arkansas statistical claim data: first quarter 2019 · 2019-08-30 · outpatient otolaryngology...
TRANSCRIPT
-
Indication Physician Specialty Code Range Description Reason For DenialInpatient Family Practice Endocrine, nutritional and metabolic diseasesInpatient Unknown Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classifiedInpatient Orthopedic Surgery Diseases of the musculoskeletal system and connective tissueInpatient Psychiatry Mental, Behavioral and Neurodevelopmental disordersInpatient Unknown Diseases of the circulatory systemInpatient Family Practice Diseases of the circulatory system
Inpatient Unknown Injury, poisoning and certain other consequences of external causesInpatient Unknown Diseases of the blood and blood‐forming organs and certain disorders involving the immune Inpatient Pediatric Medicine Diseases of the digestive systemInpatient Internal Medicine Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classifiedInpatient Unknown Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
Arkansas Statistical Claim Data:First Quarter 2019
-
Indication Physician Specialty Code Range Description Reason For DenialInpatient Internal Medicine Diseases of the respiratory systemInpatient Pediatric Medicine Endocrine, nutritional and metabolic diseasesInpatient Neurosurgery Diseases of the musculoskeletal system and connective tissueInpatient Emergency Medicine Diseases of the circulatory systemInpatient Internal Medicine Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classifiedInpatient Orthopedic Surgery Diseases of the musculoskeletal system and connective tissue
Inpatient General Surgery Endocrine, nutritional and metabolic diseasesInpatient Geriatric Medicine Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classifiedInpatient Internal Medicine Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classifiedOutpatient Unknown/Not Given Mental, Behavioral and Neurodevelopmental disordersOutpatient Otolaryngology Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classifiedOutpatient Hematology/Oncology Diseases of the digestive systemOutpatient Family Practice Diseases of the musculoskeletal system and connective tissue
Arkansas Statistical Claim Data:Fourth Quarter 2018
-
Indication Physician Code Range Description Reason For DenialInpatient Neurosurgery Diseases of the musculoskeletal system and connective tissueInpatient Orthopedic Surgery Diseases of the musculoskeletal system and connective tissueInpatient Pediatric Medicine Diseases of the skin and subcutaneous tissueInpatient Orthopedic Surgery Diseases of the musculoskeletal system and connective tissueInpatient General Surgery Endocrine, nutritional and metabolic diseasesOutpatient Unknown/not given Symptoms, signs & abnormal clinical and laboratory findings, not elsewhere
Outpatient Orthopedic Surgery Factors influencing health status and contact with health services
Arkansas Statistical Claim Data:Third Quarter 2018
-
Indication Physician Specialty Code Range Description Reason For DenialInpatient Obstetrics/Gynecology Diseases of the blood/blood‐forming organs & certain disorders involving the
immune mechanism
Inpatient Unknown/not given Diseases of the circulatory systemInpatient General Surgery Diseases of the digestive systemInpatient Neurosurgery Diseases of the musculoskeletal system and connective tissue
Inpatient Unknown/not given Diseases of the circulatory systemInpatient General Surgery Diseases of the blood/blood‐forming organs & certain disorders involving the Inpatient General Practice Diseases of the circulatory system
Arkansas Statistical Claim Data:Second Quarter 2018
-
Indication Physician Specialty Code Range Description Reason For DenialInpatient Unknown/not given Symptoms, signs and abnormal clinical and laboratory findings, not
elsewhere classified
Inpatient Physical Medicine & Rehabilitation Injury, poisoning and certain other consequences of external causes Not Medically Necessary
Inpatient General Surgery Diseases of the digestive systemInpatient Preventive Medicine Mental, Behavioral and Neurodevelopmental disorders
Arkansas Statistical Claim Data:First Quarter 2018
-
Indication Physician Specialty Code Range Description Reason For DenialInpatient Unknown/not given Mental, Behavioral and Neurodevelopmental disordersInpatient Unknown/not given Mental, Behavioral and Neurodevelopmental disordersInpatient Obstetrics/Gynecology Pregnancy, childbirth and the puerperium
Arkansas Statistical Claim Data:Fourth Quarter 2017
-
Indication Physician Specialty Code Range Description Reason For DenialOutpatient ORTHOPEDIC SURGERY Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient HOSPITAL Pathology
Outpatient HOSPITAL Pathology
Outpatient DURABLE MEDICAL EQUIPMENT & MEDICAL SUPPLIES Durable Medical Equipment
Outpatient FAMILY PRACTICE Medicine
Outpatient RADIOLOGY Radiology
Outpatient ALLERGY/IMMUNOLOGY Medicine
Outpatient PAIN MANAGEMENT Medicine
Outpatient RADIOLOGY Radiology
Outpatient PSYCHIATRY Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient OPTOMETRISTS Medicine
Outpatient OBSTETRICS/GYNECOLOGY Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient OBSTETRICS/GYNECOLOGY Integumentary System
Outpatient FAMILY PRACTICE Medicine
Outpatient GASTROENTEROLOGY Medicine
Outpatient PSYCHIATRY Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient DURABLE MEDICAL EQUIPMENT & MEDICAL SUPPLIES Transportation Services Including Ambulance
Arkansas Statistical Claim Data: Third Quarter 2017
Page 1 of 26
-
Indication Physician Specialty Code Range Description Reason For Denial
Arkansas Statistical Claim Data: Third Quarter 2017
Outpatient DURABLE MEDICAL EQUIPMENT & MEDICAL SUPPLIES Durable Medical Equipment
Outpatient FAMILY PRACTICE Auditory System
Outpatient FAMILY PRACTICE Medicine
Outpatient EMERGENCY MEDICINE Medicine
Outpatient FAMILY PRACTICE Radiology
Outpatient FAMILY PRACTICE Pathology
Outpatient OTOLARYNGOLOGY Medicine
Outpatient INTERNAL MEDICINE Medicine
Outpatient FAMILY PRACTICE Mediastinum
Outpatient FAMILY PRACTICE Drugs Administered Other Than Oral
Method
Outpatient BEHAVIORAL HEALTH Medicine
Outpatient ONCOLOGY Medicine
Outpatient ANESTHESIOLOGY Anesthesia
Outpatient RADIOLOGY Radiology
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient CARDIOLOGY,CARDIOTHORACIC & CARDIOVASCULAR SURGERY
Medicine
Outpatient FAMILY PRACTICE Pathology
Outpatient NURSE PRACTITIONER Drugs Administered Other Than Oral
Method
Outpatient CHIROPRACTIC MEDICINE Medicine
Outpatient UROLOGY Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient OBSTETRICS/GYNECOLOGY Medicine
Outpatient GENERAL SURGERY Medicine
Outpatient INTERNAL MEDICINE Medicine
Outpatient HEALTH DEPARTMENT Medicine
Outpatient PHYSICAL THERAPY Medicine
Page 2 of 26
-
Indication Physician Specialty Code Range Description Reason For Denial
Arkansas Statistical Claim Data: Third Quarter 2017
Outpatient GENERAL SURGERY Radiology
Outpatient RADIATION ONCOLOGY Procedures/Professional Services
Outpatient CHIROPRACTIC MEDICINE Medicine
Outpatient ANESTHESIOLOGY Anesthesia
Outpatient GENERAL SURGERY Medicine
Outpatient FAMILY PRACTICE Pathology
Outpatient FAMILY PRACTICE Medicine
Outpatient GENERAL SURGERY Drugs Administered Other Than Oral Method
Outpatient FAMILY PRACTICE Medicine
Outpatient OBSTETRICS/GYNECOLOGY Medicine
Outpatient OBSTETRICS/GYNECOLOGY Medicine
Outpatient OBSTETRICS/GYNECOLOGY Medicine
Outpatient OBSTETRICS/GYNECOLOGY Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient PHYSICAL THERAPY Medicine
Outpatient PHYSICAL THERAPY Medicine
Outpatient PATHOLOGY Pathology
Outpatient PATHOLOGY Pathology
Outpatient PATHOLOGY Pathology
Outpatient PATHOLOGY Pathology
Outpatient PATHOLOGY Pathology
Outpatient PATHOLOGY Pathology
Outpatient RADIATION ONCOLOGY Radiology
Outpatient FAMILY PRACTICE Drugs Administered Other Than Oral
MethodOutpatient RADIATION ONCOLOGY Procedures/Professional Services
Outpatient FAMILY PRACTICE Medicine
Outpatient ALLERGY/IMMUNOLOGY Medicine
Outpatient HOSPITAL Medicine
Page 3 of 26
-
Indication Physician Specialty Code Range Description Reason For Denial
Arkansas Statistical Claim Data: Third Quarter 2017
Outpatient CARDIOLOGY,CARDIOTHORACIC & CARDIOVASCULAR
SURGERY
Medicine
Outpatient DURABLE MEDICAL EQUIPMENT & MEDICAL SUPPLIES Transportation Services Including
AmbulanceOutpatient CHIROPRACTIC MEDICINE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient PHYSICAL THERAPY Medicine
Outpatient PHYSICAL THERAPY Medicine
