Allergy & Immunology Billing Services in Arkansas

Arkansas's allergy & immunology practices face unique billing challenges shaped by Arkansas Blue Cross Blue Shield's commercial rules, Arkansas Works requirements, and Novitas Solutions Medicare policies. Our AAPC-certified coders specialize in both AR payer rules and allergy & immunology coding complexity.

AAPC Certified
AR Payer Expert
Allergy & Immunology Specialists
2.49% Rate
7,000+AR Physicians
2.49%Starting Rate
2Medicaid MCOs
98%+Clean Claim Rate

Why Arkansas Allergy & Immunology Practices Need Specialized Billing

Arkansas's healthcare market includes 7,000+ physicians, and allergy & immunology practices here face a payer market dominated by Arkansas Blue Cross Blue Shield on the commercial side and Arkansas Works on the public payer side. Medicare claims are processed through Novitas Solutions, which applies its own Local Coverage Determinations that directly affect allergy & immunology procedure coverage and medical necessity requirements. Generic billing teams without AR specific knowledge leave revenue on the table.

Allergy & Immunology billing itself is complex. Allergy and immunology billing revolves around allergy testing codes (95004 percutaneous, 95024 intracutaneous, 95044 patch testing), immunotherapy administration (95115-95117 for injections, 95120-95134 for professional services with provision of antigen), biologic medication J-codes for severe allergic conditions, and pulmonary function testing (94010-94070). Test count accuracy is critical — each allergy test is billed per individual allergen, and a typical testing session involves 40-80 individual tests. When you combine this coding complexity with Arkansas's specific payer rules, authorization requirements, and 2 Arkansas Works managed care plans that each have their own billing rules, you need a team that understands both dimensions. Go Medical Billing provides that expertise at 2.49% of collections, serving allergy & immunology practices from Little Rock to Fayetteville and across Arkansas.

Top CPT Codes for Allergy & Immunology in Arkansas

Our AR coders handle these allergy & immunology codes daily, applying Novitas Solutions Medicare rules and Arkansas Blue Cross Blue Shield commercial policies to each claim.

Code
Description
95004
Percutaneous Test
95115
Immunotherapy
J0881
Biologic
94010
Spirometry

Arkansas Payer Challenges for Allergy & Immunology

Every AR payer has specific rules for allergy & immunology claims. Here's how we navigate them.

Arkansas Blue Cross Blue Shield Allergy & Immunology Claims

Arkansas Blue Cross Blue Shield processes the largest share of Arkansas commercial allergy & immunology claims. We know their AR specific fee schedules, prior authorization requirements for allergy & immunology procedures, and their appeal timelines when claims are denied. Allergy skin testing bills per individual allergen tested. A 60-allergen panel = 60 units of 95004. Inaccurate test counts directly reduce revenue or create audit risk.

Arkansas Works Allergy & Immunology Billing

Arkansas Works routes allergy & immunology patients through 2 managed care plans: Empower, Summit Community Care. Each MCO has its own allergy & immunology authorization and billing rules that we manage.

Medicare (Novitas Solutions) Allergy & Immunology Coverage

Novitas Solutions processes Medicare allergy & immunology claims in Arkansas with its own Local Coverage Determinations. We navigate Novitas Solutions's policies around immunotherapy administration coding to prevent medical necessity denials.

Denial Prevention for Arkansas Allergy & Immunology

Common allergy & immunology denials in Arkansas include allergy skin testing bills per individual allergen tested and choosing between 95115 (single injection), 95117 (2+ injections), and 95120-95134 (professional component with antigen provision) depends on who prepared the antigen. Our team catches these issues before submission and appeals aggressively with AR payer-specific documentation when denials occur.

Get Expert Allergy & Immunology Billing in Arkansas

Free billing assessment for your AR allergy & immunology practice. See where revenue is leaking.

98%+ clean claim rate
2.49% starting rate
Results in 30 days

Fill in your details and we'll call you back

Or call directly:888-701-6090

What We Handle for Arkansas Allergy & Immunology Practices

Allergy skin testing billing (95004, 95024, 95044)
Immunotherapy injection administration coding (95115-95134)
Biologic medication J-code billing and authorization
Pulmonary function testing (94010-94070)
Serum preparation and antigen provision billing
Component testing and in-vitro allergy coding (86003-86005)
Food allergy and drug allergy testing
Prior authorization for biologics and advanced testing

Arkansas Allergy & Immunology Billing Cost Comparison

Hiring an in-house biller with allergy & immunology expertise in Arkansas costs $30K-$42K annually in salary alone. Add benefits, software, clearinghouse fees, and office space, and the true cost is even higher. At 2.49% of collections, Go Medical Billing provides an entire team of AAPC-certified allergy & immunology coders and AR payer specialists for a fraction of that cost.

$30K-$42K

In-House Biller Salary

+ benefits, software, space

2.49%

Go Medical Billing Rate

Full team, all services included

60-80%

Typical Cost Reduction

With better results

Frequently Asked Questions

All major AR payers: Arkansas Blue Cross Blue Shield, QualChoice, Aetna, Arkansas Works (including Empower, Summit Community Care), and Medicare through Novitas Solutions. If a payer accepts allergy & immunology patients in Arkansas, we submit and follow-up on claims with them.
The most frequent allergy & immunology denials we see from AR payers include allergy skin testing bills per individual allergen tested, choosing between 95115 (single injection), 95117 (2+ injections), and 95120-95134 (professional component with antigen provision) depends on who prepared the antigen, biologics like omalizumab (j2357), dupilumab (j0881), and mepolizumab (j2182) require prior authorization, weight-based dosing verification, and step-therapy documentation. Our team catches these before submission by applying both allergy & immunology coding expertise and AR payer-specific rules to every claim.
Arkansas Works routes allergy & immunology patients through 2 managed care plans: Empower, Summit Community Care. Each MCO has its own allergy & immunology authorization requirements, fee schedules, and billing rules. We credential and bill with all of them so your allergy & immunology practice gets paid correctly.
Most AR allergy & immunology practices are fully transitioned within two to three weeks. We connect to your EHR, learn your allergy & immunology workflows, and start submitting claims to Arkansas Blue Cross Blue Shield, Arkansas Works, Medicare, and all your AR payers with no downtime.

Fix Your Arkansas Allergy & Immunology Billing

Call 888-701-6090 for a free billing assessment specific to your AR allergy & immunology practice. We'll show you where revenue is leaking and how to fix it.