Medicare Blog

what is the name of the medicare carrier in arkansas

by Hillard Goyette Published 3 years ago Updated 2 years ago
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What does the division of medical services do in Arkansas?

Mar 01, 2018 · JH processes FFS Medicare Part A and Part B claims for Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma, and Texas. Total Number of Fee-for-Service Beneficiaries: 4,926,382 (as of 9/30/2021) Total Number of Physicians: 138,078 (as of 9/30/2021) Total Number of Medicare Hospitals: 1,231 ( as of 9/30/2021)

How do I enroll in Medicare Part C in Arkansas?

Apr 13, 2022 · The Carrier Codes Report is a cross-reference of carrier codes to insurance company names, in alphabetical order by company name. This report is generated quarterly by the Arkansas Medicaid Management Information System. ... The Centers for Medicare and Medicaid Services (CMS) originally developed the NCCI to promote national correct coding ...

How much does Medicare cost in Arkansas in 2022?

This type of Medicare Advantage plan in Arkansas typically offers additional Medicare coverage that correlates to the covered medical condition. How much does Medicare Advantage cost in Arkansas? The average monthly premium for a Arkansas Medicare Advantage plan was $76.33 in 2022. Most plans were PPOs, and many $0 premium options were available.

What are the eligibility requirements for Medicare Advantage in Arkansas?

Dec 01, 2021 · Medicare Administrative Contractors. Since Medicare’s inception in 1966, private health care insurers have processed medical claims for Medicare beneficiaries. Originally these entities were known as Part A Fiscal Intermediaries (FI) and Part B carriers. In 2003 the Centers for Medicare & Medicaid Services (CMS) was directed via Section 911 ...

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Who is the Medicare carrier for Arkansas?

CGS takes care of Jurisdiction DME B and DME C which covers: Alabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Virginia, West Virginia, Puerto Rico, U.S. Virgin Islands, Illinois, Indiana, Kentucky, Michigan, Minnesota, Ohio, ...

What is a Medicare carrier?

Carriers are private insurance companies acting under contract with the Health Care Financing Administration (HCFA) to processclaims by beneficiaries and providers for services or supplies covered under Medicare Part B. While most Stateshave jurisdiction for one State, a few carriers handle more than one State.

What is a CMS carrier number?

The identification number assigned by CMS to a carrier authorized to process claims from a physician or supplier.

What states does novitas cover?

Contact Details
Organization Type:A/B MAC -- A/B Medicare Administrative Contractor
Regions:Region Three - Philadelphia
Covered States and Territories:Arkansas, Colorado, Louisiana, Mississippi, Oklahoma, Texas, New Mexico
Address:2020 Technology Parkway Suite 100 Mechanicsburg PA 17050
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What is Medicare payer address?

Medicare claim address, phone numbers, payor id – revised list
StateAppeal address
ArizonaAZMedicare Part B PO Box 6704 Fargo, ND 58108-6704
MontanaMTMedicare Part B PO Box 6735 Fargo, ND 58108-6735
North DakotaNDMedicare Part B PO Box 6706 Fargo, ND 58108-6706
South DakotaSDMedicare Part B PO Box 6707 Fargo, ND 58108-6707
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What are the 4 types of Medicare?

There are four parts of Medicare: Part A, Part B, Part C, and Part D.
  • Part A provides inpatient/hospital coverage.
  • Part B provides outpatient/medical coverage.
  • Part C offers an alternate way to receive your Medicare benefits (see below for more information).
  • Part D provides prescription drug coverage.

What is a carrier file?

The Carrier File includes fee-for-service claims submitted by professional providers, including physicians, physician assistants, clinical social workers, nurse practitioners. Claims for some organizational providers, such as free-standing facilities are also found in the Carrier Claims File.

Is novitas the same as Medicare?

Welcome! Novitas proudly serves as the MAC in charge of providing service to Part A and Part B providers within the jurisdiction H and jurisdiction L. MACs provide support and claim-related information to other Medicare contractors, such as 1-800-MEDICARE.Jan 5, 2022

Is novitas Medicare?

