Medical Billing Services in Arkansas
As a remote-first medical billing company serving Arkansas practices statewide, MedPrecision pairs AR-specific payer expertise with AAPC-certified billing experts. Arkansas sets its payment deadline by rule rather than statute. Rule 23 CAR 15-110, in the Arkansas Insurance Department's unfair claims settlement practices rule, requires a health carrier to pay or deny a clean claim within 30 days of receipt when it was submitted electronically and within 45 days when it came any other way, and to notify the health claimant within 30 days if the claim is moving to the additional-information track. A carrier that misses either owes a penalty of 12 percent a year on the claim amount, running from the sixty-first day after receipt, and the rule requires it to be paid without any action by the health claimant — a term 23 CAR 15-103 defines as the insured, a provider holding a valid assignment from the insured, or a provider contracted with the carrier, so a practice that is neither assigned nor contracted is not who the penalty runs to. Arkansas Medicaid pays claims received within 12 months of the date of service, while commercial filing windows are contractual and have to be read out of each agreement — two clocks that govern every claim queue we manage. MedPrecision's Arkansas workflow layers payer-specific scrubbers, PASSE portal follow-up and deadline-aware A/R so clean claims clear the first cycle and stalled ones never age out of appeal. Rule text read from the official Code of Arkansas Rules on 17 September 2026.
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The Arkansas Billing Landscape
Arkansas has a distinctive Medicaid landscape. ARHOME, the Arkansas Health and Opportunity for Me program, uses premium assistance to enroll expansion adults in qualified health plans rather than in traditional managed care, which means a Medicaid-eligible patient may present a marketplace plan card and the claim then follows that carrier's rules rather than the Medicaid fee schedule — the most common source of a misrouted Arkansas claim. Alongside it, the Provider-Led Arkansas Shared Savings Entity program covers beneficiaries with complex behavioral health needs or intellectual and developmental disabilities; the Department of Human Services currently lists four PASSEs — Arkansas Total Care, CareSource PASSE, Empower Healthcare Solutions and Summit Community Care — and enrollment follows an Arkansas Independent Assessment tier of 2 or higher, the Community and Employment Support waiver or its waitlist, or residence in a private intermediate care facility. Payment timing is set by rule rather than statute: 23 CAR 15-110 gives a health carrier 30 days to pay or deny a clean electronic claim and 45 days for one submitted by other means, with a penalty of 12 percent a year running from the sixty-first day after receipt, payable without any action by the health claimant — the rule's term for the insured, a provider holding a valid assignment from the insured, or a provider contracted with the carrier. Arkansas Medicaid pays claims received within 12 months of the date of service. Telemedicine coverage is governed by Arkansas Code 23-79-1601 to 23-79-1602 as amended by Act 829 of 2021, which bars telemedicine-specific dollar maximums, unequal cost-sharing and stricter prior-authorization hurdles, and brings real-time interactive audio-only encounters inside the definition where they substantially meet the requirements for a covered service. Facts verified against the Code of Arkansas Rules, the Arkansas Department of Human Services and the Arkansas State Legislature on 17 September 2026.
Who We Serve in Arkansas
Our Arkansas client mix skews toward solo practices, rural health clinics, family practice groups , plus federally qualified health centers and telehealth providers. We work with providers in Little Rock, Fort Smith, Fayetteville and across the rest of the state, all remotely.
Major Metros Served
What billing costs in Arkansas
We publish one national rate card and bill Arkansas practices on exactly the same terms as everywhere else — there is no regional markup and no quote-only tier below enterprise. You pay a percentage of what we actually collect, so if we do not collect, you do not pay.
