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

Colorado Statutes

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

Colorado·Title 10 Insurance·Art. Property and Casualty Insurance

(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.

Colorado § 10-4-638 (Retroactive adjustment of health-care service claims) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.