For data requesters receiving Arkansas Medicare fee for service data. Arkansas Medicare fee for service claims include claims managed through Arkansas Medicare Advantage commercial plans. Medicare Advantage plans found in the commercial data on the Arkansas APCD can be identified using this methodology: Medicare Advantage plans do not always have plan names that can easily be identified as Medicare Advantage. These plans can be identified when Insurance Product Type Code (ME003, MC003, PC003) contains the values ‘HN','HS','MA','MB','MD','MDV','MH','MHO','MI', or ‘MPO' or when ME001, MC001 or PC001 = ‘60054M’ or '10155’. The Insurance Product code value is correct for corresponding member data). Tip: Medicare Advantage Plans The match criteria in the table below is recommended to find the Medicare fee for service claims associated with commercially based Arkansas Medicare Advantage plans. NOTE: It is important to exclude either the Medicare fee for service claim or the Medicare Advantage commercial claim to avoid duplication. Each claim type contains different information therefore an assessment of each is recommended. | 