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Plan
DescriptionProduct
Event
Reason
Group
Service TypeCommunication
Channel
Service
Status - (LI)
OP
Event Status
Reason - (LI)
OP
Level Of
Urgency
Number
of Auths
Market Place
– ArkansasBronze
Other
MedicalBiopharmacy Phone APPROVE Pay Standard 1
Market Place
– ArkansasBronze
Other
MedicalBiopharmacy Web APPROVE Pay Standard 1
Market Place
– ArkansasBronze
Other
MedicalDME Phone APPROVE Pay Standard 1
Market Place
– ArkansasBronze
Other
MedicalDME Fax PEND
Special
Instructions
To Claims
Standard 2
Market Place
– ArkansasBronze
Other
MedicalDME Web APPROVE Pay Standard 1
Market Place
– ArkansasBronze
Other
MedicalDME Web PEND
Special
Instructions
To Claims
Standard 1
Market Place
– ArkansasBronze
Other
MedicalHome Health Phone APPROVE Pay Standard 5
Market Place
– ArkansasBronze
Other
MedicalHome Health Phone APPROVE
Special
Instructions
To Claims
Standard 2
Market Place
– ArkansasBronze
Other
Medical
Inpatient
Services (S&P)Phone APPROVE Pay Retro 1
Market Place
– ArkansasBronze
Other
Medical
Inpatient
Services (S&P)Phone APPROVE Pay Concurrent 6
Market Place
– ArkansasBronze
Other
Medical
Inpatient
Services (S&P)Fax APPROVE Pay Retro 1
Ambetter of Arkansas
June 2015 Outpatient Authorization Statistics
Market Place
– ArkansasBronze
Other
Medical
Inpatient
Services (S&P)Fax APPROVE Pay Concurrent 1
Market Place
– ArkansasBronze
Other
Medical
Inpatient
Services (S&P)Web APPROVE Pay Standard 1
Market Place
– ArkansasBronze
Other
Medical
Inpatient
Services (S&P)Web APPROVE Pay Concurrent 4
Market Place
– ArkansasBronze
Other
MedicalObservation Phone APPROVE Pay Retro 1
Market Place
– ArkansasBronze
Other
MedicalObservation Phone APPROVE Pay Standard 1
Market Place
– ArkansasBronze
Other
MedicalObservation Phone APPROVE Pay Concurrent 1
Market Place
– ArkansasBronze
Other
Medical
Outpatient
SurgeryPhone APPROVE Pay Standard 2
Market Place
– ArkansasBronze
Other
MedicalSleep Study Phone APPROVE Pay
Level of
Urgency not
indicated in
source.
2
Market Place
– ArkansasBronze
Other
MedicalSleep Study Phone APPROVE Pay Standard 3
Market Place
– ArkansasBronze
Other
MedicalOB Ultrasound Fax APPROVE Pay Standard 1
Market Place
– ArkansasBronze
Other
Medical
Hyperbaric
Oxygen
Therapy
Phone APPROVE Pay Standard 1
Market Place
– ArkansasGold
Other
Medical
Inpatient
Services (S&P)Phone APPROVE Pay Concurrent 1
Market Place
– ArkansasGold
Other
Medical
Inpatient
Services (S&P)Web APPROVE Pay Standard 1
Market Place
– ArkansasGold
Other
Medical
Inpatient
Services (S&P)Web APPROVE Pay Concurrent 2
Market Place
– ArkansasGold
Other
MedicalObservation Fax APPROVE Pay Retro 1
Market Place
– ArkansasGold
Other
MedicalVendor Fax DENY Admin Denial Standard 1
Market Place
– ArkansasGold
Other
MedicalOB Ultrasound Web APPROVE Pay Retro 1
Market Place
– Arkansas
Missing
Product
Group
Other
MedicalBiopharmacy Phone
Event status
reason not
indicated in
source.
Standard 1
Market Place
– Arkansas
Missing
Product
Group
Other
MedicalBiopharmacy Fax DENY
Denied by
Medical
Services
Level of
Urgency not
indicated in
source.
1
Market Place
– Arkansas
Missing
Product
Group
Other
MedicalBiopharmacy Web APPROVE Pay Standard 2
Market Place
– Arkansas
Missing
Product
Group
Other
MedicalDME Phone
Event status
reason not
indicated in
source.
Standard 2
Market Place
– Arkansas
Missing
Product
Group
Other
MedicalDME Phone APPROVE Pay Standard 1
Market Place
– Arkansas
Missing
Product
Group
Other
MedicalDME Web APPROVE Pay
Level of
Urgency not
indicated in
source.
1
Market Place
– Arkansas
Missing
Product
Group
Other
MedicalDME Web APPROVE Pay Urgent 1
Market Place
– Arkansas
Missing
Product
Group
Other
MedicalDME Web APPROVE Pay Standard 2
Market Place
– Arkansas
Missing
Product
Group
Other
Medical
Genetic
Testing &
Counseling
Email APPROVE Pay Retro 1
Market Place
– Arkansas
Missing
Product
Group
Other
MedicalHome Health Phone APPROVE Pay Standard 1
Market Place
– Arkansas
Missing
Product
Group
Other
MedicalHome Health Phone APPROVE Pay Concurrent 3
Market Place
– Arkansas
Missing
Product
Group
Other
MedicalHome Health Fax
Event status
reason not
indicated in
source.
Retro 1
Market Place
– Arkansas
Missing
Product
Group
Other
MedicalHome Health Fax APPROVE Pay Retro 1
Market Place
– Arkansas
Missing
Product
Group
Other
Medical
Inpatient
Services (S&P)Phone APPROVE Pay Retro 1
Market Place
– Arkansas
Missing
Product
Group
Other
Medical
Inpatient
Services (S&P)Phone APPROVE Pay Standard 4
Market Place
– Arkansas
Missing
Product
Group
Other
Medical
Inpatient
Services (S&P)Phone APPROVE Pay Concurrent 14
Market Place
– Arkansas
Missing
Product
Group
Other
Medical
Inpatient
Services (S&P)Fax APPROVE Pay Retro 1
Market Place
– Arkansas
Missing
Product
Group
Other
Medical
Inpatient
Services (S&P)Web APPROVE Pay Urgent 1
Market Place
– Arkansas
Missing
Product
Group
Other
Medical
Inpatient
Services (S&P)Web APPROVE Pay Retro 1
Market Place
– Arkansas
Missing
Product
Group
Other
Medical
Inpatient
Services (S&P)Web APPROVE Pay Standard 1
Market Place
– Arkansas
Missing
Product
Group
Other
Medical
Inpatient
Services (S&P)Web APPROVE Pay Concurrent 11
Market Place
– Arkansas
Missing
Product
Group
Other
MedicalObservation Web APPROVE Pay
Level of
Urgency not
indicated in
source.
1
Market Place
– Arkansas
Missing
Product
Group
Other
Medical
Pain
ManagementPhone
Event status
reason not
indicated in
source.
Standard 1
Market Place
– Arkansas
Missing
Product
Group
Other
Medical
Pain
ManagementWeb
Event status
reason not
indicated in
source.
Standard 3
Market Place
– Arkansas
Missing
Product
Group
Other
MedicalSleep Study Phone
Event status
reason not
indicated in
source.
Standard 4
Market Place
– Arkansas
Missing
Product
Group
Other
MedicalSleep Study Phone APPROVE Pay Standard 2
Market Place
– Arkansas
Missing
Product
Group
Other
MedicalSleep Study Web APPROVE Pay Standard 4
Market Place
– Arkansas
Missing
Product
Group
Other
MedicalOrthotics Web
Event status
reason not
indicated in
source.
Standard 2
Market Place
– Arkansas
Missing
Product
Group
Other
MedicalOrthotics Web APPROVE Pay Standard 1
Market Place
– Arkansas
Missing
Product
Group
Other
MedicalProsthetics Web
Event status
reason not
indicated in
source.
Standard 4
Market Place
– Arkansas
Missing
Product
Group
Other
MedicalDrug Testing Fax APPROVE Pay Standard 6
Market Place
– Arkansas
Missing
Product
Group
Other
MedicalDrug Testing Web
Event status
reason not
indicated in
source.
Standard 2
Market Place
– Arkansas
Missing
Product
Group
Other
MedicalDrug Testing Web APPROVE Pay Standard 13
Market Place
– Arkansas
Missing
Product
Group
Other
MedicalOB Ultrasound Web
Event status
reason not
indicated in
source.
Standard 1
Market Place
– ArkansasSilver
Behavioral
HealthBH PHP Phone APPROVE
Event status
reason not
indicated in
source.
Concurrent 1
Market Place
– ArkansasSilver
Behavioral
HealthBH PHP Phone APPROVE Pay
Level of
Urgency not
indicated in
source.
