"Global Payment" or "Capitated Payment" Reporting

Problem

Are claims that are paid under a “global payment” or “capitated payment” (thus, zero paid) reported in the Arkansas APCD?

Solution

Yes. Any medical claim that is considered “paid” by the submitting entity will appear in the appropriate claims file. “Paid amount” is reported as zero (0) and the corresponding allowed contractual and deductible amounts are calculated accordingly by the submitting entity.

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