Arkansas Code § 23-63-1804

Recoupments - Required disclosures
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If a healthcare insurer exercises recoupment, then the healthcare insurer shall provide the healthcare provider written documentation that specifies the: (1) Amount of the recoupment; (2) Covered person's name to whom the recoupment applies; (3) Patient identification number; (4) Date or dates of service; (5) Service or services on which the recoupment is based; (6) Pending claims being recouped or future claims that will be recouped; and (7) Specific reason for the recoupment. Acts 2005, No. 422, § 1.
If a healthcare insurer exercises recoupment, then the healthcare insurer shall provide the healthcare provider written documentation that specifies the: (1) Amount of the recoupment; (2) Covered person's name to whom the recoupment applies; (3) Patient identification number; (4) Date or dates of service; (5) Service or services on which the recoupment is based; (6) Pending claims being recouped or future claims that will be recouped; and (7) Specific reason for the recoupment. Acts 2005, No. 422, § 1.
If a healthcare insurer exercises recoupment, then the healthcare insurer shall provide the healthcare provider written documentation that specifies the: (1) Amount of the recoupment; (2) Covered person's name to whom the recoupment applies; (3) Patient identification number; (4) Date or dates of service; (5) Service or services on which the recoupment is based; (6) Pending claims being recouped or future claims that will be recouped; and (7) Specific reason for the recoupment. Acts 2005, No. 422, § 1.
If a healthcare insurer exercises recoupment, then the healthcare insurer shall provide the healthcare provider written documentation that specifies the:
(1) Amount of the recoupment;
(2) Covered person's name to whom the recoupment applies;
(3) Patient identification number;
(4) Date or dates of service;
(5) Service or services on which the recoupment is based;
(6) Pending claims being recouped or future claims that will be recouped; and
(7) Specific reason for the recoupment.
Acts 2005, No. 422, § 1.

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