4
Market Place
– ArkansasSilver
Behavioral
HealthBH PHP Phone APPROVE Pay Standard 5
Market Place
– ArkansasSilver
Behavioral
HealthBH PHP Phone APPROVE Pay Concurrent 95
Market Place
– ArkansasSilver
Behavioral
HealthBH PHP Phone APPROVE Pay on Appeal Concurrent 1
Market Place
– ArkansasSilver
Behavioral
HealthBH PHP Phone DENY
Denied by
Medical
Services
Concurrent 5
Market Place
– ArkansasSilver
Behavioral
HealthBH PHP Phone DENY Admin Denial Concurrent 1
Market Place
– ArkansasSilver
Behavioral
HealthBH PHP Phone PEND
Special
Instructions
To Claims
Concurrent 1
Market Place
– ArkansasSilver
Behavioral
HealthBH PHP Phone PEND Under Review Concurrent 1
Market Place
– ArkansasSilver
Behavioral
HealthBH PHP Fax APPROVE Pay Concurrent 3
Market Place
– ArkansasSilver
Behavioral
HealthMH/CD OBS Fax APPROVE Pay Retro 1
Market Place
– ArkansasSilver
Other
MedicalBiopharmacy Phone
Event status
reason not
indicated in
source.
Standard 1
Market Place
– ArkansasSilver
Other
MedicalBiopharmacy Phone APPROVE
Event status
reason not
indicated in
source.
Level of
Urgency not
indicated in
source.
1
Market Place
– ArkansasSilver
Other
MedicalBiopharmacy Phone APPROVE Pay
Level of
Urgency not
indicated in
source.
1
Market Place
– ArkansasSilver
Other
MedicalBiopharmacy Phone APPROVE Pay Urgent 7
Market Place
– ArkansasSilver
Other
MedicalBiopharmacy Phone APPROVE Pay Retro 6
Market Place
– ArkansasSilver
Other
MedicalBiopharmacy Phone APPROVE Pay Standard 140
Market Place
– ArkansasSilver
Other
MedicalBiopharmacy Phone APPROVE Pay Concurrent 2
Market Place
– ArkansasSilver
Other
MedicalBiopharmacy Phone APPROVE
Special
Instructions
To Claims
Standard 1
Market Place
– ArkansasSilver
Other
MedicalBiopharmacy Phone DENY
Denied by
Medical
Services
Standard 20
Market Place
– ArkansasSilver
Other
MedicalBiopharmacy Phone DENY Admin Denial Standard 2
Market Place
– ArkansasSilver
Other
MedicalBiopharmacy Phone PEND Pay Standard 1
Market Place
– ArkansasSilver
Other
MedicalBiopharmacy Fax APPROVE Pay Retro 1
Market Place
– ArkansasSilver
Other
MedicalBiopharmacy Fax APPROVE Pay Standard 33
Market Place
– ArkansasSilver
Other
MedicalBiopharmacy Fax APPROVE Pay Concurrent 1
Market Place
– ArkansasSilver
Other
MedicalBiopharmacy Fax APPROVE Pay on Appeal Standard 1
Market Place
– ArkansasSilver
Other
MedicalBiopharmacy Fax APPROVE
Special
Instructions
To Claims
Standard 1
Market Place
– ArkansasSilver
Other
MedicalBiopharmacy Fax DENY
Denied by
Medical
Services
Standard 1
Market Place
– ArkansasSilver
Other
MedicalBiopharmacy Fax DENY Admin Denial Standard 1
Market Place
– ArkansasSilver
Other
MedicalBiopharmacy Web
Event status
reason not
indicated in
source.
Standard 1
Market Place
– ArkansasSilver
Other
MedicalBiopharmacy Web APPROVE Pay Urgent 5
Market Place
– ArkansasSilver
Other
MedicalBiopharmacy Web APPROVE Pay Standard 95
Market Place
– ArkansasSilver
Other
MedicalBiopharmacy Web APPROVE Pay Concurrent 1
Market Place
– ArkansasSilver
Other
MedicalBiopharmacy Web APPROVE
Denied by
Medical
Services
Standard 1
Market Place
– ArkansasSilver
Other
MedicalBiopharmacy Web DENY Pay Standard 1
Market Place
– ArkansasSilver
Other
MedicalBiopharmacy Web DENY
Denied by
Medical
Services
Urgent 1
Market Place
– ArkansasSilver
Other
MedicalBiopharmacy Web DENY
Denied by
Medical
Services
Standard 11
Market Place
– ArkansasSilver
Other
MedicalBiopharmacy Other APPROVE Pay Retro 1
Market Place
– ArkansasSilver
Other
MedicalBiopharmacy Email APPROVE Pay Retro 1
Market Place
– ArkansasSilver
Other
MedicalBiopharmacy Email APPROVE Pay Standard 1
Market Place
– ArkansasSilver
Other
MedicalTransplant Phone APPROVE Pay Retro 2
Market Place
– ArkansasSilver
Other
MedicalTransplant Fax APPROVE Pay
Level of
Urgency not
indicated in
source.
4
Market Place
– ArkansasSilver
Other
MedicalTransplant Fax APPROVE Pay Standard 17
Market Place
– ArkansasSilver
Other
MedicalTransplant Fax DENY
Denied by
Medical
Services
Standard 8
Market Place
– ArkansasSilver
Other
MedicalTransplant Fax PEND
Special
Instructions
To Claims
Standard 7
Market Place
– ArkansasSilver
Other
MedicalTransplant Fax PEND Under Review Standard 1
Market Place
– ArkansasSilver
Other
MedicalDME
Communication
channel given in
source but not
found in
APPROVE Pay Standard 1
Market Place
– ArkansasSilver
Other
MedicalDME Phone
Event status
reason not
indicated in
source.
Urgent 1
Market Place
– ArkansasSilver
Other
MedicalDME Phone
Event status
reason not
indicated in
source.
Standard 7
Market Place
– ArkansasSilver
Other
MedicalDME Phone APPROVE
Event status
reason not
indicated in
source.
Level of
Urgency not
indicated in
source.
1
Market Place
– ArkansasSilver
Other
MedicalDME Phone APPROVE Pay
Level of
Urgency not
indicated in
source.
3
Market Place
– ArkansasSilver
Other
MedicalDME Phone APPROVE Pay Urgent 10
Market Place
– ArkansasSilver
Other
MedicalDME Phone APPROVE Pay Retro 12
Market Place
– ArkansasSilver
Other
MedicalDME Phone APPROVE Pay Standard 458
Market Place
– ArkansasSilver
Other
MedicalDME Phone APPROVE Pay Concurrent 17
Market Place
– ArkansasSilver
Other
MedicalDME Phone APPROVE
Special
Instructions
To Claims
Urgent 1
Market Place
– ArkansasSilver
Other
MedicalDME Phone APPROVE
Special
Instructions
To Claims
Standard 2
Market Place
– ArkansasSilver
Other
MedicalDME Phone APPROVE
Denied by
Medical
Services
Standard 1
Market Place
– ArkansasSilver
Other
MedicalDME Phone APPROVE
Denial Upheld
on AppealStandard 1
Market Place
– ArkansasSilver
Other
MedicalDME Phone DENY Pay Standard 1
Market Place
– ArkansasSilver
Other
MedicalDME Phone DENY
Denied by
Medical
Services
Level of
Urgency not
indicated in
source.
1
Market Place
– ArkansasSilver
Other
MedicalDME Phone DENY
Denied by
Medical
Services
Retro 1
Market Place
– ArkansasSilver
Other
MedicalDME Phone DENY
Denied by
Medical
Services
Standard 39
Market Place
– ArkansasSilver
Other
MedicalDME Phone DENY
Denied by
Medical
Services
Concurrent 2
Market Place
– ArkansasSilver
Other
MedicalDME Phone DENY
Denial Upheld
on AppealStandard 1
Market Place
– ArkansasSilver
Other
MedicalDME Phone DENY Admin Denial Standard 3
Market Place
– ArkansasSilver
Other
MedicalDME Phone DENY Admin Denial Concurrent 1
Market Place
– ArkansasSilver
Other
MedicalDME Phone PEND
Event status
reason not
indicated in
source.
Standard 1
Market Place
– ArkansasSilver
Other
MedicalDME Phone PEND Pay Standard 6
Market Place
– ArkansasSilver
Other
MedicalDME Phone PEND
Special
Instructions
To Claims
Urgent 2
Market Place
– ArkansasSilver
Other
MedicalDME Phone PEND
Special
Instructions
To Claims
Standard 84
Market Place
– ArkansasSilver
Other
MedicalDME Phone PEND
Special
Instructions
To Claims
Concurrent 2
Market Place
– ArkansasSilver
Other
MedicalDME Fax
Event status
reason not
indicated in
source.
Retro 1
Market Place
– ArkansasSilver
Other
MedicalDME Fax
Event status
reason not
indicated in
source.
Standard 1
Market Place
– ArkansasSilver
Other
MedicalDME Fax APPROVE
Event status
reason not
indicated in
source.
Level of
Urgency not
indicated in
source.
1
Market Place
– ArkansasSilver
Other
MedicalDME Fax APPROVE Pay
Level of
Urgency not
indicated in
source.