Outpatient NEPHROLOGY Procedures/Professional Services
Outpatient FAMILY PRACTICE Drugs Administered Other Than Oral
MethodOutpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient CHIROPRACTIC MEDICINE Medicine
Outpatient CHIROPRACTIC MEDICINE Medicine
Outpatient GENERAL SURGERY Digestive System
Outpatient HOSPITAL Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient PATHOLOGY Pathology
Outpatient RADIATION ONCOLOGY Procedures/Professional Services
Outpatient UROLOGY Pathology
Outpatient FAMILY PRACTICE Medicine
Outpatient CARDIOLOGY,CARDIOTHORACIC & CARDIOVASCULAR SURGERY
Medicine
Outpatient NURSE PRACTITIONER Drugs Administered Other Than Oral
Method
Page 4 of 26
-
Indication Physician Specialty Code Range Description Reason For Denial
Arkansas Statistical Claim Data: Third Quarter 2017
Outpatient OPTOMETRISTS Medicine
Outpatient RADIOLOGY Radiology
Outpatient RADIOLOGY Radiology
Outpatient OBSTETRICS/GYNECOLOGY Medicine
Outpatient LABORATORY Pathology
Outpatient HOSPITAL Radiology
Outpatient RADIATION ONCOLOGY Procedures/Professional Services
Outpatient RHEUMATOLOGY Medicine
Outpatient BEHAVIORAL HEALTH Medicine
Outpatient GENERAL SURGERY Digestive System
Outpatient FAMILY PRACTICE Medicine
Outpatient ANESTHESIOLOGY Radiology
Outpatient OTOLARYNGOLOGY Medicine
Outpatient OTOLARYNGOLOGY Digestive System
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient INTERNAL MEDICINE Medicine
Outpatient PSYCHIATRY Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient PEDIATRICS Medicine
Outpatient PEDIATRICS Medicine
Outpatient GASTROENTEROLOGY Digestive System
Outpatient GASTROENTEROLOGY Pathology
Outpatient DURABLE MEDICAL EQUIPMENT & MEDICAL SUPPLIES Durable Medical Equipment
Outpatient DURABLE MEDICAL EQUIPMENT & MEDICAL SUPPLIES Transportation Services Including Ambulance
Outpatient ANESTHESIOLOGY Medicine
Outpatient HOSPITAL Drugs Administered Other Than Oral Method
Outpatient FAMILY PRACTICE Medicine
Page 5 of 26
-
Indication Physician Specialty Code Range Description Reason For Denial
Arkansas Statistical Claim Data: Third Quarter 2017
Outpatient FAMILY PRACTICE Medicine
Outpatient PATHOLOGY Pathology
Outpatient NEUROLOGY Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient PEDIATRICS Medicine
Outpatient GASTROENTEROLOGY Medicine
Outpatient OBSTETRICS/GYNECOLOGY Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient HOSPITAL Procedures/Professional Services
Outpatient RADIOLOGY Radiology
Outpatient FAMILY PRACTICE Medicine
Outpatient HEALTH DEPARTMENT Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient RADIATION ONCOLOGY Pathology
Outpatient FAMILY PRACTICE Medicine
Outpatient OPTOMETRISTS Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Pathology
Outpatient FAMILY PRACTICE Medicine
Outpatient AMBULATORY SURGICAL CTR/ENDOSCOPY CTR Digestive System
Outpatient HOSPITAL Drugs Administered Other Than Oral Method
Outpatient HOSPITAL Pathology
Outpatient HOSPITAL Pathology
Outpatient FAMILY PRACTICE Pathology
Outpatient RADIATION ONCOLOGY Drugs Administered Other Than Oral Method
Outpatient PATHOLOGY Pathology
Outpatient RADIATION ONCOLOGY Procedures/Professional Services
Page 6 of 26
-
Indication Physician Specialty Code Range Description Reason For Denial
Arkansas Statistical Claim Data: Third Quarter 2017
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Drugs Administered Other Than Oral Method
Outpatient FAMILY PRACTICE Medicine
Outpatient ANESTHESIOLOGY Anesthesia
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient PHYSICAL THERAPY Medicine
Outpatient CHIROPRACTIC MEDICINE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient RADIOLOGY Radiology
Outpatient PATHOLOGY Pathology
Outpatient CARDIOLOGY,CARDIOTHORACIC & CARDIOVASCULAR SURGERY
Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient AMBULATORY SURGICAL CTR/ENDOSCOPY CTR Digestive System
Outpatient HOSPITAL Medicine
Outpatient ORTHOPEDIC SURGERY Integumentary System
Outpatient FAMILY PRACTICE Medicine
Outpatient PAIN MANAGEMENT Nervous System
Outpatient FAMILY PRACTICE Drugs Administered Other Than Oral
Method
Outpatient RADIATION ONCOLOGY Procedures/Professional Services
Outpatient ANESTHESIOLOGY Anesthesia
Outpatient PSYCHIATRY Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient BEHAVIORAL HEALTH Medicine
Page 7 of 26
-
Indication Physician Specialty Code Range Description Reason For Denial
Arkansas Statistical Claim Data: Third Quarter 2017
Outpatient ENDOCRINOLOGY Medicine
Outpatient RADIATION ONCOLOGY Procedures/Professional Services
Outpatient DURABLE MEDICAL EQUIPMENT & MEDICAL SUPPLIES Transportation Services Including
AmbulanceOutpatient DURABLE MEDICAL EQUIPMENT & MEDICAL SUPPLIES Transportation Services Including
Ambulance
Outpatient DURABLE MEDICAL EQUIPMENT & MEDICAL SUPPLIES Durable Medical Equipment
Outpatient DURABLE MEDICAL EQUIPMENT & MEDICAL SUPPLIES Temporary Codes: Equipment, Replacement, Repair, Rental
Outpatient CARDIOLOGY,CARDIOTHORACIC & CARDIOVASCULAR
SURGERY
Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient DERMATOLOGY Medicine
Outpatient NURSE PRACTITIONER Drugs Administered Other Than Oral
MethodOutpatient NURSE PRACTITIONER Drugs Administered Other Than Oral
MethodOutpatient RADIATION ONCOLOGY Medicine
Outpatient OBSTETRICS/GYNECOLOGY Pathology
Outpatient PHYSICAL THERAPY Medicine
Outpatient HOSPITAL Drugs Administered Other Than Oral
MethodOutpatient HOSPITAL Drugs Administered Other Than Oral
MethodOutpatient HOSPITAL Drugs Administered Other Than Oral
MethodOutpatient HOSPITAL Radiology
Outpatient NURSE PRACTITIONER Drugs Administered Other Than Oral Method
Outpatient NURSE PRACTITIONER Drugs Administered Other Than Oral Method
Page 8 of 26
-
Indication Physician Specialty Code Range Description Reason For Denial
Arkansas Statistical Claim Data: Third Quarter 2017
Outpatient NURSE PRACTITIONER Drugs Administered Other Than Oral
MethodOutpatient FAMILY PRACTICE Medicine
Outpatient HOSPITAL Digestive System
Outpatient NEPHROLOGY Procedures/Professional Services
Outpatient FAMILY PRACTICE Drugs Administered Other Than Oral
MethodOutpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Radiology
Outpatient FAMILY PRACTICE Drugs Administered Other Than Oral Method
Outpatient GENERAL SURGERY Drugs Administered Other Than Oral Method
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient PATHOLOGY Pathology
Outpatient OBSTETRICS/GYNECOLOGY Medicine
Outpatient CARDIOLOGY,CARDIOTHORACIC & CARDIOVASCULAR SURGERY
Medicine
Outpatient CARDIOLOGY,CARDIOTHORACIC & CARDIOVASCULAR
SURGERY
Medicine
Outpatient RADIOLOGY Radiology
Outpatient FAMILY PRACTICE Medicine
Outpatient DURABLE MEDICAL EQUIPMENT & MEDICAL SUPPLIES Durable Medical Equipment
Outpatient DURABLE MEDICAL EQUIPMENT & MEDICAL SUPPLIES Durable Medical Equipment
Outpatient AMBULATORY SURGICAL CTR/ENDOSCOPY CTR Integumentary System
Outpatient HOSPITAL Pathology
Outpatient HOSPITAL Anesthesia
Outpatient RADIATION ONCOLOGY Procedures/Professional Services
Page 9 of 26
-
Indication Physician Specialty Code Range Description Reason For Denial
Arkansas Statistical Claim Data: Third Quarter 2017
Outpatient PATHOLOGY Pathology
Outpatient PATHOLOGY Pathology
Outpatient PATHOLOGY Pathology
Outpatient PATHOLOGY Pathology
Outpatient SLEEP MEDICINE Medicine
Outpatient PULMONARY MEDICINE Medicine
Outpatient NURSE PRACTITIONER Drugs Administered Other Than Oral Method
Outpatient HOSPITAL Medicine
Outpatient HOSPITAL Medicine
Outpatient HOSPITAL Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient HOSPITAL Medicine
Outpatient ALLERGY/IMMUNOLOGY Medicine
Outpatient RADIATION ONCOLOGY Radiology
Outpatient RADIATION ONCOLOGY Procedures/Professional Services
Outpatient FAMILY PRACTICE Medicine
Outpatient OPHTHALMOLOGY Medicine
Outpatient EMERGENCY MEDICINE Medicine
Outpatient CARDIOLOGY,CARDIOTHORACIC & CARDIOVASCULAR
SURGERY
Medicine
Outpatient DURABLE MEDICAL EQUIPMENT & MEDICAL SUPPLIES Transportation Services Including
Ambulance
Outpatient PODIATRY Medicine
Outpatient HOSPITAL Pathology
Outpatient HOSPITAL Pathology
Outpatient FAMILY PRACTICE Medicine
Outpatient RADIOLOGY Radiology
Outpatient PSYCHIATRY Medicine
Outpatient AMBULANCE Transportation Services Including Ambulance
Page 10 of 26
-
Indication Physician Specialty Code Range Description Reason For Denial
Arkansas Statistical Claim Data: Third Quarter 2017
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient RADIOLOGY Radiology
Outpatient RADIOLOGY Radiology