4 (Highmark Medicare Services, Inc. and Novitas Solutions, Inc. are collectively referred to as “Novitas” throughout this report), has been the Medicare contractor for Jurisdiction 12, which comprises Delaware, the District of Columbia, Maryland, New Jersey, and Pennsylvania.

Is novitas solutions same as Medicare?

Novitas Solutions welcomes you to the Medicare Program. We look forward to serving your needs and establishing a rewarding partnership with you. Now that you have joined the growing ranks of Medicare providers, it is important for you to understand the Medicare guidelines and to submit accurate claims.Jul 21, 2021

What is carrier code report?

The Carrier Codes Report is a cross-reference of carrier codes to insurance company names, in alphabetical order by company name. This report is generated quarterly by the Arkansas Medicaid Management Information System.

What is NCCI in Medicare?

Updated 4/6/21#N#The Patient Protection and Affordable Care Act ( (H.R. 3590) Section 6507 (Mandatory State Use of National Correct Coding Initiative (NCCI)) requires State Medicaid programs to incorporate “NCCI methodologies” into their claims processing systems. The Centers for Medicare and Medicaid Services (CMS) originally developed the NCCI to promote national correct coding methodologies and to control improper coding leading to inappropriate payments in Medicare Part B claims. The purpose of the NCCI edits is to prevent improper payments when incorrect code combinations are reported. Arkansas Medicaid implemented NCCI methodologies for claims with dates of service on or after 4/1/11.

Division of Medical Services

The Division of Medical Services handles the day-to-day management of the Arkansas Medicaid program, ensuring providers get paid and clients get medically necessary services.

Elizabeth Pitman

Director Pitman manages the operations for Medicaid and administers the managed care programs, claims processing, contracts, and the fee-for-service program.

When was Aetna founded?

One of the most established insurance companies, Aetna was founded in 1853. Over 39 million customers rely on Aetna for health care, including Medicare. Aetna has excellent ratings all around; an A from AM Best and an A+ from S&P underscore the reasons for this company’s longevity.

What is INA insurance?

The Insurance Company of North America (INA) began in 1792 as the first Marine insurer of the United States. INA would eventually become the company we know today as Cigna, one of the most renowned health insurance carriers offering Medicare Supplement policies. Both AM Best and S&P rate Cigna at an A.

What factors affect Medicare premiums?

In the case of Medicare Supplement plans, many factors affect what you’ll pay each month. Demographic information – such as age , location, and tobacco use – affect Medigap premium prices. Indeed, the carrier offering the plan also influences rates across the board. Each of the top 10 Medicare Supplement carriers on the list above is ...

What is United American insurance?

United American: A Medigap Carrier with High Ratings. United American Insurance Company was founded in 1947. The company maintains an A+ rating from AM Best and has done so for over 40 years. S&P’s rating for United American is AA-.

Who is Lindsay Malzone?

Lindsay Malzone is the Medicare expert for MedicareFAQ. She has been working in the Medicare industry since 2017. She is featured in many publications as well as writes regularly for other expert columns regarding Medicare.

Does Medicare Advantage cover prescription drugs?

Some plans may also cover prescription drugs. Medicare Advantage plans are offered by private insurance companies. Plan availability varies from state to state. Click on your state on the map or from the list of states to find Medicare Advantage information and resources for your state.

What is Medicare Advantage?

A Medicare Advantage plan offers the same coverage as Medicare Part A and Part B , and some Medicare Advantage plans may also offer benefits such as vision, hearing and dental coverage. Some plans may also cover prescription drugs. Medicare Advantage plans are offered by private insurance companies. Plan availability varies from state to state.

How many people will be on Medicare in 2021?

Close to 63 million Americans are enrolled in Medicare in 2021, and this number will only continue to rise as members of the baby boomer generation continue to join the 65-and-over demographic. 1

What is an HMO plan?

Health Maintenance Organization (HMO) plans utilize a primary care physician for all initial care and members must seek a referral before seeing a specialist for care. There is no coverage for care received outside of the plan’s network.

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