3
Market Place
– ArkansasSilver
Other
MedicalDME Fax APPROVE Pay Urgent 1
Market Place
– ArkansasSilver
Other
MedicalDME Fax APPROVE Pay Retro 8
Market Place
– ArkansasSilver
Other
MedicalDME Fax APPROVE Pay Standard 159
Market Place
– ArkansasSilver
Other
MedicalDME Fax APPROVE Pay Stabilization 2
Market Place
– ArkansasSilver
Other
MedicalDME Fax APPROVE Pay Concurrent 13
Market Place
– ArkansasSilver
Other
MedicalDME Fax APPROVE
Special
Instructions
To Claims
Standard 3
Market Place
– ArkansasSilver
Other
MedicalDME Fax DENY
Denied by
Medical
Services
Standard 7
Market Place
– ArkansasSilver
Other
MedicalDME Fax DENY Admin Denial Standard 2
Market Place
– ArkansasSilver
Other
MedicalDME Fax DENY Admin Denial Concurrent 1
Market Place
– ArkansasSilver
Other
MedicalDME Fax PEND Pay Standard 3
Market Place
– ArkansasSilver
Other
MedicalDME Fax PEND Pay Stabilization 1
Market Place
– ArkansasSilver
Other
MedicalDME Fax PEND
Special
Instructions
To Claims
Retro 1
Market Place
– ArkansasSilver
Other
MedicalDME Fax PEND
Special
Instructions
To Claims
Standard 41
Market Place
– ArkansasSilver
Other
MedicalDME Web
Event status
reason not
indicated in
source.
Standard 3
Market Place
– ArkansasSilver
Other
MedicalDME Web APPROVE
Event status
reason not
indicated in
source.
Level of
Urgency not
indicated in
source.
1
Market Place
– ArkansasSilver
Other
MedicalDME Web APPROVE Pay
Level of
Urgency not
indicated in
source.
2
Market Place
– ArkansasSilver
Other
MedicalDME Web APPROVE Pay Urgent 17
Market Place
– ArkansasSilver
Other
MedicalDME Web APPROVE Pay Standard 486
Market Place
– ArkansasSilver
Other
MedicalDME Web APPROVE Pay Concurrent 6
Market Place
– ArkansasSilver
Other
MedicalDME Web APPROVE
Special
Instructions
To Claims
Standard 2
Market Place
– ArkansasSilver
Other
MedicalDME Web APPROVE
Denial Upheld
on AppealStandard 1
Market Place
– ArkansasSilver
Other
MedicalDME Web DENY
Denied by
Medical
Services
Urgent 1
Market Place
– ArkansasSilver
Other
MedicalDME Web DENY
Denied by
Medical
Services
Retro 1
Market Place
– ArkansasSilver
Other
MedicalDME Web DENY
Denied by
Medical
Services
Standard 32
Market Place
– ArkansasSilver
Other
MedicalDME Web DENY
Denied by
Medical
Services
Concurrent 1
Market Place
– ArkansasSilver
Other
MedicalDME Web DENY Admin Denial Standard 3
Market Place
– ArkansasSilver
Other
MedicalDME Web PEND Pay Standard 7
Market Place
– ArkansasSilver
Other
MedicalDME Web PEND
Special
Instructions
To Claims
Urgent 3
Market Place
– ArkansasSilver
Other
MedicalDME Web PEND
Special
Instructions
To Claims
Retro 1
Market Place
– ArkansasSilver
Other
MedicalDME Web PEND
Special
Instructions
To Claims
Standard 108
Market Place
– ArkansasSilver
Other
MedicalDME Web PEND
Avoidable
ReadmissionStandard 1
Market Place
– ArkansasSilver
Other
MedicalDME Other APPROVE Pay Retro 2
Market Place
– ArkansasSilver
Other
MedicalDME CDMS-Fax APPROVE Pay Standard 13
Market Place
– ArkansasSilver
Other
MedicalDME CDMS-Fax DENY
Denied by
Medical
Services
Standard 1
Market Place
– ArkansasSilver
Other
MedicalDME CDMS-Fax PEND
Special
Instructions
To Claims
Standard 1
Market Place
– ArkansasSilver
Other
MedicalDME Email APPROVE Pay Retro 3
Market Place
– ArkansasSilver
Other
MedicalDME Email APPROVE Pay Standard 1
Market Place
– ArkansasSilver
Other
MedicalDME Email PEND
Special
Instructions
To Claims
Standard 1
Market Place
– ArkansasSilver
Other
Medical
Genetic
Testing &
Counseling
Phone
Event status
reason not
indicated in
source.
Standard 2
Market Place
– ArkansasSilver
Other
Medical
Genetic
Testing &
Counseling
Phone APPROVE Pay Standard 7
Market Place
– ArkansasSilver
Other
Medical
Genetic
Testing &
Counseling
Phone APPROVE Pay Concurrent 1
Market Place
– ArkansasSilver
Other
Medical
Genetic
Testing &
Counseling
Phone APPROVE
Denied by
Medical
Services
Standard 1
Market Place
– ArkansasSilver
Other
Medical
Genetic
Testing &
Counseling
Phone DENY
Denied by
Medical
Services
Standard 5
Market Place
– ArkansasSilver
Other
Medical
Genetic
Testing &
Counseling
Phone DENY Admin Denial Standard 1
Market Place
– ArkansasSilver
Other
Medical
Genetic
Testing &
Counseling
Phone PEND Pay Standard 2
Market Place
– ArkansasSilver
Other
Medical
Genetic
Testing &
Counseling
Phone PEND
Special
Instructions
To Claims
Concurrent 1
Market Place
– ArkansasSilver
Other
Medical
Genetic
Testing &
Counseling
Fax APPROVE Pay Retro 2
Market Place
– ArkansasSilver
Other
Medical
Genetic
Testing &
Counseling
Fax APPROVE Pay Standard 19
Market Place
– ArkansasSilver
Other
Medical
Genetic
Testing &
Counseling
Fax APPROVE Under Review Standard 1
Market Place
– ArkansasSilver
Other
Medical
Genetic
Testing &
Counseling
Fax DENY
Denied by
Medical
Services
Standard 5
Market Place
– ArkansasSilver
Other
Medical
Genetic
Testing &
Counseling
Fax DENY
Denied by
Medical
Services
Stabilization 1
Market Place
– ArkansasSilver
Other
Medical
Genetic
Testing &
Counseling
Fax PEND
Special
Instructions
To Claims
Retro 1
Market Place
– ArkansasSilver
Other
Medical
Genetic
Testing &
Counseling
Web APPROVE Pay Standard 5
Market Place
– ArkansasSilver
Other
Medical
Genetic
Testing &
Counseling
Web APPROVE Pay Concurrent 2
Market Place
– ArkansasSilver
Other
MedicalHome Health Phone
Event status
reason not
indicated in
source.
Standard 2
Market Place
– ArkansasSilver
Other
MedicalHome Health Phone APPROVE
Event status
reason not
indicated in
source.
Level of
Urgency not
indicated in
source.
7
Market Place
– ArkansasSilver
Other
MedicalHome Health Phone APPROVE Pay
Level of
Urgency not
indicated in
source.
12
Market Place
– ArkansasSilver
Other
MedicalHome Health Phone APPROVE Pay Urgent 3
Market Place
– ArkansasSilver
Other
MedicalHome Health Phone APPROVE Pay Retro 32
Market Place
– ArkansasSilver
Other
MedicalHome Health Phone APPROVE Pay Standard 722
Market Place
– ArkansasSilver
Other
MedicalHome Health Phone APPROVE Pay Stabilization 4
Market Place
– ArkansasSilver
Other
MedicalHome Health Phone APPROVE Pay Concurrent 120
Market Place
– ArkansasSilver
Other
MedicalHome Health Phone APPROVE
Pend-Partial
Approval on
Appeal
Standard 2
Market Place
– ArkansasSilver
Other
MedicalHome Health Phone APPROVE
Pend Partial
ApprovalRetro 1
Market Place
– ArkansasSilver
Other
MedicalHome Health Phone APPROVE
Pend Partial
ApprovalStandard 8
Market Place
– ArkansasSilver
Other
MedicalHome Health Phone APPROVE
Pend Partial
ApprovalStabilization 1
Market Place
– ArkansasSilver
Other
MedicalHome Health Phone APPROVE
Pend Partial
ApprovalConcurrent 1
Market Place
– ArkansasSilver
Other
MedicalHome Health Phone APPROVE
Special
Instructions
To Claims
Level of
Urgency not
indicated in
source.
