Colorado § 10-16-106.3 Uniform claims - billing codes - electronic claim forms

Colorado Statutes

§ 10-16-106.3 — Uniform claims - billing codes - electronic claim forms

Colorado § 10-16-106.3

Title 10Insurance

Art.Health-care Coverage

This text of Colorado § 10-16-106.3 (Uniform claims - billing codes - electronic claim forms) 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. § 10-16-106.3 (2026).

Text

(1)On or before July 1, 2002, all carriers shall accept the claim form adopted by the American dental association for use by all dental providers and carriers in the state, and the federal centers for medicare and medicaid services' claim forms CMS-1500 and CMS-1450, otherwise known as form UB-04, as amended, as the uniform health-care claim forms for use by all other health-care providers and carriers in the state. All carriers shall accept such claim forms from health-care providers in electronic form. A carrier shall not prohibit submission of health-care claims in hard copy form, nor shall a carrier be prohibited from requiring that a claim be submitted in hard copy form. A carrier shall not require submission of a claim on a form other than those set forth in this section,

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(1) On
or before July 1, 2002, all carriers shall accept the claim form adopted by the
American dental association for use by all dental providers and carriers in the state,
and the federal centers for medicare and medicaid services' claim forms CMS-1500
and CMS-1450, otherwise known as form UB-04, as amended, as the uniform
health-care claim forms for use by all other health-care providers and carriers in
the state. All carriers shall accept such claim forms from health-care providers in
electronic form. A carrier shall not prohibit submission of health-care claims in hard
copy form, nor shall a carrier be prohibited from requiring that a claim be submitted
in hard copy form. A carrier shall not require submission of a claim on a form other
than those set forth in this section, except as provided in subsection (3) of this
section.

(2) On or before July 1, 2002, the commissioner shall adopt a uniform list of
required elements to be used on the uniform claim forms accepted by carriers
pursuant to this section. Such elements shall be used by health-care providers in
order for a claim to be considered a clean claim.

(3) Concurrent with the effective date for implementation of the federal
Health Insurance Portability and Accountability Act of 1996, as amended, and the
federal regulations implemented pursuant to such act, as amended, for claims filed
electronically, carriers shall require the submission of electronic claims with the
elements in the format required by such act and such regulations and shall not
require the submission of forms and elements pursuant to subsections (1) and (2) of
this section.

Legislative History

Source: L. 2002: Entire section added, p. 312, � 1, effective April 19. L. 2007: (1) amended, p. 921, � 1, effective May 17. L. 2023: (1) amended, (HB 23-1301), ch. 303, p. 1817, � 9, effective August 7.