Carrier Codes
Carrier codes—National Electronic Insurance Clearinghouse (NEIC) codes that identify insurance carriers—are necessary to complete claims that involve Third Party Liability. Therefore, we’re making the Carrier Codes available below.
When you submit a 270 Eligibility Request transaction, the system sends you a 271 Eligibility Response. If we have Third Party Liability information on file for the client, that information (including the carrier code) is listed on the response.
The Carrier Codes Report is a cross-reference of carrier codes to insurance company names, in alphabetical order by company name. This report is generated quarterly by the Arkansas Medicaid Management Information System. If the carrier you’re looking for is not listed in the Carrier Codes Report, use the default code XXX (which means unknown carrier code) to bill the TPL amount paid or submit a TPL denial date.
NOTE: Alpha characters in carrier codes must be uppercase.
| Document | File Name | File Size | Last Update |
| Carrier Codes Report | carriers.pdf | 3.2MB | 4/6/24 |
| Third-Party Liability Unit Contact Information | DMSTPL.doc | 31k | 8/22/14 |
Code Conversion Notices Archive
Long Term Care Codes
Updated 1/28/19
If you are billing for Long Term Care services, you need the following codes, which are used only for Long Term Care.
| Type of Bill (First and Second Digits) | Description |
| 21 | Skilled Nursing Facility (SNF) Inpatient |
| 22 | Skilled Nursing Facility (SNF) Inpatient, Part B |
| 23 | Skilled Nursing Facility (SNF) Outpatient |
| 65 | Intermediate Care Facility (ICF) Intermediate Care-I |
| 66 | Intermediate Care Facility (ICF) Intermediate Care-II |
| 81 | Special Facility Non-Hospital / Hospice |
| 82 | Special Facility Hospital / Hospice |
| Type of Bill (3rd Digit) | Description |
| 1 | Admit Through Discharge Claim |
| 2 | Interim – First Claim |
| 3 | Interim – Continuing Claims |
| 4 | Interim – Last Claim |
| 8 | Void/Cancel of a Prior Claim |
| Patient Status | Description |
| 01 | Discharged to Home or Self Care |
| 02 | Discharged/Transferred to Another Short-Term General Hospital |
| 03 | Discharged/Transferred to SNF |
| 04 | Discharged/Transferred to an Intermediate Care Facility (ICF) |
| 05 | Discharged/Transferred to Another Type of Institution |
| 06 | Discharged/Transferred to Home Under Care of Organized Home Health Service Organization |
| 07 | Left Against Medical Advice |
| 20 | Expired |
| 30 | Still Patient |
| Homestyle Revenue Code | Description |
| 184 | LOA HOME – Home Style Facility |
| 186 | LOA Hospital 85% or Greater Occupancy – Home Style Facility |
| 187 | LOA Hospital Less than 85% Occupancy – Home Style Facility |
| 188 | LOA No Pay – Home Style Facility |
| 199 | Home Style Facility All LOC |
| 659 | Hospice Room and Board – Home Style Bed |
| Traditional Style Revenue Code | Description |
| 180 | LOA Hospital less than 85% occupancy – Traditional Style Bed or ICF/IID |
| 183 | LOA – Home – Traditional Style Bed or ICF/IID |
| 185 | LOA Hospital 85% or greater occupancy – Traditional Style Bed or ICF/IID |
| 189 | LOA No Pay – Traditional Style Bed or ICF/IID |
| 190 | Skilled Nursing – Traditional Style Bed |
| 191 | Intermediate I – Traditional Style Bed |
| 192 | Intermediate II – Traditional Style Bed |
| 193 | Intermediate III – Traditional Style Bed |
| 194 | ICF/IID |
| 658 | Hospice Room and Board – Traditional Style Bed or ICF/IID |
National Codes Crosswalk to Arkansas EOB Codes
| Document | File Name | File Size | Last Update |
| National Codes Crosswalk to Arkansas EOB Codes (This document also includes lists of claim status codes, adjustment reason codes, and remittance advice remark codes.) | eob.xls | 1.4 MB | 12/8/16 |
National Correct Coding Initiative (NCCI) Inpatient Only Procedure Codes and Information
Updated 4/13/22
The Patient Protection and Affordable Care Act ((H.R. 3590) Section 6507 (Mandatory State Use of National Correct Coding Initiative (NCCI)) requires State Medicaid programs to incorporate “NCCI methodologies” into their claims processing systems. The Centers for Medicare and Medicaid Services (CMS) originally developed the NCCI to promote national correct coding methodologies and to control improper coding leading to inappropriate payments in Medicare Part B claims. The purpose of the NCCI edits is to prevent improper payments when incorrect code combinations are reported. Arkansas Medicaid implemented NCCI methodologies for claims with dates of service on or after 4/1/11.
Official Notices Regarding NCCI Implementation
| Date | Number | Subject |
| 1/1/15 | ON-004-14 | National Corrective Coding Initiative New Procedure-to-Procedure (PTP) – Associated Modifiers |
| 10/1/11 | ON-007-11 | National Correct Coding Initiative |
| 4/1/11 | ON-004-11 | National Correct Coding Initiative |
Remittance Advice Messages Regarding NCCI Implementation
| Date | Subject |
| 5/22/14-5/29/14 | NCCI Auditing of EPSDT/Sick Visit Rendered Same Date of Service |
| 4/11/13-4/18/13 | National Correct Coding Initiative (NCCI) 2013 Quarterly Update |
| 12/20/12-12/27/12 | National Correct Coding Initiative (NCCI) Methodologies |
NCCI Inpatient Only Procedure Codes
| Document Name | File Size | Last Update |
| 2024 Q2 NCCI Inpatient Only Procedure Codes | 37k | 4/10/24 |
| Archived NCCI Inpatient Only Procedure Codes (Each tab is a previous quarter’s codes.) | 208k | 4/10/24 |
Procedure Code Tables
X12 Codes
X12, chartered by the American National Standards Institute, develops and maintains EDI standards which drive business processes globally.