Outpatient PATHOLOGY Pathology
Outpatient PEDIATRICS Medicine
Outpatient FAMILY PRACTICE Pathology
Outpatient FAMILY PRACTICE Procedures/Professional Services
Outpatient FAMILY PRACTICE Pathology
Outpatient CARDIOLOGY,CARDIOTHORACIC & CARDIOVASCULAR SURGERY
Medicine
Outpatient HOSPITAL Drugs Administered Other Than Oral
MethodOutpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient ENDOCRINOLOGY Medicine
Outpatient EMERGENCY MEDICINE Medicine
Outpatient FAMILY PRACTICE Pathology
Outpatient RADIATION ONCOLOGY Procedures/Professional Services
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient OPTOMETRISTS Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient DURABLE MEDICAL EQUIPMENT & MEDICAL SUPPLIES Orthotic/Prosthetic Devices and Procedures
Outpatient PHYSICAL THERAPY Medicine
Outpatient NEPHROLOGY Drugs Administered Other Than Oral Method
Page 11 of 26
-
Indication Physician Specialty Code Range Description Reason For Denial
Arkansas Statistical Claim Data: Third Quarter 2017
Outpatient FAMILY PRACTICE Drugs Administered Other Than Oral
MethodOutpatient INTERNAL MEDICINE Medicine
Outpatient EMERGENCY MEDICINE Medicine
Outpatient ORTHOPEDIC SURGERY Medicine
Outpatient ORTHOPEDIC SURGERY Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient DURABLE MEDICAL EQUIPMENT & MEDICAL SUPPLIES Transportation Services Including
AmbulanceOutpatient HOSPITAL Medicine
Outpatient HOSPITAL Pathology
Outpatient HOSPITAL Medicine
Outpatient HOSPITAL Procedures/Professional Services
Outpatient HOSPITAL Medicine
Outpatient HOSPITAL Pathology
Outpatient EMERGENCY MEDICINE Medicine
Outpatient FAMILY PRACTICE Drugs Administered Other Than Oral Method
Outpatient FAMILY PRACTICE Pathology
Outpatient RADIATION ONCOLOGY Procedures/Professional Services
Outpatient CHIROPRACTIC MEDICINE Medicine
Outpatient ENDOCRINOLOGY Medicine
Outpatient RADIOLOGY Radiology
Outpatient RADIOLOGY Radiology
Outpatient ENDOCRINOLOGY Medicine
Outpatient GENERAL SURGERY Medicine
Outpatient PHYSICAL THERAPY Medicine
Outpatient OBSTETRICS/GYNECOLOGY Medicine
Outpatient PSYCHIATRY Medicine
Outpatient FAMILY PRACTICE Medicine
Page 12 of 26
-
Indication Physician Specialty Code Range Description Reason For Denial
Arkansas Statistical Claim Data: Third Quarter 2017
Outpatient FAMILY PRACTICE Medicine
Outpatient DURABLE MEDICAL EQUIPMENT & MEDICAL SUPPLIES Transportation Services Including Ambulance
Outpatient DURABLE MEDICAL EQUIPMENT & MEDICAL SUPPLIES Transportation Services Including Ambulance
Outpatient HOSPITAL Pathology
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Mediastinum
Outpatient FAMILY PRACTICE Pathology
Outpatient FAMILY PRACTICE Pathology
Outpatient HOSPITAL Pathology
Outpatient HOSPITAL Radiology
Outpatient PSYCHIATRY Medicine
Outpatient PHYSICAL THERAPY Medicine
Outpatient PHYSICAL THERAPY Medicine
Outpatient EMERGENCY MEDICINE Medicine
Outpatient RADIATION ONCOLOGY Procedures/Professional Services
Outpatient RADIATION ONCOLOGY Pathology
Outpatient PATHOLOGY Pathology
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient PULMONARY MEDICINE Medicine
Outpatient PULMONARY MEDICINE Procedures/Professional Services
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Pathology
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient BEHAVIORAL HEALTH Medicine
Page 13 of 26
-
Indication Physician Specialty Code Range Description Reason For Denial
Arkansas Statistical Claim Data: Third Quarter 2017
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Pathology
Outpatient OPTOMETRISTS Medicine
Outpatient OPHTHALMOLOGY Eye and Ocular Adnexa
Outpatient OPHTHALMOLOGY Auditory System
Outpatient RADIATION ONCOLOGY Radiology
Outpatient RADIATION ONCOLOGY Procedures/Professional Services
Outpatient NURSE PRACTITIONER Medicine
Outpatient INTERNAL MEDICINE Medicine
Outpatient NURSE PRACTITIONER Drugs Administered Other Than Oral
MethodOutpatient NURSE PRACTITIONER Drugs Administered Other Than Oral
MethodOutpatient NURSE PRACTITIONER Drugs Administered Other Than Oral
Method
Outpatient NURSE PRACTITIONER Drugs Administered Other Than Oral
MethodOutpatient NURSE PRACTITIONER Drugs Administered Other Than Oral
Method
Outpatient FAMILY PRACTICE Drugs Administered Other Than Oral Method
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient INTERNAL MEDICINE Medicine
Page 14 of 26
-
Indication Physician Specialty Code Range Description Reason For Denial
Arkansas Statistical Claim Data: Third Quarter 2017
Outpatient RADIOLOGY Medicine
Outpatient INTERNAL MEDICINE Medicine
Outpatient HOSPITAL Pathology
Outpatient FAMILY PRACTICE Pathology
Outpatient FAMILY PRACTICE Pathology
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Pathology
Outpatient OBSTETRICS/GYNECOLOGY Medicine
Outpatient HOSPITAL Drugs Administered Other Than Oral
MethodOutpatient EMERGENCY MEDICINE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient DURABLE MEDICAL EQUIPMENT & MEDICAL SUPPLIES Durable Medical Equipment
Outpatient RADIATION ONCOLOGY Procedures/Professional Services
Outpatient PATHOLOGY Pathology
Outpatient DURABLE MEDICAL EQUIPMENT & MEDICAL SUPPLIES Durable Medical Equipment
Outpatient CHIROPRACTIC MEDICINE Medicine
Outpatient OBSTETRICS/GYNECOLOGY Pathology
Outpatient PATHOLOGY Pathology
Outpatient RADIOLOGY Radiology
Outpatient SLEEP MEDICINE Medicine
Outpatient SLEEP MEDICINE Medicine
Outpatient RADIOLOGY Radiology
Outpatient OBSTETRICS/GYNECOLOGY Medicine
Outpatient OBSTETRICS/GYNECOLOGY Medicine
Outpatient LABORATORY Pathology
Outpatient HOSPITAL Procedures/Professional Services
Outpatient EMERGENCY MEDICINE Radiology
Page 15 of 26
-
Indication Physician Specialty Code Range Description Reason For Denial
Arkansas Statistical Claim Data: Third Quarter 2017
Outpatient HOSPITAL Drugs Administered Other Than Oral
MethodOutpatient HOSPITAL Radiology
Outpatient HOSPITAL Pathology
Outpatient HOSPITAL Medicine
Outpatient INTERNAL MEDICINE Medicine
Outpatient PHYSICAL THERAPY Medicine
Outpatient INTERNAL MEDICINE Medicine
Outpatient HOSPITAL Medicine
Outpatient HOSPITAL Procedures/Professional Services
Outpatient HOSPITAL Drugs Administered Other Than Oral
Method
Outpatient PATHOLOGY Pathology
Outpatient FAMILY PRACTICE Drugs Administered Other Than Oral Method
Outpatient RADIATION ONCOLOGY Procedures/Professional Services
Outpatient FAMILY PRACTICE Medicine
Outpatient ALLERGY/IMMUNOLOGY Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient CHIROPRACTIC MEDICINE Medicine
Outpatient RADIOLOGY Radiology
Outpatient FAMILY PRACTICE Medicine
Outpatient OBSTETRICS/GYNECOLOGY Medicine
Outpatient HOSPITAL Medicine
Outpatient HOSPITAL Medicine
Outpatient PLASTIC & RECONSTRUCTIVE SURGERY Medicine
Outpatient PLASTIC & RECONSTRUCTIVE SURGERY Medicine
Outpatient RADIATION ONCOLOGY Procedures/Professional Services
Outpatient FAMILY PRACTICE Medicine
Outpatient OBSTETRICS/GYNECOLOGY Medicine
Outpatient OPHTHALMOLOGY Medicine
Page 16 of 26
-
Indication Physician Specialty Code Range Description Reason For Denial
Arkansas Statistical Claim Data: Third Quarter 2017
Outpatient BEHAVIORAL HEALTH Medicine
Outpatient FAMILY PRACTICE Pathology
Outpatient NEPHROLOGY Medicine
Outpatient HOSPITAL Pathology
Outpatient HOSPITAL Drugs Administered Other Than Oral
Method
Outpatient PATHOLOGY Pathology
Outpatient PATHOLOGY Pathology
Outpatient CARDIOLOGY,CARDIOTHORACIC & CARDIOVASCULAR
SURGERY
Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient HOSPITAL Medicine
Outpatient NURSE PRACTITIONER Medicine
Outpatient NURSE PRACTITIONER Medicine
Outpatient RADIATION ONCOLOGY Procedures/Professional Services
Outpatient FAMILY PRACTICE Medicine
Outpatient PATHOLOGY Pathology
Outpatient FAMILY PRACTICE Medicine
Outpatient HOSPITAL Medicine
Outpatient HOSPITAL Medicine
Outpatient PHYSICIAN ASSISTANT CERTIFIED Medicine
Outpatient FAMILY PRACTICE Drugs Administered Other Than Oral
Method
Outpatient FAMILY PRACTICE Pathology
Outpatient HOSPITAL Medicine
Outpatient HOSPITAL Radiology
Outpatient PHYSICIAN ASSISTANT CERTIFIED Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient EMERGENCY MEDICINE Medicine
Outpatient EMERGENCY MEDICINE Medicine
Outpatient RADIOLOGY Radiology
Page 17 of 26
-
Indication Physician Specialty Code Range Description Reason For Denial
Arkansas Statistical Claim Data: Third Quarter 2017
Outpatient RADIOLOGY Medicine
Outpatient PSYCHIATRY Medicine
Outpatient FAMILY PRACTICE Temporary Codes
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient DURABLE MEDICAL EQUIPMENT & MEDICAL SUPPLIES Durable Medical Equipment
