Arkansas
Medical Billing Services in Arkansas
Outsourced billing for Arkansas practices at 4-8% of collections, plus credentialing, with no long-term contract. Arkansas Medicaid, ARHOME marketplace plans and commercial billing statewide.
Key takeaways
- 01ARHOME, Arkansas's Medicaid expansion for adults 19 to 64, uses Medicaid funds to buy private marketplace (qualified health plan) coverage.
- 02The ARHOME waiver expires at the end of 2026 and will not be renewed in its current form. DHS has asked CMS for a two-year extension and says coverage for eligible enrollees continues past January 1 (Arkansas DHS, August 2026).
- 03Arkansas requires clean claims paid within 30 days if electronic and 45 days if on paper, with a 12% annual penalty that starts on the 61st day after the claim is received.
How Practices in Arkansas Choose Medtransic
Arkansas Payer Billing
One team for your Arkansas Medicaid, Medicare and private insurance claims
Coders Matched to Your Specialty
Coding done by specialty-trained staff familiar with your type of practice
Dedicated Account Manager
Someone who knows your practice, your payers and your open claims
No Long-Term Contract
A fee of 4-8% of collections, and no long-term contract holding you in
Why Clinics in Arkansas Gain With Medtransic
Arkansas Medicaid and ARHOME. Billing for Arkansas Medicaid, ARHOME marketplace plans and Arkansas Blue Cross Blue Shield
HIPAA Compliant. A HIPAA compliant team, and a dedicated account manager who knows your practice
See How Much Revenue Your Arkansas Practice Is Leaving on the Table
Get a free, no-obligation practice assessment. We'll analyze your claims, denials, and A/R to show you exactly where you're losing money.
Where We Work Across Arkansas
Little Rock & Central Arkansas
Little Rock is Arkansas's main healthcare hub, home to UAMS Health (University of Arkansas for Medical Sciences), Baptist Health and Arkansas Children's Hospital. UAMS takes complex referrals from across the state, which brings academic practice plan and resident supervision rules into billing.
State and public school employee health plans are a large source of claims for central Arkansas practices.
Oncology / cardiology / pediatrics / neurology / OB/GYN
Northwest Arkansas: Fayetteville, Springdale & Rogers
Northwest Arkansas is home to the headquarters of Walmart, Tyson Foods and J.B. Hunt Transport. Mercy Hospital Northwest Arkansas, Washington Regional Medical Center and Northwest Health serve a population with strong employer-sponsored coverage.
Growth from corporate relocations keeps bringing new practices and new providers, so payer enrollment and credentialing are steady needs.
Primary care / orthopedics / sports medicine / dermatology / behavioral health
Fort Smith & Western Arkansas
Fort Smith's healthcare market spans the Arkansas-Oklahoma border, with Mercy Hospital Fort Smith and the UAMS regional campus serving patients from both states. Manufacturing, poultry processing and distribution employers bring workers' compensation claims alongside commercial and Medicaid billing.
Patients crossing from Oklahoma mean two states' Medicaid and commercial rules can apply in the same practice.
Family medicine / general surgery / orthopedics / internal medicine / occupational medicine
Frequent Questions on Billing in Arkansas
ARHOME uses Medicaid funds to buy private marketplace health plans for adults 19 to 64, so claims for those patients go to the marketplace carrier on the card, not to traditional Medicaid. The ARHOME waiver expires at the end of 2026, and the Arkansas Department of Human Services has asked CMS for a two-year extension while it designs a new delivery system.
The ARHOME waiver will not be renewed in its current form, and the Arkansas Department of Human Services says coverage for eligible enrollees continues past January 1, 2027 while it seeks a two-year extension. Centene is also leaving ARHOME starting in 2027, so check each patient's plan at the first visit of the year.
Arkansas requires clean claims to be paid within 30 days if filed electronically and 45 days if filed on paper. Late payment draws a 12% annual penalty, which starts on the 61st day after the insurer receives the claim.
For most emergency care, and for out-of-network clinicians working at in-network facilities, Arkansas patients owe only their in-network cost sharing. That protection comes from the federal No Surprises Act, which took effect in January 2022. In the Fort Smith and Texarkana border markets, patients often carry out-of-state coverage, so network status needs checking before the visit.
Under 42 CFR 424.44, a Medicare claim must be filed within 12 months of the service date. Each commercial plan and Medicaid health plan sets its filing window in its own contract, so the deadline has to be read from that contract.
Complete Billing Support for Arkansas Practices
From eligibility checks to final payment, we handle your billing so you can focus on patients.
Claims Management. Claim submission and follow-up until each claim is paid or closed
Denial Management. Denied claims worked and appealed
Patient Billing. Clear patient statements and payment plans
Credentialing. Payer enrollment at $150 per application, per provider, usually 60 to 90 days with each payer, in our experience
Want a Second Look at Your Billing?
Get a free, no-obligation review of your practice's billing.
- Where claims are being denied, and why
- Which unpaid claims can still be recovered
- What billing would cost at 4-8% of collections
Specialties We Support Across Arkansas
Behavioral health and therapy are our specialty, and we also handle billing for other Arkansas practices.
- Psychiatry
- ABA Therapy
- Occupational Therapy
- Psychology
- Speech Therapy
- Substance Use Treatment
- Physical Therapy
- Mental Health
- Behavioral Health
- Primary Care
- Pediatrics
- Orthopedics
- Internal Medicine
Get Started With Medtransic in Arkansas's Growing Practices
Let us handle your medical billing so you can focus on patient care