollment with the state, then credentialing with each managed care plan you need
- Medicare enrollment through PECOS and claims with Novitas Solutions through Novitasphere
- Credentialing and contracting with commercial and Blue plans
- Eligibility checks that confirm each patient’s plan and assigned MCO before the visit
- Prior authorization tracking by plan
- Denial, appeal and A/R follow-up under each payer’s filing limits
Medical billing in Arkansas: common questions
Do you bill Arkansas Medicaid and its managed care plans?
Yes. We bill Arkansas Medicaid fee-for-service claims and each Medicaid managed care plan, after confirming the patient’s assigned plan for the date of service.
Who processes Medicare claims in Arkansas?
Medicare Part A and B claims in Arkansas are processed by Novitas Solutions (Jurisdiction JH), and we submit and track them through Novitasphere. DME supplier claims go to a different contractor, CGS (DME MAC Jurisdiction C), through myCGS.
Can you credential new providers in Arkansas?
Yes. We handle state Medicaid enrollment, Medicare enrollment, CAQH and credentialing with the commercial and managed care plans you need in Arkansas.
Neighboring states and key payers
Get a free billing audit for your Arkansas practice
Send a few details and we will set up a short call to review your claims, denials and A/R. No cost and no commitment.
We sign a Business Associate Agreement before we handle any patient data.