Outpatient INTERNAL MEDICINE Medicine
Outpatient PSYCHIATRY Medicine
Outpatient PATHOLOGY Pathology
Outpatient PSYCHIATRY Medicine
Outpatient PATHOLOGY Pathology
Outpatient PATHOLOGY Pathology
Outpatient PLASTIC & RECONSTRUCTIVE SURGERY Integumentary System
Outpatient FAMILY PRACTICE Medicine
Outpatient OBSTETRICS/GYNECOLOGY Medicine
Outpatient RADIATION ONCOLOGY Medicine
Outpatient EMERGENCY MEDICINE Medicine
Outpatient PEDIATRICS Medicine
Outpatient FAMILY PRACTICE Drugs Administered Other Than Oral
MethodOutpatient ORTHOPEDIC SURGERY Drugs Administered Other Than Oral
MethodOutpatient HOSPITAL Pathology
Outpatient EMERGENCY MEDICINE Medicine
Outpatient PATHOLOGY Pathology
Outpatient PATHOLOGY Pathology
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient EMERGENCY MEDICINE Medicine
Page 18 of 26
-
Indication Physician Specialty Code Range Description Reason For Denial
Arkansas Statistical Claim Data: Third Quarter 2017
Outpatient CERTIFIED REGISTERED NURSE ANESTHETIST Anesthesia
Outpatient SPECIALIST Pathology
Outpatient SPECIALIST Pathology
Outpatient SPECIALIST Pathology
Outpatient SPECIALIST Pathology
Outpatient ANESTHESIOLOGY Anesthesia
Outpatient NEUROLOGY Radiology
Outpatient NEUROLOGY Medicine
Outpatient FAMILY PRACTICE Drugs Administered Other Than Oral
MethodOutpatient FAMILY PRACTICE Drugs Administered Other Than Oral
Method
Outpatient FAMILY PRACTICE Medicine
Outpatient ORTHOPEDIC SURGERY Medicine
Outpatient SPECIALIST Medicine
Outpatient ORTHOPEDIC SURGERY Musculoskeletal System
Outpatient HOSPITAL Medicine
Outpatient OBSTETRICS/GYNECOLOGY Pathology
Outpatient PATHOLOGY Pathology
Outpatient HOSPITAL Medicine
Outpatient HOSPITAL Medicine
Outpatient ANESTHESIOLOGY Medicine
Outpatient HOSPITAL Pathology
Outpatient RADIATION ONCOLOGY Procedures/Professional Services
Outpatient PATHOLOGY Pathology
Outpatient PATHOLOGY Pathology
Outpatient FAMILY PRACTICE Pathology
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient CHIROPRACTIC MEDICINE Medicine
Page 19 of 26
-
Indication Physician Specialty Code Range Description Reason For Denial
Arkansas Statistical Claim Data: Third Quarter 2017
Outpatient CHIROPRACTIC MEDICINE Medicine
Outpatient ANESTHESIOLOGY Anesthesia
Outpatient FAMILY PRACTICE Medicine
Outpatient PEDIATRICS Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient EMERGENCY MEDICINE Medicine
Outpatient PATHOLOGY Pathology
Outpatient RADIATION ONCOLOGY Radiology
Outpatient RADIATION ONCOLOGY Pathology
Outpatient RADIATION ONCOLOGY Procedures/Professional Services
Outpatient GENERAL SURGERY Digestive System
Outpatient AMBULATORY SURGICAL CTR/ENDOSCOPY CTR Nervous System
Outpatient HOSPITAL Medicine
Outpatient HOSPITAL Procedures/Professional Services
Outpatient HOSPITAL Drugs Administered Other Than Oral Method
Outpatient HOSPITAL Medicine
Outpatient HOSPITAL Medicine
Outpatient RADIATION ONCOLOGY Procedures/Professional Services
Outpatient FAMILY PRACTICE Medicine
Outpatient EMERGENCY MEDICINE Medicine
Outpatient AMBULATORY SURGICAL CTR/ENDOSCOPY CTR Eye and Ocular Adnexa
Outpatient HOSPITAL Radiology
Outpatient HOSPITAL Medicine
Outpatient HOSPITAL Medicine
Outpatient HOSPITAL Pathology
Outpatient FAMILY PRACTICE Medicine
Outpatient DURABLE MEDICAL EQUIPMENT & MEDICAL SUPPLIES Durable Medical Equipment
Page 20 of 26
-
Indication Physician Specialty Code Range Description Reason For Denial
Arkansas Statistical Claim Data: Third Quarter 2017
Outpatient ANESTHESIOLOGY Anesthesia
Outpatient HOSPITAL Medicine
Outpatient OBSTETRICS/GYNECOLOGY Medicine
Outpatient FAMILY PRACTICE Pathology
Outpatient GASTROENTEROLOGY Medicine
Outpatient DURABLE MEDICAL EQUIPMENT & MEDICAL SUPPLIES Transportation Services Including
AmbulanceOutpatient FAMILY PRACTICE Medicine
Outpatient PATHOLOGY Pathology
Outpatient FAMILY PRACTICE Medicine
Outpatient PODIATRY Medicine
Outpatient FAMILY PRACTICE Medicine
Outpatient NEUROLOGY Medicine
Outpatient PATHOLOGY Pathology
Outpatient PATHOLOGY Pathology
Outpatient PATHOLOGY Pathology
Outpatient HOSPITAL Medicine
Outpatient RADIOLOGY Medicine
Outpatient PATHOLOGY Pathology
Outpatient HOSPITAL Temporary Codes
Outpatient EMERGENCY MEDICINE Medicine
Outpatient EMERGENCY MEDICINE Radiology
Outpatient HOSPITAL Pathology AGE INVALID FOR DIAGNOSIS
Outpatient FAMILY PRACTICE Medicine BENEFIT NOT AVAILABLE
Outpatient FAMILY PRACTICE Medicine BENEFIT NOT AVAILABLE
Outpatient EMERGENCY MEDICINE Medicine CODES SHOULD NOT CO-EXIST WITH EACH OTHER/SAME DAY
Page 21 of 26
-
Indication Physician Specialty Code Range Description Reason For Denial
Arkansas Statistical Claim Data: Third Quarter 2017
Outpatient EMERGENCY MEDICINE Medicine CODES SHOULD NOT CO-
EXIST WITH EACH OTHER/SAME DAY
Outpatient EMERGENCY MEDICINE Medicine CODES SHOULD NOT CO-
EXIST WITH EACH
OTHER/SAME DAYOutpatient NEPHROLOGY Medicine GROUPED TO GLOBAL CPT
CODEOutpatient INTERNAL MEDICINE Medicine GROUPED TO GLOBAL CPT
CODEOutpatient UROLOGY Medicine GROUPED TO GLOBAL CPT
CODEOutpatient FAMILY PRACTICE Medicine GROUPED TO GLOBAL CPT
CODEOutpatient CARDIOLOGY,CARDIOTHORACIC & CARDIOVASCULAR
SURGERYMedicine GROUPED TO GLOBAL CPT
CODE
Outpatient FAMILY PRACTICE Medicine GROUPED TO GLOBAL CPT CODE
Outpatient FAMILY PRACTICE Medicine GROUPED TO GLOBAL CPT CODE
Outpatient FAMILY PRACTICE Medicine GROUPED TO GLOBAL CPT CODE
Outpatient FAMILY PRACTICE Medicine INELIGIBLE MEMBER-PATIENT RESP FOR BILLED
CHARGESOutpatient HOSPITAL Procedures/Professional Services INELIGIBLE MEMBER-
PATIENT RESP FOR BILLED CHARGES
Outpatient EMERGENCY MEDICINE Medicine INELIGIBLE MEMBER-PATIENT RESP FOR BILLED
CHARGES
Page 22 of 26
-
Indication Physician Specialty Code Range Description Reason For Denial
Arkansas Statistical Claim Data: Third Quarter 2017
Outpatient AMBULANCE Transportation Services Including
Ambulance
INELIGIBLE MEMBER-
PATIENT RESP FOR BILLED CHARGES
Outpatient ORTHOPEDIC SURGERY Medicine INELIGIBLE MEMBER-
PATIENT RESP FOR BILLED
CHARGESOutpatient RADIOLOGY Radiology INELIGIBLE MEMBER-
PATIENT RESP FOR BILLED CHARGES
Outpatient RADIOLOGY Radiology INELIGIBLE MEMBER-PATIENT RESP FOR BILLED
CHARGESOutpatient EMERGENCY MEDICINE Medicine INELIGIBLE MEMBER-
PATIENT RESP FOR BILLED
CHARGESOutpatient EMERGENCY MEDICINE Medicine INELIGIBLE MEMBER-
PATIENT RESP FOR BILLED
CHARGESOutpatient PATHOLOGY Pathology INELIGIBLE MEMBER-
PATIENT RESP FOR BILLED
CHARGESOutpatient CHIROPRACTIC MEDICINE Medicine MEMBER UNITS REACHED
Outpatient CHIROPRACTIC MEDICINE Medicine MEMBER UNITS REACHED
Outpatient PHYSICAL THERAPY Medicine MEMBER UNITS REACHED
Outpatient PHYSICAL THERAPY Medicine MEMBER UNITS REACHED
Outpatient HOSPITAL Pathology MEMBER UNITS REACHED
Page 23 of 26
-
Indication Physician Specialty Code Range Description Reason For Denial
Arkansas Statistical Claim Data: Third Quarter 2017
Outpatient CHIROPRACTIC MEDICINE Medicine MEMBER UNITS REACHED
Outpatient GENERAL SURGERY Medicine NO LEGAL OBLIGATION TO
PAY -EXPENSES ARE NOT COVER
Outpatient GENERAL SURGERY Medicine NO LEGAL OBLIGATION TO
PAY -EXPENSES ARE NOT COVER
Outpatient GENERAL SURGERY Medicine NO LEGAL OBLIGATION TO
PAY -EXPENSES ARE NOT COVER
Outpatient HEALTH DEPARTMENT Medicine NON-NETWORK SERVICES
ARE NOT COVERED BY THIS
PLANOutpatient RADIATION ONCOLOGY Medicine PRIOR CLAIM-SERVICES
GROUPED TO
COMPREHENSIVE CODEOutpatient OPTOMETRISTS Medicine ROUTINE VISION &
GLASSES/CONTACTS
EXCLUDEDOutpatient HOSPITAL Procedures/Professional Services SERV/DIAG CONSID
EXPERIMENT-PATIENT RESP BILLED
Outpatient RADIOLOGY Procedures/Professional Services SERV/DIAG CONSID EXPERIMENT-PATIENT
RESP BILLEDOutpatient RADIOLOGY Radiology SERV/DIAG CONSID
EXPERIMENT-PATIENT
RESP BILLEDOutpatient HOSPITAL Procedures/Professional Services SERV/DIAG CONSID
EXPERIMENT-PATIENT RESP BILLED
Page 24 of 26
-
Indication Physician Specialty Code Range Description Reason For Denial
Arkansas Statistical Claim Data: Third Quarter 2017
Outpatient RADIOLOGY Radiology SERV/DIAG CONSID
EXPERIMENT-PATIENT RESP BILLED
Outpatient PEDIATRICS Medicine SERVICE/DIAG EXCLUDED
BY PLAN-PATIENT RESP
BILLEDOutpatient OPTOMETRISTS Medicine SERVICE/DIAG EXCLUDED
BY PLAN-PATIENT RESP BILLED
Outpatient ANESTHESIOLOGY Anesthesia SERVICE/DIAG EXCLUDED BY PLAN-PATIENT RESP
BILLEDOutpatient PSYCHIATRY Medicine SERVICE/DIAG EXCLUDED
BY PLAN-PATIENT RESP
BILLEDOutpatient HOSPITAL Drugs Administered Other Than Oral
MethodSERVICE/DIAG EXCLUDED
BY PLAN-PATIENT RESP
