Colorado § 10-4-638 Retroactive adjustment of health-care service claims

Colorado Statutes

§ 10-4-638 — Retroactive adjustment of health-care service claims

Colorado § 10-4-638

Title 10Insurance

Art.Property and Casualty Insurance

This text of Colorado § 10-4-638 (Retroactive adjustment of health-care service claims) 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. § 10-4-638 (2026).

Text

(1)Twelve months or more after the date a claim is paid for health-care services performed pursuant to this part 6, an insurer may not retroactively adjust the payment of the claim.

(2)Adjustments to claims made pursuant to a policy providing for medical payments coverage in cases where a carrier has reported fraud or abuse, pursuant to section 10-1-128 (5)(a)(IV), committed by the provider shall not be subject to the requirements of subsection (1) of this section.

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(1) Twelve
months or more after the date a claim is paid for health-care services performed
pursuant to this part 6, an insurer may not retroactively adjust the payment of the
claim.

(2) Adjustments to claims made pursuant to a policy providing for medical
payments coverage in cases where a carrier has reported fraud or abuse, pursuant
to section 10-1-128 (5)(a)(IV), committed by the provider shall not be subject to the
requirements of subsection (1) of this section.