1
Market Place
– ArkansasSilver
Other
MedicalHome Health Phone APPROVE
Special
Instructions
To Claims
Retro 2
Market Place
– ArkansasSilver
Other
MedicalHome Health Phone APPROVE
Special
Instructions
To Claims
Standard 22
Market Place
– ArkansasSilver
Other
MedicalHome Health Phone APPROVE
Special
Instructions
To Claims
Concurrent 4
Market Place
– ArkansasSilver
Other
MedicalHome Health Phone APPROVE
Denied by
Medical
Services
Standard 3
Market Place
– ArkansasSilver
Other
MedicalHome Health Phone APPROVE
Denied by
Medical
Services
Concurrent 1
Market Place
– ArkansasSilver
Other
MedicalHome Health Phone DENY Pay Retro 1
Market Place
– ArkansasSilver
Other
MedicalHome Health Phone DENY Pay Standard 15
Market Place
– ArkansasSilver
Other
MedicalHome Health Phone DENY Pay Concurrent 2
Market Place
– ArkansasSilver
Other
MedicalHome Health Phone DENY
Pend-Partial
Approval on
Appeal
Standard 2
Market Place
– ArkansasSilver
Other
MedicalHome Health Phone DENY
Pend Partial
ApprovalRetro 1
Market Place
– ArkansasSilver
Other
MedicalHome Health Phone DENY
Pend Partial
ApprovalStandard 8
Market Place
– ArkansasSilver
Other
MedicalHome Health Phone DENY
Pend Partial
ApprovalConcurrent 1
Market Place
– ArkansasSilver
Other
MedicalHome Health Phone DENY
Special
Instructions
To Claims
Standard 3
Market Place
– ArkansasSilver
Other
MedicalHome Health Phone DENY
Denied by
Medical
Services
Retro 1
Market Place
– ArkansasSilver
Other
MedicalHome Health Phone DENY
Denied by
Medical
Services
Standard 22
Market Place
– ArkansasSilver
Other
MedicalHome Health Phone DENY
Denied by
Medical
Services
Concurrent 4
Market Place
– ArkansasSilver
Other
MedicalHome Health Phone DENY Admin Denial Standard 4
Market Place
– ArkansasSilver
Other
MedicalHome Health Phone PEND Pay Standard 3
Market Place
– ArkansasSilver
Other
MedicalHome Health Phone PEND
Special
Instructions
To Claims
Level of
Urgency not
indicated in
source.
1
Market Place
– ArkansasSilver
Other
MedicalHome Health Phone PEND
Special
Instructions
To Claims
Standard 26
Market Place
– ArkansasSilver
Other
MedicalHome Health Phone PEND
Special
Instructions
To Claims
Concurrent 4
Market Place
– ArkansasSilver
Other
MedicalHome Health Fax
Event status
reason not
indicated in
source.
Standard 1
Market Place
– ArkansasSilver
Other
MedicalHome Health Fax APPROVE Pay Retro 6
Market Place
– ArkansasSilver
Other
MedicalHome Health Fax APPROVE Pay Standard 26
Market Place
– ArkansasSilver
Other
MedicalHome Health Fax APPROVE Pay Concurrent 31
Market Place
– ArkansasSilver
Other
MedicalHome Health Fax APPROVE
Special
Instructions
To Claims
Standard 2
Market Place
– ArkansasSilver
Other
MedicalHome Health Fax APPROVE
Denied by
Medical
Services
Concurrent 2
Market Place
– ArkansasSilver
Other
MedicalHome Health Fax DENY Pay Concurrent 2
Market Place
– ArkansasSilver
Other
MedicalHome Health Fax DENY
Denied by
Medical
Services
Standard 1
Market Place
– ArkansasSilver
Other
MedicalHome Health Fax DENY
Denied by
Medical
Services
Concurrent 3
Market Place
– ArkansasSilver
Other
MedicalHome Health Fax DENY Admin Denial Retro 1
Market Place
– ArkansasSilver
Other
MedicalHome Health Fax DENY Admin Denial Concurrent 1
Market Place
– ArkansasSilver
Other
MedicalHome Health Fax PEND
Special
Instructions
To Claims
Standard 5
Market Place
– ArkansasSilver
Other
MedicalHome Health Fax PEND
Special
Instructions
To Claims
Concurrent 2
Market Place
– ArkansasSilver
Other
MedicalHome Health Web APPROVE Pay Urgent 1
Market Place
– ArkansasSilver
Other
MedicalHome Health Web APPROVE Pay Retro 6
Market Place
– ArkansasSilver
Other
MedicalHome Health Web APPROVE Pay Standard 46
Market Place
– ArkansasSilver
Other
MedicalHome Health Web APPROVE Pay Concurrent 1
Market Place
– ArkansasSilver
Other
MedicalHome Health Web APPROVE
Pend Partial
ApprovalStandard 1
Market Place
– ArkansasSilver
Other
MedicalHome Health Web DENY Pay Standard 3
Market Place
– ArkansasSilver
Other
MedicalHome Health Web DENY
Denied by
Medical
Services
Standard 1
Market Place
– ArkansasSilver
Other
MedicalHome Health Web PEND
Event status
reason not
indicated in
source.
Standard 1
Market Place
– ArkansasSilver
Other
MedicalHome Health Web PEND
Pend Partial
ApprovalStandard 1
Market Place
– ArkansasSilver
Other
MedicalHome Health Web PEND
Special
Instructions
To Claims
Standard 6
Market Place
– ArkansasSilver
Other
MedicalHome Health Other APPROVE Pay Retro 1
Market Place
– ArkansasSilver
Other
MedicalHome Health CDMS-Fax APPROVE Pay Standard 21
Market Place
– ArkansasSilver
Other
MedicalHome Health CDMS-Fax DENY Pay Standard 1
Market Place
– ArkansasSilver
Other
MedicalHome Health CDMS-Fax DENY
Denied by
Medical
Services
Standard 1
Market Place
– ArkansasSilver
Other
MedicalHome Health Email APPROVE Pay Retro 1
Market Place
– ArkansasSilver
Other
MedicalHospice Phone APPROVE Pay
Level of
Urgency not
indicated in
source.
1
Market Place
– ArkansasSilver
Other
MedicalHospice Phone APPROVE Pay Retro 4
Market Place
– ArkansasSilver
Other
MedicalHospice Phone APPROVE Pay Standard 5
Market Place
– ArkansasSilver
Other
MedicalHospice Phone APPROVE Pay Concurrent 11
Market Place
– ArkansasSilver
Other
MedicalHospice Phone APPROVE
Special
Instructions
To Claims
Retro 1
Market Place
– ArkansasSilver
Other
MedicalHospice Fax APPROVE Pay Concurrent 1
Market Place
– ArkansasSilver
Other
MedicalHospice Web APPROVE Pay Standard 1
Market Place
– ArkansasSilver
Other
MedicalHospice Other APPROVE Pay Retro 1
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Phone
Event status
reason not
indicated in
source.
Concurrent 2
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Phone APPROVE
Event status
reason not
indicated in
source.
Level of
Urgency not
indicated in
source.
6
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Phone APPROVE
Event status
reason not
indicated in
source.
Retro 1
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Phone APPROVE Pay
Level of
Urgency not
indicated in
source.
17
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Phone APPROVE Pay Urgent 8
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Phone APPROVE Pay Retro 139
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Phone APPROVE Pay Standard 547
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Phone APPROVE Pay Stabilization 2
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Phone APPROVE Pay Concurrent 1,405
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Phone APPROVE Pay on Appeal Concurrent 2
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Phone APPROVE
Pend Partial
ApprovalStandard 1
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Phone APPROVE
Pend Partial
ApprovalConcurrent 2
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Phone APPROVE
Special
Instructions
To Claims
Concurrent 1
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Phone APPROVE
Denied by
Medical
Services
Concurrent 3
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Phone APPROVE Under Review Standard 1
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Phone DENY
Event status
reason not
indicated in
source.
Level of
Urgency not
indicated in
source.
1
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Phone DENY Pay Retro 2
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Phone DENY Pay Standard 3
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Phone DENY Pay Concurrent 12
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Phone DENY
Pend Partial
ApprovalStandard 1
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Phone DENY
Pend Partial
ApprovalConcurrent 2
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Phone DENY
Special
Instructions
To Claims
Retro 1
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Phone DENY
Denied by
Medical
Services
Urgent 1
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Phone DENY
Denied by
Medical
Services
Retro 5
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Phone DENY
Denied by
Medical
Services
Expedited 1
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Phone DENY
Denied by
Medical
Services
Standard 26
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Phone DENY
Denied by
Medical
Services
Concurrent 39
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Phone DENY
Denial Upheld
on AppealStandard 1
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Phone DENY
Denial Upheld
on AppealConcurrent 1
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Phone DENY Admin Denial Standard 2
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Phone DENY Admin Denial Concurrent 4
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Phone PEND Pay
Level of
Urgency not
indicated in
source.
1
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Phone PEND Pay Retro 1
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Phone PEND Pay Standard 3
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Phone PEND Pay Concurrent 12
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Phone PEND
Special
Instructions
To Claims
Concurrent 1
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Phone PEND
Avoidable
ReadmissionStandard 1
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Fax APPROVE Pay
Level of
Urgency not
indicated in
source.
2
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Fax APPROVE Pay Urgent 6
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Fax APPROVE Pay Retro 76
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Fax APPROVE Pay Standard 57
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Fax APPROVE Pay Concurrent 206
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Fax DENY Pay Urgent 1
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Fax DENY Pay Standard 1
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Fax DENY Pay Concurrent 2
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Fax DENY
Denied by
Medical
Services
Standard 4
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Fax DENY
Denied by
Medical
Services
Concurrent 8
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Fax DENY Admin Denial Retro 2
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Fax DENY Admin Denial Standard 1
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Fax PEND Pay Concurrent 3
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Fax PEND
Special
Instructions
To Claims
Concurrent 1
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Mail APPROVE Pay Retro 4
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Mail APPROVE Pay Concurrent 3
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Mail APPROVE Pay on Appeal Retro 6
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Web
Event status
reason not
indicated in
source.