BILLEDOutpatient PATHOLOGY Pathology SERVICE/DIAG EXCLUDED
BY PLAN-PATIENT RESP
BILLEDOutpatient HOSPITAL Durable Medical Equipment SERVICE/DIAG EXCLUDED
BY PLAN-PATIENT RESP BILLED
Outpatient PATHOLOGY Pathology SERVICE/DIAG EXCLUDED BY PLAN-PATIENT RESP
BILLEDOutpatient FAMILY PRACTICE Procedures/Professional Services SERVICE/DIAG EXCLUDED
BY PLAN-PATIENT RESP
BILLED
Page 25 of 26
-
Indication Physician Specialty Code Range Description Reason For Denial
Arkansas Statistical Claim Data: Third Quarter 2017
Inpatient Family Practice Symptoms, signs and abnormal clinical
and laboratory findings, not elsewhere classified
Inpatient Family Practice Neoplasms
Inpatient Family Practice Symptoms, signs and abnormal clinical
and laboratory findings, not elsewhere
classifiedInpatient General Surgery Endocrine, nutritional and metabolic
diseases
Inpatient Orthopedic Surgery Diseases of the musculoskeletal system and connective tissue
Inpatient Cardiology Diseases of the circulatory system
Inpatient General Surgery Symptoms, signs and abnormal clinical
and laboratory findings, not elsewhere classified
Inpatient Orthopedic Surgery Injury, poisoning and certain other
consequences of external causesInpatient Thoracic Surgery Diseases of the circulatory system
Page 26 of 26
-
Indication PhysicianSpecialty CodeRangeDescription ReasonForDenialOutpatient PEDIATRICS Medicine NotApplicable
Outpatient FAMILYPRACTICE Orthotic/ProstheticDevicesandProcedures NotApplicable
Outpatient PEDIATRICS Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient PHYSICALTHERAPY Medicine NotApplicableOutpatient CHIROPRACTICMEDICINE Medicine NotApplicableOutpatient CARDIOLOGY Medicine NotApplicableOutpatient RADIOLOGY Medicine NotApplicableOutpatient PEDIATRICS Medicine NotApplicableOutpatient CHIROPRACTICMEDICINE Medicine NotApplicableOutpatient CHIROPRACTICMEDICINE Medicine NotApplicableOutpatient CHIROPRACTICMEDICINE Medicine NotApplicableOutpatient FAMILYPRACTICE Procedures/ProfessionalServices NotApplicable
Outpatient GENERALSURGERY DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient FAMILYPRACTICE Medicine NotApplicableOutpatient PEDIATRICS Medicine NotApplicableOutpatient FAMILYPRACTICE Pathology NotApplicableOutpatient EMERGENCYMEDICINE Medicine NotApplicableOutpatient HOSPITAL Pathology NotApplicableOutpatient HOSPITAL Radiology NotApplicableOutpatient HOSPITAL Medicine NotApplicableOutpatient HOSPITAL Radiology NotApplicableOutpatient HOSPITAL Procedures/ProfessionalServices NotApplicableOutpatient HOSPITAL Radiology NotApplicableOutpatient RHEUMATOLOGY Medicine NotApplicableOutpatient FAMILYPRACTICE Pathology NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient PATHOLOGY Pathology NotApplicable
ArkansasStatisticalClaimData:SecondQuarter2017
Page1of76
-
Indication PhysicianSpecialty CodeRangeDescription ReasonForDenial
ArkansasStatisticalClaimData:SecondQuarter2017
Outpatient PATHOLOGY Pathology NotApplicableOutpatient SOCIALWORK Medicine NotApplicableOutpatient PSYCHIATRY Medicine NotApplicable
Outpatient FAMILYPRACTICE DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient FAMILYPRACTICE Medicine NotApplicableOutpatient RADIOLOGY Radiology NotApplicableOutpatient ORTHOPEDICSURGERY Mediastinum NotApplicableOutpatient NURSEPRACTITIONER Medicine NotApplicableOutpatient CHIROPRACTICMEDICINE Medicine NotApplicableOutpatient RADIOLOGY Radiology NotApplicableOutpatient RADIOLOGY Radiology NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient HOSPITAL Pathology NotApplicableOutpatient OPHTHALMOLOGY Medicine NotApplicableOutpatient ALLERGY/IMMUNOLOGY Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Pathology NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicable
Outpatient AMBULANCE TransportationServicesIncludingAmbulance NotApplicable
Outpatient NEPHROLOGY Medicine NotApplicableOutpatient PEDIATRICS Medicine NotApplicableOutpatient PEDIATRICS Medicine NotApplicableOutpatient CARDIOLOGY Medicine NotApplicableOutpatient CARDIOLOGY Medicine NotApplicable
Page2of76
-
Indication PhysicianSpecialty CodeRangeDescription ReasonForDenial
ArkansasStatisticalClaimData:SecondQuarter2017
Outpatient FAMILYPRACTICE DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient RADIOLOGY Radiology NotApplicableOutpatient ORTHOPEDICSURGERY Medicine NotApplicableOutpatient PEDIATRICS Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient HOSPITAL Medicine NotApplicable
Outpatient AMBULATORYSURGICALCENTER DigestiveSystem NotApplicable
Outpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient CARDIOLOGY Medicine NotApplicableOutpatient PATHOLOGY Medicine NotApplicableOutpatient HOSPITAL Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient CHIROPRACTICMEDICINE Medicine NotApplicableOutpatient CHIROPRACTICMEDICINE Medicine NotApplicableOutpatient CHIROPRACTICMEDICINE Medicine NotApplicable
Outpatient NURSEPRACTITIONER DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient FAMILYPRACTICE Medicine NotApplicable
Outpatient URGENTCARE TemporaryNationalCodes(Non‐Medicare) NotApplicable
Outpatient NURSEPRACTITIONER DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient CHIROPRACTICMEDICINE Medicine NotApplicableOutpatient SLEEPMEDICINE Medicine NotApplicableOutpatient SLEEPMEDICINE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicable
Page3of76
-
Indication PhysicianSpecialty CodeRangeDescription ReasonForDenial
ArkansasStatisticalClaimData:SecondQuarter2017
Outpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient RADIOLOGY Radiology NotApplicable
Outpatient DURABLEMEDICALEQUIPMENT&MEDICALSUPPLIES DurableMedicalEquipment NotApplicable
Outpatient FAMILYPRACTICE Medicine NotApplicableOutpatient HANDSURGERY TemporaryCodes NotApplicableOutpatient HOSPITAL Medicine NotApplicableOutpatient NEUROLOGY Medicine NotApplicableOutpatient PATHOLOGY Pathology NotApplicableOutpatient FAMILYPRACTICE Pathology NotApplicableOutpatient ORTHOPEDICSURGERY Medicine NotApplicableOutpatient PSYCHIATRY Medicine NotApplicableOutpatient PATHOLOGY Pathology NotApplicableOutpatient EARS,NOSE&THROAT Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient PEDIATRICS Medicine NotApplicable
Outpatient DURABLEMEDICALEQUIPMENT&MEDICALSUPPLIES DurableMedicalEquipment NotApplicable
Outpatient ORTHOPEDICSURGERY Medicine NotApplicable
Outpatient FAMILYPRACTICE DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient FAMILYPRACTICE Medicine NotApplicable
Page4of76
-
Indication PhysicianSpecialty CodeRangeDescription ReasonForDenial
ArkansasStatisticalClaimData:SecondQuarter2017
Outpatient PODIATRY IntegumentarySystem NotApplicableOutpatient CHIROPRACTICMEDICINE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient RADIOLOGY Radiology NotApplicable
Outpatient OPHTHALMOLOGY DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient CHIROPRACTICMEDICINE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient PSYCHIATRY Medicine NotApplicableOutpatient CARDIOLOGY Medicine NotApplicable
Outpatient FAMILYPRACTICE DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient FAMILYPRACTICE Medicine NotApplicableOutpatient RADIOLOGY Procedures/ProfessionalServices NotApplicableOutpatient RADIOLOGY Radiology NotApplicableOutpatient OBSTETRICS/GYNECOLOGY Medicine NotApplicableOutpatient OBSTETRICS/GYNECOLOGY MaternityCare/Delivery NotApplicableOutpatient PEDIATRICS Medicine NotApplicableOutpatient ORTHOPEDICSURGERY Medicine NotApplicable
Outpatient ORTHOPEDICSURGERY DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient DURABLEMEDICALEQUIPMENT&MEDICALSUPPLIESTransportationServicesIncluding
Ambulance NotApplicable
Outpatient CHIROPRACTICCARE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicable
Outpatient FAMILYPRACTICE DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient FAMILYPRACTICE Medicine NotApplicableOutpatient GENERALSURGERY Medicine NotApplicable
Page5of76
-
Indication PhysicianSpecialty CodeRangeDescription ReasonForDenial
ArkansasStatisticalClaimData:SecondQuarter2017
Outpatient CHIROPRACTICMEDICINE Medicine NotApplicableOutpatient EARS,NOSE&THROAT Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient EARS,NOSE&THROAT Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient OBSTETRICS/GYNECOLOGY Medicine NotApplicable
