{"data":{"id":"us-ar/ark.-code-ann.-23-79-158","jurisdiction":"us-ar","citation":"Ark. Code Ann. § 23-79-158","heading":"Denials of dental claims","body":"(a) (1) As used in this section, \"insurer\" means an insurance company, a health maintenance organization, a hospital and medical service corporation, or a self-insured health plan for employees of a governmental entity that provides dental benefits. (2) As used in this section, \"insurer\" includes an outside review entity that contracts with an insurance company, a health maintenance organization, a hospital and medical service corporation, or a self-insured health plan for employees of a governmental entity that provides dental benefits. (b) A denial of all or part of a dental claim based upon medical necessity shall be made by a dentist licensed in the United States who is a graduate of a Commission on Dental Accreditation accredited program. (c) To facilitate expeditious resolution, the insurer shall provide, upon request, a written communication to the treating dentist with the name, state where licensed, license number, and direct telephone number of the reviewing dentist. Added by Act 2013, No. 427,§ 1, eff. 3/15/2013.\n\n(a) (1) As used in this section, \"insurer\" means an insurance company, a health maintenance organization, a hospital and medical service corporation, or a self-insured health plan for employees of a governmental entity that provides dental benefits. (2) As used in this section, \"insurer\" includes an outside review entity that contracts with an insurance company, a health maintenance organization, a hospital and medical service corporation, or a self-insured health plan for employees of a governmental entity that provides dental benefits.\n\n(1) As used in this section, \"insurer\" means an insurance company, a health maintenance organization, a hospital and medical service corporation, or a self-insured health plan for employees of a governmental entity that provides dental benefits.\n\n(2) As used in this section, \"insurer\" includes an outside review entity that contracts with an insurance company, a health maintenance organization, a hospital and medical service corporation, or a self-insured health plan for employees of a governmental entity that provides dental benefits.\n\n(b) A denial of all or part of a dental claim based upon medical necessity shall be made by a dentist licensed in the United States who is a graduate of a Commission on Dental Accreditation accredited program.\n\n(c) To facilitate expeditious resolution, the insurer shall provide, upon request, a written communication to the treating dentist with the name, state where licensed, license number, and direct telephone number of the reviewing dentist.","path":["AR Code","Title 23","Chapter 79","Subchapter 1"],"source_url":"https://oss-data-us.vaquill.ai/v2026.08/us_ar_statutes.parquet","current_through":"2026-08-14","vintage":"open-us-law v2026.08, retrieved 2026-09-14","retrieved_at":"2026-09-14T18:32:41Z","sha256":"31bf3ee30b495093a54de6124ba0658a0ab97479c667e44b240e7ae465275c0c","source_id":"us-ar","stale":false,"prev":"us-ar/ark.-code-ann.-23-79-157","next":"us-ar/ark.-code-ann.-23-79-159"},"notice":"GroundRules: Original legal text. Not legal advice."}