Retro 1
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Web APPROVE
Event status
reason not
indicated in
source.
Level of
Urgency not
indicated in
source.
1
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Web APPROVE Pay
Level of
Urgency not
indicated in
source.
14
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Web APPROVE Pay Urgent 32
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Web APPROVE Pay Non-Urgent 2
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Web APPROVE Pay Retro 42
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Web APPROVE Pay Standard 344
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Web APPROVE Pay Stabilization 3
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Web APPROVE Pay Concurrent 767
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Web APPROVE Pay on Appeal Standard 1
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Web APPROVE Pay on Appeal Concurrent 2
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Web APPROVE
Pend Partial
ApprovalConcurrent 2
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Web APPROVE
Special
Instructions
To Claims
Standard 2
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Web APPROVE
Special
Instructions
To Claims
Concurrent 2
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Web APPROVE
Denied by
Medical
Services
Concurrent 3
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Web DENY Pay Concurrent 4
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Web DENY
Pend Partial
ApprovalConcurrent 2
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Web DENY
Special
Instructions
To Claims
Concurrent 2
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Web DENY
Denied by
Medical
Services
Retro 1
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Web DENY
Denied by
Medical
Services
Standard 5
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Web DENY
Denied by
Medical
Services
Concurrent 17
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Web DENY Admin Denial Retro 1
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Web DENY Admin Denial Standard 1
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Web DENY Admin Denial Concurrent 3
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Web PEND Pay Standard 6
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Web PEND Pay Concurrent 10
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Web PEND
Pend Partial
ApprovalConcurrent 1
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Web PEND
Special
Instructions
To Claims
Standard 1
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Web PEND
Special
Instructions
To Claims
Concurrent 1
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Other
Event status
reason not
indicated in
source.
Retro 3
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Other APPROVE Pay Retro 32
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Other APPROVE Pay Concurrent 5
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Other APPROVE Pay on Appeal Retro 7
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Other APPROVE Pay on Appeal Standard 1
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Other APPROVE Pay on Appeal Concurrent 1
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)CDMS-Fax APPROVE Pay Standard 5
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)CDMS-Fax APPROVE Pay Concurrent 1
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)CDMS-Fax DENY Admin Denial Standard 1
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)CDMS-Fax PP APPROVE Pay Standard 1
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)CDMS-Fax PP APPROVE Pay Concurrent 1
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Email
Event status
reason not
indicated in
source.
Retro 1
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Email APPROVE Pay Retro 6
Market Place
– ArkansasSilver
Other
Medical
Inpatient
Services (S&P)Email APPROVE Pay Concurrent 5
Market Place
– ArkansasSilver
Other
MedicalObservation Phone APPROVE
Event status
reason not
indicated in
source.
Level of
Urgency not
indicated in
source.
1
Market Place
– ArkansasSilver
Other
MedicalObservation Phone APPROVE Pay
Level of
Urgency not
indicated in
source.
14
Market Place
– ArkansasSilver
Other
MedicalObservation Phone APPROVE Pay Emergency 1
Market Place
– ArkansasSilver
Other
MedicalObservation Phone APPROVE Pay Urgent 1
Market Place
– ArkansasSilver
Other
MedicalObservation Phone APPROVE Pay Retro 122
Market Place
– ArkansasSilver
Other
MedicalObservation Phone APPROVE Pay Standard 114
Market Place
– ArkansasSilver
Other
MedicalObservation Phone APPROVE Pay Concurrent 344
Market Place
– ArkansasSilver
Other
MedicalObservation Phone APPROVE Pay on Appeal Retro 1
Market Place
– ArkansasSilver
Other
MedicalObservation Phone APPROVE
Special
Instructions
To Claims
Retro 1
Market Place
– ArkansasSilver
Other
MedicalObservation Phone APPROVE
Special
Instructions
To Claims
Standard 1
Market Place
– ArkansasSilver
Other
MedicalObservation Phone APPROVE
Special
Instructions
To Claims
Concurrent 2
Market Place
– ArkansasSilver
Other
MedicalObservation Phone PEND Pay Standard 1
Market Place
– ArkansasSilver
Other
MedicalObservation Phone PEND Pay Concurrent 1
Market Place
– ArkansasSilver
Other
MedicalObservation Fax APPROVE Pay
Level of
Urgency not
indicated in
source.
3
Market Place
– ArkansasSilver
Other
MedicalObservation Fax APPROVE Pay Retro 60
Market Place
– ArkansasSilver
Other
MedicalObservation Fax APPROVE Pay Standard 15
Market Place
– ArkansasSilver
Other
MedicalObservation Fax APPROVE Pay Concurrent 42
Market Place
– ArkansasSilver
Other
MedicalObservation Fax DENY Admin Denial Retro 1
Market Place
– ArkansasSilver
Other
MedicalObservation Web APPROVE
Event status
reason not
indicated in
source.
Level of
Urgency not
indicated in
source.
3
Market Place
– ArkansasSilver
Other
MedicalObservation Web APPROVE
Event status
reason not
indicated in
source.
Concurrent 1
Market Place
– ArkansasSilver
Other
MedicalObservation Web APPROVE Pay
Level of
Urgency not
indicated in
source.
2
Market Place
– ArkansasSilver
Other
MedicalObservation Web APPROVE Pay Urgent 2
Market Place
– ArkansasSilver
Other
MedicalObservation Web APPROVE Pay Non-Urgent 1
Market Place
– ArkansasSilver
Other
MedicalObservation Web APPROVE Pay Retro 57
Market Place
– ArkansasSilver
Other
MedicalObservation Web APPROVE Pay Standard 125
Market Place
– ArkansasSilver
Other
MedicalObservation Web APPROVE Pay Concurrent 204
Market Place
– ArkansasSilver
Other
MedicalObservation Web APPROVE Pay
Standard
Extension1
Market Place
– ArkansasSilver
Other
MedicalObservation Web APPROVE Pay on Appeal Standard 1
Market Place
– ArkansasSilver
Other
MedicalObservation Web DENY Pay Concurrent 1
Market Place
– ArkansasSilver
Other
MedicalObservation Web PEND
Special
Instructions
To Claims
Standard 1
Market Place
– ArkansasSilver
Other
MedicalObservation Other APPROVE Pay Retro 22
Market Place
– ArkansasSilver
Other
MedicalObservation Other APPROVE Pay Concurrent 1
Market Place
– ArkansasSilver
Other
MedicalObservation CDMS-Fax APPROVE Pay Retro 3
Market Place
– ArkansasSilver
Other
MedicalObservation CDMS-Fax APPROVE Pay Standard 3
Market Place
– ArkansasSilver
Other
MedicalObservation CDMS-Fax APPROVE Pay Concurrent 2
Market Place
– ArkansasSilver
Other
MedicalObservation Email APPROVE Pay Retro 65
Market Place
– ArkansasSilver
Other
MedicalObservation Email APPROVE Pay Concurrent 1
Market Place
– ArkansasSilver
Other
MedicalOffice Visit Phone APPROVE Pay Standard 1
Market Place
– ArkansasSilver
Other
Medical
Outpatient
ServicesPhone APPROVE Pay Standard 19
Market Place
– ArkansasSilver
Other
Medical
Outpatient
ServicesPhone APPROVE Pay Concurrent 2
Market Place
– ArkansasSilver
Other
Medical
Outpatient
ServicesPhone DENY
Denied by
Medical
Services
Urgent 2
Market Place
– ArkansasSilver
Other
Medical
Outpatient
ServicesPhone DENY
Denied by
Medical
Services
Standard 10
Market Place
– ArkansasSilver
Other
Medical
Outpatient
ServicesPhone DENY Admin Denial Urgent 1
Market Place
– ArkansasSilver
Other
Medical
Outpatient
ServicesFax APPROVE Pay Standard 2
Market Place
– ArkansasSilver
Other
Medical
Outpatient
ServicesFax DENY
Denied by
Medical
Services
Standard 1
Market Place
– ArkansasSilver
Other
Medical
Outpatient
ServicesFax DENY Admin Denial Retro 1
Market Place
– ArkansasSilver
Other
Medical
Outpatient
ServicesFax DENY Admin Denial Standard 1
Market Place
– ArkansasSilver
Other
Medical
Outpatient
ServicesFax PEND
Special
Instructions
To Claims
Standard 2
Market Place
– ArkansasSilver
Other
Medical
Outpatient
ServicesWeb APPROVE Pay Standard 18
Market Place
– ArkansasSilver
Other
Medical
Outpatient
ServicesWeb APPROVE Pay Concurrent 3
Market Place
– ArkansasSilver
Other
Medical
Outpatient
ServicesWeb DENY
Denied by
Medical
Services
Standard 2
Market Place
– ArkansasSilver
Other
Medical
Outpatient
Therapy (BH)Phone APPROVE
Event status
reason not
indicated in
source.