Outpatient FAMILYPRACTICE DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient FAMILYPRACTICE Medicine NotApplicableOutpatient GASTROENTEROLOGY DigestiveSystem NotApplicableOutpatient EMERGENCYMEDICINE Medicine NotApplicableOutpatient ORTHOPEDICSURGERY Medicine NotApplicableOutpatient PEDIATRICS Medicine NotApplicableOutpatient CHIROPRACTICCARE Medicine NotApplicableOutpatient HOSPITAL Pathology NotApplicableOutpatient OPHTHALMOLOGY Medicine NotApplicableOutpatient PHYSICALTHERAPY Medicine NotApplicableOutpatient PATHOLOGY Pathology NotApplicableOutpatient LICENSEDPROFCOUNSELOR Medicine NotApplicableOutpatient PATHOLOGY Pathology NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient GENERALSURGERY Medicine NotApplicableOutpatient RADIOLOGY Radiology NotApplicableOutpatient MULTIPLESPECIALTIES Medicine NotApplicableOutpatient ANESTHESIOLOGY Anesthesia NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient NURSEPRACTITIONER Medicine NotApplicableOutpatient NURSEPRACTITIONER Medicine NotApplicable
Page6of76
-
Indication PhysicianSpecialty CodeRangeDescription ReasonForDenial
ArkansasStatisticalClaimData:SecondQuarter2017
Outpatient PEDIATRICS Medicine NotApplicable
Outpatient DURABLEMEDICALEQUIPMENT&MEDICALSUPPLIES DurableMedicalEquipment NotApplicable
Outpatient FAMILYPRACTICE Medicine NotApplicableOutpatient PHYSICALTHERAPY Medicine NotApplicableOutpatient EMERGENCYMEDICINE Medicine NotApplicableOutpatient PHYSICALTHERAPY Medicine NotApplicableOutpatient PHYSICALTHERAPY Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient RADIOLOGY Radiology NotApplicableOutpatient RADIOLOGY Radiology NotApplicableOutpatient OTOLARYNGOLOGY Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient HOSPITAL Medicine NotApplicableOutpatient HEALTHDEPARTMENT Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient ALLERGY/IMMUNOLOGY Medicine NotApplicableOutpatient EMERGENCYMEDICINE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicable
Outpatient FAMILYPRACTICE DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient CHIROPRACTICMEDICINE Medicine NotApplicableOutpatient PEDIATRICS Medicine NotApplicableOutpatient CHIROPRACTICMEDICINE Medicine NotApplicableOutpatient OBSTETRICS/GYNECOLOGY Medicine NotApplicable
Page7of76
-
Indication PhysicianSpecialty CodeRangeDescription ReasonForDenial
ArkansasStatisticalClaimData:SecondQuarter2017
Outpatient OBSTETRICS/GYNECOLOGY Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicable
Outpatient FAMILYPRACTICE DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient FAMILYPRACTICE Pathology NotApplicableOutpatient FAMILYPRACTICE Pathology NotApplicable
Outpatient GENERALSURGERY DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient OBSTETRICS/GYNECOLOGY Medicine NotApplicableOutpatient OBSTETRICS/GYNECOLOGY Medicine NotApplicableOutpatient OBSTETRICS/GYNECOLOGY Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient LICENSEDPROFCOUNSELOR Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient RADIOLOGY Radiology NotApplicableOutpatient OBSTETRICS/GYNECOLOGY Medicine NotApplicableOutpatient GENERALSURGERY DigestiveSystem NotApplicableOutpatient HOSPITAL Pathology NotApplicable
Outpatient HOSPITAL DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient HOSPITAL Radiology NotApplicableOutpatient HOSPITAL Medicine NotApplicableOutpatient HOSPITAL Radiology NotApplicable
Outpatient HOSPITAL DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient HOSPITAL DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient HOSPITAL Radiology NotApplicable
Page8of76
-
Indication PhysicianSpecialty CodeRangeDescription ReasonForDenial
ArkansasStatisticalClaimData:SecondQuarter2017
Outpatient PATHOLOGY Pathology NotApplicableOutpatient OBSTETRICS/GYNECOLOGY Medicine NotApplicableOutpatient PEDIATRICS Medicine NotApplicableOutpatient RADIOLOGY Radiology NotApplicableOutpatient PATHOLOGY Medicine NotApplicableOutpatient ONCOLOGY Medicine NotApplicableOutpatient INTERNALMEDICINE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicable
Outpatient FAMILYPRACTICE DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient FAMILYPRACTICE Medicine NotApplicableOutpatient RADIATIONTHERAPY ChemotherapyDrugs NotApplicable
Outpatient RADIATIONTHERAPY TransportationServicesIncludingAmbulance NotApplicable
Outpatient PATHOLOGY Pathology NotApplicableOutpatient ORTHOPEDICSURGERY Medicine NotApplicable
Outpatient RADIATIONTHERAPY TransportationServicesIncludingAmbulance NotApplicable
Outpatient PATHOLOGY Pathology NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient PATHOLOGY Pathology NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient CHIROPRACTICCARE Medicine NotApplicableOutpatient CARDIOLOGY Medicine NotApplicableOutpatient CARDIOLOGY Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient ORTHOPEDICSURGERY Medicine NotApplicableOutpatient FAMILYPRACTICE Pathology NotApplicableOutpatient PATHOLOGY Pathology NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicable
Page9of76
-
Indication PhysicianSpecialty CodeRangeDescription ReasonForDenial
ArkansasStatisticalClaimData:SecondQuarter2017
Outpatient GENERALSURGERY Medicine NotApplicableOutpatient PATHOLOGY Pathology NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE IntegumentarySystem NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Mediastinum NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient ANESTHESIOLOGY Medicine NotApplicableOutpatient EMERGENCYMEDICINE Medicine NotApplicableOutpatient OBSTETRICS/GYNECOLOGY Radiology NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient OBSTETRICS/GYNECOLOGY Medicine NotApplicable
Outpatient OBSTETRICS/GYNECOLOGY DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient FAMILYPRACTICE Medicine NotApplicableOutpatient INTERNALMEDICINE Medicine NotApplicableOutpatient CHIROPRACTICCARE Medicine NotApplicableOutpatient HOSPITAL Medicine NotApplicableOutpatient GENERALSURGERY Medicine NotApplicableOutpatient GENERALSURGERY DigestiveSystem NotApplicableOutpatient RADIATIONTHERAPY Medicine NotApplicable
Page10of76
-
Indication PhysicianSpecialty CodeRangeDescription ReasonForDenial
ArkansasStatisticalClaimData:SecondQuarter2017
Outpatient FAMILYPRACTICE Medicine NotApplicableOutpatient PHYSICALTHERAPY Medicine NotApplicableOutpatient EMERGENCYMEDICINE Medicine NotApplicableOutpatient CHIROPRACTICMEDICINE Medicine NotApplicableOutpatient EMERGENCYMEDICINE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient ALLERGY/IMMUNOLOGY Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE TemporaryCodes NotApplicable
Outpatient DURABLEMEDICALEQUIPMENT&MEDICALSUPPLIESTransportationServicesIncluding
Ambulance NotApplicable
Outpatient FAMILYPRACTICE Medicine NotApplicableOutpatient INTERNALMEDICINE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient NURSEPRACTITIONER Medicine NotApplicableOutpatient OBSTETRICS/GYNECOLOGY Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient ORTHOPEDICSURGERY Medicine NotApplicable
Outpatient GENERALSURGERY DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient CHIROPRACTICMEDICINE Medicine NotApplicableOutpatient CHIROPRACTICMEDICINE Medicine NotApplicableOutpatient CHIROPRACTICMEDICINE Medicine NotApplicableOutpatient CHIROPRACTICMEDICINE Medicine NotApplicableOutpatient RADIATIONTHERAPY Medicine NotApplicableOutpatient CHIROPRACTICMEDICINE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient PSYCHIATRY Medicine NotApplicable
Page11of76
-
Indication PhysicianSpecialty CodeRangeDescription ReasonForDenial
ArkansasStatisticalClaimData:SecondQuarter2017
Outpatient FAMILYPRACTICE DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient RADIOLOGY Radiology NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient UROLOGY MaleGenitalSystem NotApplicable
Outpatient DURABLEMEDICALEQUIPMENT&MEDICALSUPPLIES DurableMedicalEquipment NotApplicable
Outpatient FAMILYPRACTICE DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient GASTROENTEROLOGY Medicine NotApplicableOutpatient PULMONARYMEDICINE Medicine NotApplicableOutpatient HOSPITAL Pathology NotApplicableOutpatient HOSPITAL Procedures/ProfessionalServices NotApplicableOutpatient HOSPITAL TemporaryCodes NotApplicableOutpatient PSYCHIATRY Medicine NotApplicableOutpatient FAMILYPRACTICE Pathology NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient INTERNALMEDICINE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient CARDIOLOGY Medicine NotApplicableOutpatient RADIOLOGY Radiology NotApplicableOutpatient RADIOLOGY Radiology NotApplicableOutpatient OBSTETRICS/GYNECOLOGY Medicine NotApplicableOutpatient HOSPITAL Radiology NotApplicableOutpatient NEUROSURGERY NervousSystem NotApplicableOutpatient NEUROLOGY Medicine NotApplicableOutpatient HOSPITAL Medicine NotApplicableOutpatient FAMILYPRACTICE Radiology NotApplicable
