016.06.48-242.300. Billing Instructions -- Paper Only
AR ADC 016.06.48-242.300Arkansas Administrative Code
Ark. Admin. Code 016.06.48-242.300
016.06.48-242.300. Billing Instructions -- Paper Only
Bill Medicaid for professional services with form CMS-1500. The numbered items in the following instructions correspond to the numbered fields on the claim form. View a sample form CMS-1500.
Carefully follow these instructions to help the Arkansas Medicaid fiscal agent efficiently process claims. Accuracy, completeness, and clarity are essential. Claims cannot be processed if necessary information is omitted.
Forward completed claim forms to the Claims Department. View or print the Claims Department contact information.
NOTE: A provider delivering services without verifying beneficiary eligibility for each date of service does so at the risk of not being reimbursed for the services.
Credits
Amended Nov. 1, 2017.
<Editor’s Note: Nonfunctioning links so in original.>
Current with amendments received through May 15, 2024. Some sections may be more current, see credit for details.
Ark. Admin. Code 016.06.48-242.300, AR ADC 016.06.48-242.300
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