| Practice size | Rate | Basis | Note |
|---|---|---|---|
| Solo practice | 7.0% | of monthly collections | Monthly minimum applies |
| Group practice | 6.0% | of monthly collections | Volume discounts available |
| Enterprise | Custom | tiered pricing | Scoped per engagement |
- No setup or implementation fee
- No per-claim charge
- No software fee and no markup on third-party costs — clearinghouse fees, postage and payer application fees are passed through at cost
- 12-month initial term, then month-to-month — 60 days' notice either way, no early-termination penalty
Payer Landscape in Arkansas
Arkansas Medicaid (ARKids, Provider-Led Arkansas Shared Savings Entity - PASSE) routes members through Arkansas Total Care (PASSE), CareSource PASSE, Empower Healthcare Solutions (PASSE) and 1 more plans, each with its own authorization rules and fee schedule. On the commercial side, Arkansas Blue Cross Blue Shield, QualChoice, UnitedHealthcare drive the bulk of Arkansas claim volume, so we maintain payer-specific denial playbooks and appeal templates for each. Claim clocks in Arkansas run 365 days for Medicaid and 90-180 days for commercial payers — deadlines our A/R queues are built around. Arkansas's prompt-pay statute: Arkansas sets the deadline by rule: 23 CAR 15-110, in the Arkansas Insurance Department's unfair claims settlement practices rule, requires a health carrier to pay or deny a clean claim within 30 days of receipt when it was submitted electronically and within 45 days when it was submitted by other means, and to notify the health claimant within 30 days if the claim is being processed under 23 CAR 15-111 as needing additional information. A carrier that fails either owes a penalty of 12 percent a year on the claim amount, running from the sixty-first day after receipt to the payment date and payable without any action by the health claimant — which 23 CAR 15-103 defines as the insured, a provider holding a valid assignment from the insured, or a provider contracted with the carrier. The section reaches only entities within the rule's definition of a health carrier, and that definition expressly excludes a self-insured employer health benefits plan. Verified against the official Code of Arkansas Rules on 17 September 2026.
Medicaid Program
Arkansas Medicaid (ARKids, Provider-Led Arkansas Shared Savings Entity - PASSE)
Managed Care Organizations
Key Commercial Payers
Timely Filing Deadlines
Prompt Pay Law
Arkansas sets the deadline by rule: 23 CAR 15-110, in the Arkansas Insurance Department's unfair claims settlement practices rule, requires a health carrier to pay or deny a clean claim within 30 days of receipt when it was submitted electronically and within 45 days when it was submitted by other means, and to notify the health claimant within 30 days if the claim is being processed under 23 CAR 15-111 as needing additional information. A carrier that fails either owes a penalty of 12 percent a year on the claim amount, running from the sixty-first day after receipt to the payment date and payable without any action by the health claimant — which 23 CAR 15-103 defines as the insured, a provider holding a valid assignment from the insured, or a provider contracted with the carrier. The section reaches only entities within the rule's definition of a health carrier, and that definition expressly excludes a self-insured employer health benefits plan. Verified against the official Code of Arkansas Rules on 17 September 2026.
Arkansas Billing Regulations & Compliance
The Arkansas Insurance Department sets the rules our Arkansas billing workflows have to satisfy. Surprise billing in Arkansas: The federal No Surprises Act applies to Arkansas claims. Whether any additional state-level protection applies depends on the plan type and the rule in force; confirm the current position with the Arkansas Insurance Department rather than assuming a state law covers the bill. Telehealth parity: Arkansas's telemedicine coverage rules sit in Arkansas Code 23-79-1601 to 23-79-1602. Act 829 of the 2021 Regular Session — 2021, not 2019 — amended them so that a health benefit plan may not impose on telemedicine coverage an annual or lifetime dollar maximum specific to telemedicine, a deductible, copayment, coinsurance, benefit limitation or maximum benefit not equally imposed on all covered services, a prior-authorization requirement stricter than the one for in-person care, a requirement that the patient use a commercial telemedicine provider or a telemedicine-only network instead of their own provider, or cost-sharing on commercial telemedicine providers that differs from what network providers carry. The same Act brought real-time interactive audio-only encounters inside the definition of telemedicine where the encounter substantially meets the requirements for a service the plan would otherwise cover, with documentation subject to the same audit and review as an in-person visit. The Act's definition of health benefit plan excludes accident-only, specified-disease, long-term-care-only and stand-alone dental or vision plans, among others. Act text read from the Arkansas State Legislature's published acts on 17 September 2026.
State Insurance Regulator
Arkansas Insurance Department
Surprise Billing Protection
The federal No Surprises Act applies to Arkansas claims. Whether any additional state-level protection applies depends on the plan type and the rule in force; confirm the current position with the Arkansas Insurance Department rather than assuming a state law covers the bill.