Page12of76
-
Indication PhysicianSpecialty CodeRangeDescription ReasonForDenial
ArkansasStatisticalClaimData:SecondQuarter2017
Outpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient PEDCLINICALPHARMACOLOGY Medicine NotApplicableOutpatient PULMONARYDISEASE Medicine NotApplicableOutpatient ALLERGY/IMMUNOLOGY Medicine NotApplicable
Outpatient NURSEPRACTITIONER DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient FAMILYPRACTICE Medicine NotApplicableOutpatient CHIROPRACTICCARE Medicine NotApplicableOutpatient EMERGENCYMEDICINE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient INTERNALMEDICINE Medicine NotApplicableOutpatient INTERNALMEDICINE Medicine NotApplicableOutpatient RADIOLOGY Radiology NotApplicableOutpatient OBSTETRICS/GYNECOLOGY Pathology NotApplicableOutpatient PATHOLOGY Pathology NotApplicableOutpatient PATHOLOGY Pathology NotApplicableOutpatient HOSPITAL Medicine NotApplicable
Outpatient PHYSICALTHERAPY/ORTHOPEDIC Medicine NotApplicable
Outpatient FAMILYPRACTICE Medicine NotApplicable
Outpatient FAMILYPRACTICE DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient FAMILYPRACTICE Medicine NotApplicable
Outpatient ORTHOPEDICS DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient OBSTETRICS/GYNECOLOGY FemaleGenitalSystem NotApplicableOutpatient FAMILYPRACTICE Pathology NotApplicableOutpatient UROLOGY Medicine NotApplicable
Page13of76
-
Indication PhysicianSpecialty CodeRangeDescription ReasonForDenial
ArkansasStatisticalClaimData:SecondQuarter2017
Outpatient FAMILYPRACTICE Medicine NotApplicable
Outpatient HOSPITAL TemporaryNationalCodes(Non‐Medicare) NotApplicable
Outpatient HOSPITAL Medicine NotApplicableOutpatient INTERNALMEDICINE Medicine NotApplicableOutpatient HOSPITAL Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient RADIOLOGY Radiology NotApplicableOutpatient PULMONARYMEDICINE RespiratorySystem NotApplicableOutpatient PATHOLOGY Medicine NotApplicableOutpatient INTERNALMEDICINE Medicine NotApplicableOutpatient CHIROPRACTICCARE Medicine NotApplicableOutpatient FAMILYPRACTICE TemporaryCodes NotApplicableOutpatient PATHOLOGY Pathology NotApplicableOutpatient ENDOCRINOLOGY/DIABETES Medicine NotApplicableOutpatient OBSTETRICS/GYNECOLOGY Medicine NotApplicableOutpatient FAMILYPRACTICE Radiology NotApplicableOutpatient ALLERGY/IMMUNOLOGY Medicine NotApplicableOutpatient RADIOLOGY Radiology NotApplicableOutpatient FAMILYPRACTICE Pathology NotApplicable
Outpatient FAMILYPRACTICE DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient ALLERGY/IMMUNOLOGY Medicine NotApplicableOutpatient ALLERGY/IMMUNOLOGY Medicine NotApplicableOutpatient FAMILYPRACTICE Radiology NotApplicableOutpatient RADIOLOGY Radiology NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient OBSTETRICS/GYNECOLOGY Medicine NotApplicableOutpatient RADIOLOGY Radiology NotApplicableOutpatient ORTHOPEDICSURGERY MusculoskeletalSystem NotApplicable
Page14of76
-
Indication PhysicianSpecialty CodeRangeDescription ReasonForDenial
ArkansasStatisticalClaimData:SecondQuarter2017
Outpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient EMERGENCYMEDICINE Medicine NotApplicableOutpatient CHIROPRACTICMEDICINE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient GASTROENTEROLOGY Medicine NotApplicableOutpatient FAMILYPRACTICE Pathology NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient RADIOLOGY Radiology NotApplicableOutpatient RADIOLOGY Radiology NotApplicableOutpatient ORTHOPEDICS Radiology NotApplicableOutpatient ORTHOPEDICSURGERY MusculoskeletalSystem NotApplicable
Outpatient ORTHOPEDICSURGERY Orthotic/ProstheticDevicesandProcedures NotApplicable
Outpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient PODIATRY Medicine NotApplicableOutpatient PODIATRY Radiology NotApplicableOutpatient PATHOLOGY Pathology NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient PHYSICALTHERAPY Medicine NotApplicableOutpatient INTERNALMEDICINE Medicine NotApplicableOutpatient PATHOLOGY Pathology NotApplicableOutpatient PATHOLOGY Pathology NotApplicableOutpatient PATHOLOGY Pathology NotApplicableOutpatient ANESTHESIOLOGY Anesthesia NotApplicableOutpatient INTERNALMEDICINE Medicine NotApplicableOutpatient PATHOLOGY Pathology NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient CHIROPRACTICCARE Medicine NotApplicable
Page15of76
-
Indication PhysicianSpecialty CodeRangeDescription ReasonForDenial
ArkansasStatisticalClaimData:SecondQuarter2017
Outpatient ORTHOPEDICS Radiology NotApplicableOutpatient ORTHOPEDICSURGERY Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicable
Outpatient DURABLEMEDICALEQUIPMENT&MEDICALSUPPLIESTransportationServicesIncluding
Ambulance NotApplicable
Outpatient OPHTHALMOLOGY Medicine NotApplicableOutpatient CHIROPRACTICCARE Medicine NotApplicableOutpatient CHIROPRACTICMEDICINE Medicine NotApplicableOutpatient PSYCHOLOGY Medicine NotApplicableOutpatient HOSPITAL Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicable
Outpatient HOSPITAL DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient HOSPITAL DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient HOSPITAL DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient HOSPITAL DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient HOSPITAL Radiology NotApplicableOutpatient HOSPITAL Radiology NotApplicableOutpatient HOSPITAL Procedures/ProfessionalServices NotApplicableOutpatient HOSPITAL Pathology NotApplicableOutpatient HOSPITAL Medicine NotApplicable
Outpatient HOSPITAL DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient HOSPITAL DrugsAdministeredOtherThanOralMethod NotApplicable
Page16of76
-
Indication PhysicianSpecialty CodeRangeDescription ReasonForDenial
ArkansasStatisticalClaimData:SecondQuarter2017
Outpatient DURABLEMEDICALEQUIPMENT&MEDICALSUPPLIES DurableMedicalEquipment NotApplicable
Outpatient LICENSEDPROFCOUNSELOR Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient RADIOLOGY Radiology NotApplicableOutpatient RADIOLOGY Radiology NotApplicableOutpatient PATHOLOGY Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient GENERALSURGERY Medicine NotApplicableOutpatient CHIROPRACTICMEDICINE Medicine NotApplicableOutpatient CHIROPRACTICMEDICINE Medicine NotApplicable
Outpatient GENERALSURGERY DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient NURSEPRACTITIONER DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient RADIATIONTHERAPY Medicine NotApplicableOutpatient RADIATIONTHERAPY Pathology NotApplicableOutpatient RADIATIONTHERAPY Pathology NotApplicable
Outpatient RADIATIONTHERAPY DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient LABORATORY Pathology NotApplicableOutpatient NEUROLOGY Medicine NotApplicableOutpatient NEUROLOGY Medicine NotApplicableOutpatient SLEEPMEDICINE Medicine NotApplicableOutpatient PEDIATRICS Medicine NotApplicableOutpatient EMERGENCYMEDICINE Medicine NotApplicableOutpatient RADIOLOGY Radiology NotApplicableOutpatient RADIATIONTHERAPY Pathology NotApplicableOutpatient PULMONARYMEDICINE Medicine NotApplicable
Page17of76
-
Indication PhysicianSpecialty CodeRangeDescription ReasonForDenial
ArkansasStatisticalClaimData:SecondQuarter2017
Outpatient PATHOLOGY Pathology NotApplicableOutpatient FAMILYPRACTICE Pathology NotApplicableOutpatient RADIOLOGY Radiology NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient DERMATOLOGY Medicine NotApplicableOutpatient PHYSICALTHERAPY Medicine NotApplicableOutpatient ANESTHESIOLOGY Anesthesia NotApplicableOutpatient GENERALSURGERY Medicine NotApplicableOutpatient NEUROLOGY Medicine NotApplicableOutpatient HOSPITAL Medicine NotApplicableOutpatient HOSPITAL Radiology NotApplicableOutpatient HOSPITAL Pathology NotApplicable
Outpatient URGENTCARE TemporaryNationalCodes(Non‐Medicare) NotApplicable
Outpatient CHIROPRACTICMEDICINE Medicine NotApplicableOutpatient PEDIATRICS Medicine NotApplicableOutpatient GASTROENTEROLOGY Medicine NotApplicableOutpatient RADIOLOGY Radiology NotApplicableOutpatient OBSTETRICS/GYNECOLOGY Radiology NotApplicableOutpatient OBSTETRICS/GYNECOLOGY Medicine NotApplicable
Outpatient OBSTETRICS/GYNECOLOGY DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient FAMILYPRACTICE DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient RADIATIONTHERAPY Pathology NotApplicableOutpatient RADIATIONTHERAPY Pathology NotApplicableOutpatient RADIATIONTHERAPY Pathology NotApplicableOutpatient RADIATIONTHERAPY Pathology NotApplicableOutpatient PHYSICALTHERAPY Medicine NotApplicableOutpatient PATHOLOGY Pathology NotApplicable
