Colorado § 10-16-106.7 Assignment of health insurance benefits

Colorado Statutes

§ 10-16-106.7 — Assignment of health insurance benefits

Colorado § 10-16-106.7

Title 10Insurance

Art.Health-care Coverage

This text of Colorado § 10-16-106.7 (Assignment of health insurance benefits) is published on Counsel Stack Legal Research, covering Colorado primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Colo. Rev. Stat. § 10-16-106.7 (2026).

Text

(1)(a) Any carrier that provides health coverage to a covered person shall allow, but not require, such covered person under the policy to assign, in writing, payments due under the policy to a licensed hospital or other licensed health-care provider; an occupational therapist, as defined in section 12-270-104 (9); an occupational therapy assistant, as defined in section 12-270-104 (11); or a massage therapist, as defined in section 12-235-104 (5), also referred to in this section as the provider, for services provided to the covered person that are covered under the policy.

(b)The covered person may, with or without the agreement of the provider, revoke the assignment. Such revocation shall be in writing and shall be sent to the carrier. The carrier shall send a copy of the rev

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(1) (a) Any carrier
that provides health coverage to a covered person shall allow, but not require, such
covered person under the policy to assign, in writing, payments due under the
policy to a licensed hospital or other licensed health-care provider; an occupational
therapist, as defined in section 12-270-104 (9); an occupational therapy assistant, as
defined in section 12-270-104 (11); or a massage therapist, as defined in section 12-235-104 (5), also referred to in this section as the provider, for services provided
to the covered person that are covered under the policy.

(b) The covered person may, with or without the agreement of the provider,
revoke the assignment. Such revocation shall be in writing and shall be sent to the
carrier. The carrier shall send a copy of the revocation to the provider who is the
subject of the revocation. The revocation shall be effective when it has been
received by both the carrier and the provider and shall only affect those charges
incurred after such receipt by both.

(2) (a) When a provider receives an assignment from a covered person, it is
the responsibility of the provider to bill the carrier and notify the carrier that the
provider holds an assignment on file. The carrier shall honor the assignment the
same as if a copy of the assignment had been received by the carrier. Only upon
request of the carrier shall the provider be required to give the carrier a copy of the
assignment.

(b) The carrier shall honor the assignment and make payment of covered
benefits directly to the provider. If the carrier fails to honor the assignment by
making payment to the covered person and if the covered person, upon receipt of
such payment, fails to pay an amount equivalent to such payment to the provider
within forty-five days, the carrier shall be liable for the payment directly to the
provider. It shall be the responsibility of the provider to notify the carrier if payment
has not been received. In such case, the carrier shall make payment of covered
benefits as specified in section 10-16-106.5.

(c) If the provider collects payment from the enrollee and subsequently
receives payment from the carrier, the provider shall reimburse the enrollee, less
any applicable copayments, deductibles, or coinsurance amounts, within forty-five
days.

(3) Nothing in this section shall be construed to limit a carrier's ability to
determine the scope of its benefits, services, or any other terms of its policies, or
from negotiating contracts with licensed hospitals or other licensed health-care
providers on reimbursement rates or any other lawful provisions.

Legislative History

Source: L. 2005: Entire section added, p. 489, � 1, effective August 8. L. 2008: (1)(a) amended, p. 830, � 7, effective July 1. L. 2009: (1)(a) amended, (SB 09-292), ch. 369, p. 1945, � 18, effective August 5. L. 2010: (1)(a) amended, (HB 10-1220), ch. 197, p. 856, � 23, effective July 1. L. 2019: (1)(a) amended, (HB 19-1172), ch. 136, p. 1654, � 43, effective October 1. L. 2021: (1)(a) amended, (SB 21-003), ch. 4, p. 28, � 5, effective January 21.