Arkansas Code Title 23. Public Utilities and Regulated Industries § 23-99-1302. Assignment of benefits--Consent and notice required

(b)(1) A healthcare provider that is provided an assignment of benefits by an enrollee under this section shall provide notice to the payor of the assignment of benefits with a claim for payment for healthcare services provided to an enrollee.

(2) If the healthcare provider providing notice to the payor is an out-of-network provider, the notice shall be accompanied by a complete copy of the assignment of benefits bearing the enrollee's signature and the date the assignment was executed.

(c)(1) A payor, upon receipt of the claim and notice of the assignment of benefits submitted by the healthcare provider, shall promptly remit payment of the claim directly to the healthcare provider.

(2) When payment is made directly to the healthcare provider, the payor shall give written notice of the payment to an enrollee.

(3) A violation of this subsection is:

(2) If an assignment of benefits has been executed but the payor remits payment of the claim to the enrollee, then the payor shall remit payment of the claim to the healthcare provider under the assignment of benefits within ten (10) days of receiving notice of the incorrect payment from the healthcare provider.

(1) The healthcare provider is not a participating provider;

(2) The healthcare provider may charge the enrollee for noncovered healthcare services;

(3) The healthcare provider may charge the enrollee the balance bill for covered healthcare services;

(4) An estimate of the cost of healthcare services that the healthcare provider will provide the enrollee; and

(5) Any terms of payment that apply, including without limitation interest that the healthcare provider charges.