Concurrent 2
Market Place
– ArkansasSilver
Other
Medical
Outpatient
Therapy (BH)Phone APPROVE Pay Concurrent 5
Market Place
– ArkansasSilver
Other
Medical
Outpatient
Therapy (BH)Fax APPROVE
Event status
reason not
indicated in
source.
Level of
Urgency not
indicated in
source.
1
Market Place
– ArkansasSilver
Other
Medical
Outpatient
Therapy (BH)Fax APPROVE Pay Standard 5
Market Place
– ArkansasSilver
Other
Medical
Outpatient
Therapy (BH)Fax APPROVE Pay Concurrent 57
Market Place
– ArkansasSilver
Other
Medical
Outpatient
Therapy (BH)Fax DENY Admin Denial Retro 1
Market Place
– ArkansasSilver
Other
Medical
Outpatient
Therapy (BH)Fax PEND
Special
Instructions
To Claims
Concurrent 2
Market Place
– ArkansasSilver
Other
Medical
Outpatient
Therapy (BH)Email APPROVE Pay Standard 1
Market Place
– ArkansasSilver
Other
Medical
Outpatient
SurgeryPhone APPROVE Pay
Level of
Urgency not
indicated in
source.
4
Market Place
– ArkansasSilver
Other
Medical
Outpatient
SurgeryPhone APPROVE Pay Retro 6
Market Place
– ArkansasSilver
Other
Medical
Outpatient
SurgeryPhone APPROVE Pay Standard 344
Market Place
– ArkansasSilver
Other
Medical
Outpatient
SurgeryPhone APPROVE Pay Stabilization 1
Market Place
– ArkansasSilver
Other
Medical
Outpatient
SurgeryPhone APPROVE Pay on Appeal Standard 1
Market Place
– ArkansasSilver
Other
Medical
Outpatient
SurgeryPhone APPROVE
Special
Instructions
To Claims
Retro 1
Market Place
– ArkansasSilver
Other
Medical
Outpatient
SurgeryPhone APPROVE
Denial Upheld
on AppealStandard 2
Market Place
– ArkansasSilver
Other
Medical
Outpatient
SurgeryPhone APPROVE Under Review Standard 4
Market Place
– ArkansasSilver
Other
Medical
Outpatient
SurgeryPhone DENY
Denied by
Medical
Services
Standard 21
Market Place
– ArkansasSilver
Other
Medical
Outpatient
SurgeryPhone DENY
Denial Upheld
on AppealStandard 1
Market Place
– ArkansasSilver
Other
Medical
Outpatient
SurgeryPhone PEND
Avoidable
ReadmissionStandard 1
Market Place
– ArkansasSilver
Other
Medical
Outpatient
SurgeryFax
Event status
reason not
indicated in
source.
Retro 1
Market Place
– ArkansasSilver
Other
Medical
Outpatient
SurgeryFax APPROVE Pay Retro 2
Market Place
– ArkansasSilver
Other
Medical
Outpatient
SurgeryFax APPROVE Pay Standard 19
Market Place
– ArkansasSilver
Other
Medical
Outpatient
SurgeryFax DENY
Denied by
Medical
Services
Standard 3
Market Place
– ArkansasSilver
Other
Medical
Outpatient
SurgeryFax PEND Pay Standard 1
Market Place
– ArkansasSilver
Other
Medical
Outpatient
SurgeryMail DENY Admin Denial Standard 1
Market Place
– ArkansasSilver
Other
Medical
Outpatient
SurgeryWeb APPROVE Pay Standard 68
Market Place
– ArkansasSilver
Other
Medical
Outpatient
SurgeryWeb APPROVE Pay Concurrent 2
Market Place
– ArkansasSilver
Other
Medical
Outpatient
SurgeryWeb DENY
Denied by
Medical
Services
Standard 2
Market Place
– ArkansasSilver
Other
Medical
Outpatient
SurgeryWeb DENY Admin Denial Standard 2
Market Place
– ArkansasSilver
Other
Medical
Outpatient
SurgeryOther APPROVE Pay Retro 4
Market Place
– ArkansasSilver
Other
Medical
Outpatient
SurgeryCDMS-Fax APPROVE Pay Standard 3
Market Place
– ArkansasSilver
Other
Medical
Outpatient
SurgeryCDMS-Fax DENY
Denied by
Medical
Services
Standard 1
Market Place
– ArkansasSilver
Other
Medical
Outpatient
SurgeryEmail
Event status
reason not
indicated in
source.
Retro 1
Market Place
– ArkansasSilver
Other
Medical
Outpatient
SurgeryEmail APPROVE Pay Retro 6
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementPhone
Event status
reason not
indicated in
source.
Standard 1
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementPhone APPROVE
Event status
reason not
indicated in
source.
Level of
Urgency not
indicated in
source.
3
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementPhone APPROVE Pay
Level of
Urgency not
indicated in
source.
13
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementPhone APPROVE Pay Urgent 4
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementPhone APPROVE Pay Retro 4
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementPhone APPROVE Pay Standard 457
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementPhone APPROVE Pay on Appeal Standard 1
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementPhone APPROVE
Special
Instructions
To Claims
Standard 1
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementPhone APPROVE
Denied by
Medical
Services
Standard 1
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementPhone APPROVE Under Review Standard 1
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementPhone DENY Pay Standard 2
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementPhone DENY
Denied by
Medical
Services
Level of
Urgency not
indicated in
source.
1
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementPhone DENY
Denied by
Medical
Services
Retro 1
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementPhone DENY
Denied by
Medical
Services
Standard 107
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementPhone DENY Admin Denial Standard 3
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementPhone PEND Pay Standard 3
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementPhone PEND
Special
Instructions
To Claims
Standard 4
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementFax
Event status
reason not
indicated in
source.
Standard 4
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementFax APPROVE Pay
Level of
Urgency not
indicated in
source.
2
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementFax APPROVE Pay Retro 1
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementFax APPROVE Pay Standard 318
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementFax APPROVE Pay Concurrent 4
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementFax APPROVE Pay on Appeal Retro 1
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementFax APPROVE Pay on Appeal Standard 2
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementFax APPROVE
Special
Instructions
To Claims
Standard 2
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementFax APPROVE
Denial Upheld
on AppealConcurrent 1
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementFax DENY
Denied by
Medical
Services
Retro 6
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementFax DENY
Denied by
Medical
Services
Standard 44
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementFax DENY
Denied by
Medical
Services
Concurrent 1
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementWeb
Event status
reason not
indicated in
source.
Standard 11
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementWeb APPROVE
Event status
reason not
indicated in
source.
Level of
Urgency not
indicated in
source.
1
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementWeb APPROVE Pay
Level of
Urgency not
indicated in
source.
9
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementWeb APPROVE Pay Urgent 20
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementWeb APPROVE Pay Standard 569
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementWeb APPROVE
Special
Instructions
To Claims
Standard 1
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementWeb APPROVE
Denied by
Medical
Services
Standard 1
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementWeb APPROVE
Denial Upheld
on AppealStandard 1
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementWeb APPROVE Under Review Standard 1
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementWeb DENY Pay Standard 1
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementWeb DENY
Denied by
Medical
Services
Level of
Urgency not
indicated in
source.
3
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementWeb DENY
Denied by
Medical
Services
Urgent 5
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementWeb DENY
Denied by
Medical
Services
Standard 100
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementWeb PEND
Special
Instructions
To Claims
Standard 7
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementOther APPROVE Pay Retro 2
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementCDMS-Fax APPROVE Pay Standard 8
Market Place
– ArkansasSilver
Other
Medical
Pain
ManagementEmail APPROVE Pay Retro 20
Market Place
– ArkansasSilver
Other
Medical
Professional
Fees (BH)Phone APPROVE Pay Concurrent 25
Market Place
– ArkansasSilver
Other
Medical
Professional
Fees (BH)Phone DENY
Denied by
Medical
Services
Concurrent 1
Market Place
– ArkansasSilver
Other
Medical
Professional
Fees (BH)Phone DENY
Denial Upheld
on AppealConcurrent 1
Market Place
– ArkansasSilver
Other
Medical
Professional
Fees (BH)Phone DENY Admin Denial Concurrent 2
Market Place
– ArkansasSilver
Other
Medical
Professional
Fees (BH)Phone PEND
Special
Instructions
To Claims
Concurrent 1
Market Place
– ArkansasSilver
Other
Medical
Professional
Fees (BH)Fax APPROVE Pay Retro 2
Market Place
– ArkansasSilver
Other
Medical
Professional
Fees (BH)Fax APPROVE Pay Concurrent 4
Market Place
– ArkansasSilver
Other
MedicalRehab Web DENY Admin Denial Standard 1
Market Place
– ArkansasSilver
Other
MedicalSleep Study Phone
Event status
reason not
indicated in
source.
Standard 1
Market Place
– ArkansasSilver
Other
MedicalSleep Study Phone APPROVE Pay
Level of
Urgency not
indicated in
source.