Page18of76
-
Indication PhysicianSpecialty CodeRangeDescription ReasonForDenial
ArkansasStatisticalClaimData:SecondQuarter2017
Outpatient INTERNALMEDICINE Medicine NotApplicableOutpatient RADIATIONTHERAPY Medicine NotApplicableOutpatient SOCIALWORK Medicine NotApplicableOutpatient PATHOLOGY Pathology NotApplicableOutpatient RADIATIONTHERAPY Pathology NotApplicable
Outpatient DURABLEMEDICALEQUIPMENT&MEDICALSUPPLIES DurableMedicalEquipment NotApplicable
Outpatient RADIOLOGY Radiology NotApplicableOutpatient PULMONARYMEDICINE Medicine NotApplicableOutpatient RADIOLOGY Radiology NotApplicableOutpatient EMERGENCYMEDICINE Medicine NotApplicableOutpatient HOSPITAL Pathology NotApplicableOutpatient HOSPITAL Radiology NotApplicableOutpatient HOSPITAL Radiology NotApplicableOutpatient HOSPITAL Radiology NotApplicableOutpatient HOSPITAL Medicine NotApplicableOutpatient PEDIATRICS Medicine NotApplicableOutpatient PEDIATRICS Medicine NotApplicableOutpatient FAMILYPRACTICE IntegumentarySystem NotApplicableOutpatient LICENSEDPROFCOUNSELOR Medicine NotApplicableOutpatient PHYSICALTHERAPY Medicine NotApplicableOutpatient PHYSICALTHERAPY Medicine NotApplicableOutpatient CHIROPRACTICMEDICINE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient RADIOLOGY Radiology NotApplicableOutpatient RADIOLOGY Radiology NotApplicableOutpatient ORTHOPEDICSURGERY Medicine NotApplicableOutpatient ORTHOPEDICSURGERY Medicine NotApplicable
Page19of76
-
Indication PhysicianSpecialty CodeRangeDescription ReasonForDenial
ArkansasStatisticalClaimData:SecondQuarter2017
Outpatient OBSTETRICS/GYNECOLOGY Medicine NotApplicableOutpatient PEDIATRICS Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Radiology NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicable
Outpatient PODIATRY DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient FAMILYPRACTICE Medicine NotApplicableOutpatient HOSPITAL Pathology NotApplicableOutpatient HOSPITAL Procedures/ProfessionalServices NotApplicable
Outpatient HOSPITAL DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient HOSPITAL DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient HOSPITAL DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient PATHOLOGY Pathology NotApplicableOutpatient LABORATORY Pathology NotApplicableOutpatient LABORATORY Pathology NotApplicableOutpatient LABORATORY Pathology NotApplicableOutpatient LABORATORY Pathology NotApplicableOutpatient LABORATORY Pathology NotApplicableOutpatient LABORATORY Mediastinum NotApplicableOutpatient RADIOLOGY Radiology NotApplicableOutpatient PATHOLOGY Pathology NotApplicable
Outpatient DURABLEMEDICALEQUIPMENT&MEDICALSUPPLIES DurableMedicalEquipment NotApplicable
Outpatient GENERALSURGERY Medicine NotApplicable
Outpatient HOSPITAL DrugsAdministeredOtherThanOralMethod NotApplicable
Page20of76
-
Indication PhysicianSpecialty CodeRangeDescription ReasonForDenial
ArkansasStatisticalClaimData:SecondQuarter2017
Outpatient DERMATOLOGY Medicine NotApplicable
Outpatient FAMILYPRACTICE DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient PEDIATRICS Medicine NotApplicableOutpatient RADIATIONTHERAPY Pathology NotApplicableOutpatient CHIROPRACTICMEDICINE Medicine NotApplicableOutpatient PHYSICALTHERAPY Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Pathology NotApplicable
Outpatient DURABLEMEDICALEQUIPMENT&MEDICALSUPPLIESTransportationServicesIncluding
Ambulance NotApplicable
Outpatient PEDIATRICS Medicine NotApplicableOutpatient EMERGENCYMEDICINE Medicine NotApplicableOutpatient HOSPITAL Medicine NotApplicable
Outpatient HOSPITAL DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient NURSEPRACTITIONER Medicine NotApplicableOutpatient NURSEPRACTITIONER Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicable
Outpatient PODIATRY TransportationServicesIncludingAmbulance NotApplicable
Outpatient CARDIOLOGY Medicine NotApplicableOutpatient ORTHOPEDICSURGERY Medicine NotApplicableOutpatient ORTHOPEDICSURGERY Medicine NotApplicableOutpatient OBSTETRICS/GYNECOLOGY Medicine NotApplicableOutpatient OBSTETRICS/GYNECOLOGY Medicine NotApplicableOutpatient OBSTETRICS/GYNECOLOGY Radiology NotApplicableOutpatient FAMILYPRACTICE Pathology NotApplicable
Page21of76
-
Indication PhysicianSpecialty CodeRangeDescription ReasonForDenial
ArkansasStatisticalClaimData:SecondQuarter2017
Outpatient FAMILYPRACTICE Pathology NotApplicableOutpatient PSYCHOLOGY Medicine NotApplicableOutpatient HOSPITAL Radiology NotApplicableOutpatient HOSPITAL Medicine NotApplicableOutpatient HOSPITAL Procedures/ProfessionalServices NotApplicableOutpatient HOSPITAL Pathology NotApplicable
Outpatient HOSPITAL DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient HOSPITAL DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient HOSPITAL Pathology NotApplicableOutpatient PSYCHIATRY Medicine NotApplicableOutpatient PEDIATRICS Radiology NotApplicableOutpatient PEDIATRICS Radiology NotApplicableOutpatient GENERALSURGERY Medicine NotApplicableOutpatient PEDIATRICS Medicine NotApplicableOutpatient PEDIATRICS Medicine NotApplicableOutpatient RHEUMATOLOGY Pathology NotApplicableOutpatient LABORATORY Pathology NotApplicableOutpatient LABORATORY Pathology NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicable
Outpatient FAMILYPRACTICE DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient CARDIOVASCULARDISEASE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient GENERALSURGERY Radiology NotApplicableOutpatient PULMONARYMEDICINE Medicine NotApplicableOutpatient ANESTHESIOLOGY Anesthesia NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicable
Page22of76
-
Indication PhysicianSpecialty CodeRangeDescription ReasonForDenial
ArkansasStatisticalClaimData:SecondQuarter2017
Outpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient PATHOLOGY Pathology NotApplicableOutpatient CARDIOLOGY Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient RADIOLOGY Radiology NotApplicableOutpatient RADIOLOGY Radiology NotApplicableOutpatient RADIOLOGY Radiology NotApplicableOutpatient ORTHOPEDICS Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient OBSTETRICS/GYNECOLOGY Medicine NotApplicableOutpatient OBSTETRICS/GYNECOLOGY Medicine NotApplicableOutpatient FAMILYPRACTICE Pathology NotApplicableOutpatient LABORATORY Pathology NotApplicableOutpatient LABORATORY Pathology NotApplicableOutpatient LABORATORY Pathology NotApplicableOutpatient LABORATORY Pathology NotApplicableOutpatient PSYCHIATRY Medicine NotApplicableOutpatient EMERGENCYMEDICINE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient PATHOLOGY Pathology NotApplicableOutpatient OPTOMETRISTS Medicine NotApplicableOutpatient CHIROPRACTICMEDICINE Medicine NotApplicableOutpatient CARDIOLOGY Medicine NotApplicable
Page23of76
-
Indication PhysicianSpecialty CodeRangeDescription ReasonForDenial
ArkansasStatisticalClaimData:SecondQuarter2017
Outpatient DURABLEMEDICALEQUIPMENT&MEDICALSUPPLIESOrthotic/ProstheticDevicesand
Procedures NotApplicable
Outpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient ORTHOPEDICSURGERY Medicine NotApplicable
Outpatient FAMILYPRACTICE DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient FAMILYPRACTICE Pathology NotApplicableOutpatient PSYCHIATRY Medicine NotApplicableOutpatient EARS,NOSE&THROAT Medicine NotApplicableOutpatient FAMILYPRACTICE Pathology NotApplicableOutpatient FAMILYPRACTICE Procedures/ProfessionalServices NotApplicableOutpatient ORTHOPEDICSURGERY Medicine NotApplicable
Outpatient FAMILYPRACTICE DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient FAMILYPRACTICE DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient CHIROPRACTICCARE Medicine NotApplicableOutpatient CHIROPRACTICMEDICINE Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicableOutpatient NEUROLOGY Medicine NotApplicable
Outpatient FAMILYPRACTICE DrugsAdministeredOtherThanOralMethod NotApplicable
Outpatient ORTHOPEDICSURGERY Radiology NotApplicableOutpatient ORTHOPEDICSURGERY Radiology NotApplicableOutpatient GASTROENTEROLOGY Medicine NotApplicableOutpatient FAMILYPRACTICE Medicine NotApplicable
Page24of76
-
Indication PhysicianSpecialty CodeRangeDescription ReasonForDenial
ArkansasStatisticalClaimData:SecondQuarter2017
Outpatient DURABLEMEDICALEQUIPMENT&MEDICALSUPPLIESTransportationServicesIncluding
Ambulance NotApplicable
Outpatient SLEEPMEDICINE Medicine NotApplicableOutpatient FAMIL