Telehealth Billing Parity
Arkansas's telemedicine coverage rules sit in Arkansas Code 23-79-1601 to 23-79-1602. Act 829 of the 2021 Regular Session — 2021, not 2019 — amended them so that a health benefit plan may not impose on telemedicine coverage an annual or lifetime dollar maximum specific to telemedicine, a deductible, copayment, coinsurance, benefit limitation or maximum benefit not equally imposed on all covered services, a prior-authorization requirement stricter than the one for in-person care, a requirement that the patient use a commercial telemedicine provider or a telemedicine-only network instead of their own provider, or cost-sharing on commercial telemedicine providers that differs from what network providers carry. The same Act brought real-time interactive audio-only encounters inside the definition of telemedicine where the encounter substantially meets the requirements for a service the plan would otherwise cover, with documentation subject to the same audit and review as an in-person visit. The Act's definition of health benefit plan excludes accident-only, specified-disease, long-term-care-only and stand-alone dental or vision plans, among others. Act text read from the Arkansas State Legislature's published acts on 17 September 2026.
Common Questions
Common questions about medical billing services in Arkansas.
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Get a Free Billing AuditHow does MedPrecision handle Arkansas Medicaid and PASSE billing?
We manage billing for both Arkansas Medicaid fee-for-service claims and the Provider-Led Arkansas Shared Savings Entity program. As of 17 September 2026 the Department of Human Services lists four PASSE organizations: Arkansas Total Care, CareSource PASSE, Empower Healthcare Solutions and Summit Community Care. A beneficiary is enrolled in a PASSE only after an Arkansas Independent Assessment places them at Tier 2 or higher, or because they are on the Community and Employment Support waiver or its waitlist, or live in a private intermediate care facility. That eligibility route is also the documentation trail a denied PASSE claim gets tested against, so we build the authorization and care-coordination record into the claim rather than reconstructing it on appeal. Program facts verified against the Arkansas Department of Human Services PASSE pages on 17 September 2026.
Do you support rural health clinics in Arkansas?
Yes. Rural health clinics are paid under methodologies that differ from a straight fee schedule, and which one applies turns on the clinic's designation and its Medicare and Arkansas Medicaid enrollment rather than on any single statewide rule. We work to whichever applies to your clinic — encounter-based claims, reconciliation of supplemental payments, and the separate documentation those settings carry — and we confirm the applicable methodology against your current enrollment record before the first claim goes out.
What are the timely filing requirements in Arkansas?
Arkansas Medicaid pays claims that are received within 12 months of the date of service. Commercial payers in Arkansas set their own windows by contract, and that contract is the only reliable place the number is written. Our tracking runs every claim against its own payer's deadline rather than a single house rule, which is the only version that survives a practice billing six payers with six different clocks. Filing limit verified against the Arkansas Department of Human Services provider FAQ on 17 September 2026.
Does MedPrecision support family practice billing in Arkansas?
Yes. We handle the E/M coding, preventive care billing, chronic care management codes, and wellness visit documentation that family practices rely on, and we handle ARKids billing for pediatric patients.
What happens if a payer misses the Arkansas prompt-pay deadline?
Arkansas states the deadline in rule rather than statute. Rule 23 CAR 15-110, part of the Arkansas Insurance Department's unfair claims settlement practices rule, requires a health carrier to pay or deny a clean claim within 30 days of receipt if it was submitted electronically and within 45 days if it was submitted by other means, and to notify the health claimant within 30 days if the claim is being processed under 23 CAR 15-111 as needing additional information. A carrier that misses either obligation owes a penalty calculated at 12 percent a year on the claim amount, running from the sixty-first day after receipt to the payment date, and the rule requires that penalty to be paid without any action by the health claimant. Read that term carefully: 23 CAR 15-103 defines a health claimant as the insured, a provider holding a valid assignment from the insured, or a provider contracted with the carrier — a practice that is neither assigned nor contracted is not who the penalty is owed to. The section also reaches only entities that meet the rule's definition of a health carrier, and that definition expressly excludes a self-insured employer health benefits plan while expressly including self-insured governmental and church plans and the third-party administrators that adjust their benefits. We track every clean claim against those dates, flag stalled payments in our A/R reports, and escalate to the Arkansas Insurance Department when a payer defaults. Arkansas Medicaid pays claims received within 12 months of the date of service; commercial windows are contractual and differ payer by payer. Rule text read from the official Code of Arkansas Rules on 17 September 2026.
How do I choose a medical billing company in Arkansas?
Prioritize a billing company that already works with Arkansas Medicaid and the major commercial payers in Arkansas — payer-specific edits and timely-filing windows are where most AR revenue leaks start. Ask about AAPC-certified coders, transparent pricing, and denial-rate and days-in-A/R reporting before you sign. Because billing is delivered remotely, a company's Arkansas payer experience matters more than a local office address.
Services for Arkansas practices
Specialties we bill for
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Services in Arkansas
Specialties in Arkansas
Other Locations We Serve
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