19
Market Place
– ArkansasSilver
Other
MedicalSleep Study Phone APPROVE Pay Urgent 6
Market Place
– ArkansasSilver
Other
MedicalSleep Study Phone APPROVE Pay Retro 2
Market Place
– ArkansasSilver
Other
MedicalSleep Study Phone APPROVE Pay Expedited 2
Market Place
– ArkansasSilver
Other
MedicalSleep Study Phone APPROVE Pay Standard 849
Market Place
– ArkansasSilver
Other
MedicalSleep Study Phone APPROVE Pay Stabilization 3
Market Place
– ArkansasSilver
Other
MedicalSleep Study Phone APPROVE Pay Concurrent 2
Market Place
– ArkansasSilver
Other
MedicalSleep Study Phone APPROVE
Denied by
Medical
Services
Standard 1
Market Place
– ArkansasSilver
Other
MedicalSleep Study Phone APPROVE
Denial Upheld
on AppealStandard 1
Market Place
– ArkansasSilver
Other
MedicalSleep Study Phone DENY
Denied by
Medical
Services
Level of
Urgency not
indicated in
source.
1
Market Place
– ArkansasSilver
Other
MedicalSleep Study Phone DENY
Denied by
Medical
Services
Standard 17
Market Place
– ArkansasSilver
Other
MedicalSleep Study Phone DENY Admin Denial Standard 3
Market Place
– ArkansasSilver
Other
MedicalSleep Study Phone PEND Pay Standard 2
Market Place
– ArkansasSilver
Other
MedicalSleep Study Phone PEND
Denied by
Medical
Services
Standard 2
Market Place
– ArkansasSilver
Other
MedicalSleep Study Fax APPROVE Pay Standard 43
Market Place
– ArkansasSilver
Other
MedicalSleep Study Fax APPROVE Pay Concurrent 2
Market Place
– ArkansasSilver
Other
MedicalSleep Study Fax DENY Admin Denial Standard 2
Market Place
– ArkansasSilver
Other
MedicalSleep Study Web
Event status
reason not
indicated in
source.
Standard 5
Market Place
– ArkansasSilver
Other
MedicalSleep Study Web APPROVE Pay
Level of
Urgency not
indicated in
source.
15
Market Place
– ArkansasSilver
Other
MedicalSleep Study Web APPROVE Pay Urgent 2
Market Place
– ArkansasSilver
Other
MedicalSleep Study Web APPROVE Pay Standard 658
Market Place
– ArkansasSilver
Other
MedicalSleep Study Web APPROVE Pay on Appeal Standard 3
Market Place
– ArkansasSilver
Other
MedicalSleep Study Web APPROVE
Denied by
Medical
Services
Standard 2
Market Place
– ArkansasSilver
Other
MedicalSleep Study Web APPROVE Under Review Standard 1
Market Place
– ArkansasSilver
Other
MedicalSleep Study Web DENY
Denied by
Medical
Services
Standard 10
Market Place
– ArkansasSilver
Other
MedicalSleep Study Other APPROVE Pay Retro 1
Market Place
– ArkansasSilver
Other
MedicalSleep Study CDMS-Fax APPROVE Pay Standard 3
Market Place
– ArkansasSilver
Other
MedicalTransport Phone APPROVE Pay Standard 1
Market Place
– ArkansasSilver
Other
MedicalTransport Fax PEND
Special
Instructions
To Claims
Retro 1
Market Place
– ArkansasSilver
Other
MedicalVendor Phone APPROVE Pay on Appeal Urgent 1
Market Place
– ArkansasSilver
Other
MedicalVendor Phone DENY Admin Denial Standard 1
Market Place
– ArkansasSilver
Other
MedicalVendor Fax APPROVE Pay on Appeal Urgent 3
Market Place
– ArkansasSilver
Other
MedicalVendor Fax APPROVE Pay on Appeal Standard 3
Market Place
– ArkansasSilver
Other
MedicalVendor Fax APPROVE Admin Denial Stabilization 1
Market Place
– ArkansasSilver
Other
MedicalVendor Fax DENY
Denied by
Medical
Services
Standard 1
Market Place
– ArkansasSilver
Other
MedicalVendor Fax DENY
Denial Upheld
on AppealUrgent 2
Market Place
– ArkansasSilver
Other
MedicalVendor Fax DENY
Denial Upheld
on AppealStandard 10
Market Place
– ArkansasSilver
Other
MedicalVendor Fax DENY Admin Denial Urgent 1
Market Place
– ArkansasSilver
Other
MedicalVendor Fax DENY Admin Denial Retro 1
Market Place
– ArkansasSilver
Other
MedicalVendor Fax DENY Admin Denial Standard 41
Market Place
– ArkansasSilver
Other
MedicalVendor Mail DENY Admin Denial Standard 1
Market Place
– ArkansasSilver
Other
Medical
Electroconvulsi
ve TherapyFax APPROVE Pay Concurrent 4
Market Place
– ArkansasSilver
Other
Medical
Electroconvulsi
ve TherapyFax DENY
Denied by
Medical
Services
Concurrent 1
Market Place
– ArkansasSilver
Other
Medical
Electroconvulsi
ve TherapyOther DENY
Denied by
Medical
Services
Retro 1
Market Place
– ArkansasSilver
Other
MedicalPsych Testing Phone APPROVE Pay
Level of
Urgency not
indicated in
source.
1
Market Place
– ArkansasSilver
Other
MedicalPsych Testing Phone APPROVE Pay Concurrent 3
Market Place
– ArkansasSilver
Other
MedicalPsych Testing Phone APPROVE
Pend Partial
ApprovalConcurrent 1
Market Place
– ArkansasSilver
Other
MedicalPsych Testing Phone DENY Pay Concurrent 1
Market Place
– ArkansasSilver
Other
MedicalPsych Testing Phone DENY
Pend Partial
ApprovalConcurrent 1
Market Place
– ArkansasSilver
Other
MedicalPsych Testing Phone DENY
Denied by
Medical
Services
Concurrent 1
Market Place
– ArkansasSilver
Other
MedicalPsych Testing Fax APPROVE Pay Retro 2
Market Place
– ArkansasSilver
Other
MedicalPsych Testing Fax APPROVE Pay Concurrent 69
Market Place
– ArkansasSilver
Other
MedicalPsych Testing Fax APPROVE
Pend Partial
ApprovalRetro 2
Market Place
– ArkansasSilver
Other
MedicalPsych Testing Fax APPROVE
Pend Partial
ApprovalConcurrent 7
Market Place
– ArkansasSilver
Other
MedicalPsych Testing Fax APPROVE
Special
Instructions
To Claims
Concurrent 1
Market Place
– ArkansasSilver
Other
MedicalPsych Testing Fax DENY Pay Concurrent 6
Market Place
– ArkansasSilver
Other
MedicalPsych Testing Fax DENY
Pend Partial
ApprovalRetro 2
Market Place
– ArkansasSilver
Other
MedicalPsych Testing Fax DENY
Pend Partial
ApprovalConcurrent 7
Market Place
– ArkansasSilver
Other
MedicalPsych Testing Fax DENY
Special
Instructions
To Claims
Concurrent 1
Market Place
– ArkansasSilver
Other
MedicalPsych Testing Fax DENY
Denied by
Medical
Services
Concurrent 9
Market Place
– ArkansasSilver
Other
MedicalOrthotics Phone
Event status
reason not
indicated in
source.
Concurrent 1
Market Place
– ArkansasSilver
Other
MedicalOrthotics Phone APPROVE Pay
Level of
Urgency not
indicated in
source.
2
Market Place
– ArkansasSilver
Other
MedicalOrthotics Phone APPROVE Pay Urgent 1
Market Place
– ArkansasSilver
Other
MedicalOrthotics Phone APPROVE Pay Standard 107
Market Place
– ArkansasSilver
Other
MedicalOrthotics Phone APPROVE Pay Concurrent 5
Market Place
– ArkansasSilver
Other
MedicalOrthotics Phone APPROVE Pay on Appeal Standard 2
Market Place
– ArkansasSilver
Other
MedicalOrthotics Phone DENY
Denied by
Medical
Services
Standard 7
Market Place
– ArkansasSilver
Other
MedicalOrthotics Phone PEND
Special
Instructions
To Claims
Standard 1
Market Place
– ArkansasSilver
Other
MedicalOrthotics Fax APPROVE Pay Retro 2
Market Place
– ArkansasSilver
Other
MedicalOrthotics Fax APPROVE Pay Standard 12
Market Place
– ArkansasSilver
Other
MedicalOrthotics Fax DENY
Denied by
Medical
Services
Standard 1
Market Place
– ArkansasSilver
Other
MedicalOrthotics Web
Event status
reason not
indicated in
source.
Standard 1
Market Place
– ArkansasSilver
Other
MedicalOrthotics Web APPROVE Pay
Level of
Urgency not
indicated in
source.
