Medical Billing Built for Arkansas Healthcare Providers
Arkansas took a nationally distinctive approach to Medicaid expansion: rather than simply enrolling newly eligible adults in traditional Medicaid, the state's "private option" — later renamed Arkansas Works — used federal Medicaid expansion dollars to purchase private marketplace Qualified Health Plan coverage for that population instead. That structure means expansion-population patients often carry what looks like commercial marketplace coverage rather than a Medicaid card, which changes eligibility verification. Separately, Arkansas created PASSE entities (Provider-led Arkansas Shared Savings Entities) to manage care and claims for Medicaid beneficiaries with behavioral health needs or intellectual and developmental disabilities — a distinct billing track from standard Arkansas Medicaid fee-for-service claims. On the commercial side, Arkansas Blue Cross and Blue Shield is the dominant insurer across most of the state, so its documentation and prior-authorization rules carry outsized weight in day-to-day billing.
Whether you're in Little Rock, Fort Smith, Fayetteville or anywhere else in Arkansas — ZenoMedix RCM provides the same certified billing expertise with deep knowledge of local payer rules and Arkansas Medicaid requirements.
Major Payers We Work With in Arkansas
Arkansas Medicaid
Arkansas Medicaid runs Arkansas Works, which historically used Medicaid expansion funds to purchase private marketplace plan coverage for expansion-eligible adults, plus PASSE entities that manage claims for beneficiaries with behavioral health or developmental-disability needs.
HIPAA Compliance
Full HIPAA compliance for all AR providers. We stay current with all Arkansas billing regulations. View HIPAA Statement →
Every City in Arkansas — We're Your Billing Team
Remote billing means you get the same expert service whether you're in a major metro or a smaller community across Arkansas.
75+ Specialties Served Across Arkansas
Each specialty has a dedicated billing team trained on its CPT codes, modifiers, and payer-specific requirements in Arkansas.
Everything Your Practice Needs — Nothing You Don't
Arkansas Billing FAQ
That's Arkansas Works at work. Arkansas historically used Medicaid expansion funding to purchase private marketplace Qualified Health Plan coverage for expansion-eligible adults rather than enrolling them in traditional Medicaid, so eligibility verification looks a little different for that population — we know to check for it.
Yes. Arkansas routes Medicaid beneficiaries with behavioral health or developmental-disability needs through Provider-led Arkansas Shared Savings Entities (PASSEs), which is a different billing track than standard Arkansas Medicaid fee-for-service. We handle both correctly rather than treating all Arkansas Medicaid claims the same way.
Very. Arkansas Blue Cross and Blue Shield is the dominant commercial payer across most of the state, and our Arkansas coding team tracks its documentation and modifier requirements closely, alongside UnitedHealthcare, Aetna, and Humana.
All of our coders hold AAPC or AHIMA certification, and our compliance team tracks Arkansas-specific Medicaid, Arkansas Works, PASSE, and commercial payer rule changes as they happen. We also handle provider credentialing and re-credentialing with Arkansas payers so nothing lapses.
We serve Arkansas practices statewide, from Little Rock, Fort Smith, Fayetteville, Springdale, Jonesboro, and everywhere in between — not just the biggest metro area.