Professional web page template for Medical billers in Colorado

Health First Colorado covers bariatric surgery for eligible members. Providers should refer to the Code of Colorado Regulations, Program Rules (10 CCR 2505-10 8.300. 3. C.), for specific information when providing this service.

Health First Colorado (Coloradoʼs Medicaid program) pays for all medically necessary hospital services. These include inpatient, emergency and outpatient services. Surgery, therapies, laboratory, X-ray and other diagnostic services are provided when ordered by a doctor.

Colorado Surprise Billing Colorado state law protects Colorado consumers with state-regulated health insurance plans from being balance billed for unknowingly receiving care outside of their insurance network.

In Colorado, there is a statute of limitations for medical debt collection. Generally, medical providers have six years to bring a lawsuit to collect unpaid medical bills. This means that they can attempt to collect on a debt for up to six years after the date of service.

Medical Billing Time Limits Oregon As per the state regulations, when a provider submits a bill more than 12 months after the date of service, the bill is deemed not payable, unless a provision of subsection (2)(a) is the reason for the late submission.

Concerning a requirement for the use of plain language in bills for medical services. The bill requires a health care facility to provide an itemized statement or bill to a patient within 30 days after discharge from the facility or within 7 days after the patientʼs written request.

Rule 2: Providers may NOT bill Medicaid beneficiaries for covered services only the allowable co-payments, co-insurance, or deductibles.

Both professional billers and facilities have 120 days from the date of the service to submit a clean claim to Colorado Community Health Alliance (CCHA) for processing when CCHA is the primary payer. If CCHA is the secondary payer, the time period is 365 days.