1
Market Place
– ArkansasSilver
Other
MedicalOrthotics Web APPROVE Pay Standard 159
Market Place
– ArkansasSilver
Other
MedicalOrthotics Web APPROVE Pay Concurrent 1
Market Place
– ArkansasSilver
Other
MedicalOrthotics Web DENY
Denied by
Medical
Services
Standard 7
Market Place
– ArkansasSilver
Other
MedicalOrthotics Web PEND
Special
Instructions
To Claims
Standard 2
Market Place
– ArkansasSilver
Other
MedicalOrthotics CDMS-Fax APPROVE Pay Standard 2
Market Place
– ArkansasSilver
Other
MedicalOrthotics CDMS-Fax APPROVE
Denial Upheld
on AppealStandard 1
Market Place
– ArkansasSilver
Other
MedicalProsthetics Phone
Event status
reason not
indicated in
source.
Standard 2
Market Place
– ArkansasSilver
Other
MedicalProsthetics Phone APPROVE Pay
Level of
Urgency not
indicated in
source.
4
Market Place
– ArkansasSilver
Other
MedicalProsthetics Phone APPROVE Pay Retro 1
Market Place
– ArkansasSilver
Other
MedicalProsthetics Phone APPROVE Pay Standard 45
Market Place
– ArkansasSilver
Other
MedicalProsthetics Fax APPROVE Pay Retro 1
Market Place
– ArkansasSilver
Other
MedicalProsthetics Fax APPROVE Pay Standard 7
Market Place
– ArkansasSilver
Other
MedicalProsthetics Fax DENY
Denied by
Medical
Services
Standard 1
Market Place
– ArkansasSilver
Other
MedicalProsthetics Web
Event status
reason not
indicated in
source.
Standard 1
Market Place
– ArkansasSilver
Other
MedicalProsthetics Web APPROVE Pay Standard 23
Market Place
– ArkansasSilver
Other
MedicalProsthetics Web DENY
Denied by
Medical
Services
Urgent 1
Market Place
– ArkansasSilver
Other
MedicalProsthetics Web PEND Pay Standard 1
Market Place
– ArkansasSilver
Other
Medical
Community
Based ServicesPhone APPROVE Pay Concurrent 2
Market Place
– ArkansasSilver
Other
Medical
Intensive
Outpatient
Program
Phone APPROVE Pay Concurrent 47
Market Place
– ArkansasSilver
Other
Medical
Intensive
Outpatient
Program
Phone DENY
Denied by
Medical
Services
Concurrent 4
Market Place
– ArkansasSilver
Other
Medical
Intensive
Outpatient
Program
Fax APPROVE Pay
Level of
Urgency not
indicated in
source.
4
Market Place
– ArkansasSilver
Other
Medical
Intensive
Outpatient
Program
Fax APPROVE Pay Standard 2
Market Place
– ArkansasSilver
Other
Medical
Intensive
Outpatient
Program
Fax APPROVE Pay Stabilization 1
Market Place
– ArkansasSilver
Other
Medical
Intensive
Outpatient
Program
Fax APPROVE Pay Concurrent 89
Market Place
– ArkansasSilver
Other
Medical
Intensive
Outpatient
Program
Fax DENY
Denied by
Medical
Services
Concurrent 2
Market Place
– ArkansasSilver
Other
Medical
Intensive
Outpatient
Program
Fax DENY Admin Denial Retro 1
Market Place
– ArkansasSilver
Other
Medical
Intensive
Outpatient
Program
Fax DENY Admin Denial Concurrent 1
Market Place
– ArkansasSilver
Other
Medical
Intensive
Outpatient
Program
Fax PEND
Special
Instructions
To Claims
Concurrent 1
Market Place
– ArkansasSilver
Other
MedicalDrug Testing Phone APPROVE Pay Retro 14
Market Place
– ArkansasSilver
Other
MedicalDrug Testing Phone APPROVE Pay Standard 69
Market Place
– ArkansasSilver
Other
MedicalDrug Testing Phone DENY
Denied by
Medical
Services
Standard 11
Market Place
– ArkansasSilver
Other
MedicalDrug Testing Fax
Event status
reason not
indicated in
source.
Retro 8
Market Place
– ArkansasSilver
Other
MedicalDrug Testing Fax APPROVE Pay Retro 54
Market Place
– ArkansasSilver
Other
MedicalDrug Testing Fax APPROVE Pay Standard 256
Market Place
– ArkansasSilver
Other
MedicalDrug Testing Web APPROVE
Event status
reason not
indicated in
source.
Level of
Urgency not
indicated in
source.
10
Market Place
– ArkansasSilver
Other
MedicalDrug Testing Web APPROVE Pay
Level of
Urgency not
indicated in
source.
12
Market Place
– ArkansasSilver
Other
MedicalDrug Testing Web APPROVE Pay Urgent 133
Market Place
– ArkansasSilver
Other
MedicalDrug Testing Web APPROVE Pay Standard 3,663
Market Place
– ArkansasSilver
Other
MedicalDrug Testing Web APPROVE Pay Concurrent 11
Market Place
– ArkansasSilver
Other
MedicalDrug Testing Web APPROVE
Denied by
Medical
Services
Standard 6
Market Place
– ArkansasSilver
Other
MedicalDrug Testing Web APPROVE
Denial Upheld
on AppealStandard 4
Market Place
– ArkansasSilver
Other
MedicalDrug Testing Web DENY
Denied by
Medical
Services
Standard 30
Market Place
– ArkansasSilver
Other
MedicalDrug Testing Web PEND Pay Standard 10
Market Place
– ArkansasSilver
Other
MedicalDrug Testing Web PEND
Special
Instructions
To Claims
Standard 1
Market Place
– ArkansasSilver
Other
MedicalDrug Testing CDMS-Fax APPROVE Pay Standard 47
Market Place
– ArkansasSilver
Other
MedicalDrug Testing Email APPROVE Pay Retro 8
Market Place
– ArkansasSilver
Other
MedicalOB Ultrasound Phone APPROVE Pay
Level of
Urgency not
indicated in
source.
1
Market Place
– ArkansasSilver
Other
MedicalOB Ultrasound Phone APPROVE Pay Retro 5
Market Place
– ArkansasSilver
Other
MedicalOB Ultrasound Phone APPROVE Pay Standard 88
Market Place
– ArkansasSilver
Other
MedicalOB Ultrasound Phone APPROVE Pay Concurrent 1
Market Place
– ArkansasSilver
Other
MedicalOB Ultrasound Phone APPROVE
Denied by
Medical
Services
Standard 1
Market Place
– ArkansasSilver
Other
MedicalOB Ultrasound Fax APPROVE Pay Retro 3
Market Place
– ArkansasSilver
Other
MedicalOB Ultrasound Fax APPROVE Pay Standard 8
Market Place
– ArkansasSilver
Other
MedicalOB Ultrasound Fax APPROVE Pay
Standard
Extension1
Market Place
– ArkansasSilver
Other
MedicalOB Ultrasound Web APPROVE Pay Urgent 1
Market Place
– ArkansasSilver
Other
MedicalOB Ultrasound Web APPROVE Pay Retro 4
Market Place
– ArkansasSilver
Other
MedicalOB Ultrasound Web APPROVE Pay Standard 31
Market Place
– ArkansasSilver
Other
MedicalOB Ultrasound Web DENY
Denied by
Medical
Services
Standard 1
Market Place
– ArkansasSilver
Other
MedicalOB Ultrasound CDMS-Fax APPROVE Pay Standard 1
Market Place
– ArkansasSilver
Other
MedicalOB Ultrasound CDMS-Fax PEND Pay Standard 1
Market Place
– ArkansasSilver
Other
MedicalOB Ultrasound Email APPROVE Pay Retro 1
Market Place
– ArkansasSilver
Other
Medical
Psychiatric
EvaluationFax APPROVE Pay Concurrent 2
Market Place
– ArkansasSilver
Other
Medical
BH Med
ManagementFax APPROVE Pay Concurrent 1
Market Place
– ArkansasSilver
Other
Medical
Hyperbaric
Oxygen
Therapy
Phone APPROVE Pay Standard 22
Market Place
– ArkansasSilver
Other
Medical
Hyperbaric
Oxygen
Therapy
Phone APPROVEDenial Upheld
on AppealStandard 1
Market Place
– ArkansasSilver
Other
Medical
Hyperbaric
Oxygen
Therapy
Phone DENY
Denied by
Medical
Services
Standard 2
Market Place
– ArkansasSilver
Other
Medical
Hyperbaric
Oxygen
Therapy
Fax APPROVE Pay Standard 1
Market Place
– ArkansasSilver
Other
Medical
Hyperbaric
Oxygen
Therapy
Web APPROVE Pay Standard 3
Market Place
– ArkansasSilver
Other
Medical
Hyperbaric
Oxygen
Therapy
Web DENY
Denied by
Medical
Services
Standard 1
Market Place
– ArkansasSilver
Other
MedicalInfertility Phone APPROVE Pay Retro 1
Market Place
– ArkansasSilver
Other
MedicalInfertility Fax APPROVE Pay Standard 6
Market Place
– ArkansasSilver
Other
MedicalInfertility Fax DENY
Denied by
Medical
Services
Standard 2
Market Place
– ArkansasSilver
Other
MedicalInfertility Web DENY
Denied by
Medical
Services
Standard 1
Recommended