Arkansas Department of Health


Please Note

We are a service company that can help you file with the Arkansas Department of Health. We are not associated with this nor any other government agency. We offer paid services and software to help you file. You are not required to purchase our service to file - you may file directly with this agency without using our service.


Contact Information

Phone: 501-661-2000
Fax: 501-280-4444

Web: Home

Licenses

We track the following licenses with the Arkansas Department of Health in order to provide compliance services to our clients. As a client, you see this and other reference data in License Manager in-line with your licenses.

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Arkansas Private Review Agent Certification

Type of Review:

Medical or Workers' Compensation Utilization Review

Agency:Arkansas Department of Health
Law:

AR Code § 20-9-901 et seq.

Notes:

Only private review agents, as defined by AR Code § 20-9-202, are required to register. Additional exemptions are noted in AR Code § 20-9-904.

Initial Registration

Form:

Utilization Review Application

Agency Fee:

$2,500

Notarize:Required
Required Attachments:

Reference the list of required attachments found in the Application Checklist for Utilization Review.

Registration Renewal

Form:

Utilization Review Application (Renewal)

Agency Fee:

$2,500

Due:

Biennially on the anniversary of certification.

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