Arkansas Code Title 23. Public Utilities and Regulated Industries § 23-63-1804. Recoupments--Required disclosures

(1) Amount of the recoupment;

(2) Covered person's name to whom the recoupment applies;

(3) Patient identification number;

(4) Date or dates of service;

(5) Service or services on which the recoupment is based;

(6) Pending claims being recouped or future claims that will be recouped; and

(7) Specific reason for the recoupment.