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Advanced Health Information Network (AHIN):
Determine eligibility, check claim status, correct errant claims and submit new claims. View
demo and enrollment information
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: Resource for the Health Insurance Portability and Accountability Act (HIPAA) requirements and testing.
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: Health information and interactive health coaching.
Other Insurance/Coordination of Benefits (COB)
(585 KB PDF): We want to pay your eligible claims as fast as possible, so please fill out this form to let us know what other insurance you may have.
Prior Authorization Information for Radiological Services
Provider Manual - Arkansas Blue Cross and Blue Shield
: Policies and procedures to assist providers in filing claims, referral requests and other services.
Provider Manual - Medi-Pak Advantage
: Policies and procedures to assist providers in filing claims, referral requests and other services.
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: Quarterly publication.
Why being Blue is Good for You
(3382 KB PDF)
Authorization Form for Clinic/Group Billing
(56 KB PDF): Use for notification that a practitioner is joining a clinic or group.
Provider Change of Data Form
(209 KB PDF): Use to report a change of address or other data. Completion of this form DOES NOT create any network participation.
Termination Form for Clinic/Group Billing
(100 KB PDF): Use for notification that a practitioner is leaving a clinic.
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Accident Form for Dental Injury
(39 KB PDF)
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Shield Association and is licensed to offer health plans in all 75 counties of Arkansas.
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