The Colorado Department of Health Care Policy & Financing recognizes some providers have had difficulties submitting claims during the transition to the new claims payment system (the Colorado interChange).nnIn an effort to ensure providers are appropriately paid for services to members, they are temporarily changing the limit for timely filing.nnEffective May 12, 2017, the timely filing limit will be extended to 240 calendar days.nnTherefore, they recommend providers hold claims with a DOS after December 1, 2016 (that are outside the 120 days timely filing limit) and do not submit those claims until after May 12, 2017. The system will automatically calculate the additional time and providers do not need to take action to receive the extension during claims submission.nnEffective November 1, 2017, the limit will be changed back to 120 calendar days.nnOn November 1, 2017, all claims with a DOS prior to July 4, 2017 will be outside the timely filing limit of 120 days, and providers will need to submit additional documentation to request a timely filing extension.nnExamples:n
- n
- On May 1, 2017, a claim for DOS of December 1, 2016 will be outside the timely filing limit of 120 days, and will need to submit additional documentation to request a timely filing extension.
- On May 17, 2017, a claim for DOS of December 1, 2016 will be inside the extended timely filing limit of 240 days, and will not need to submit additional documentation to request a timely filing extension.
- On November 1, 2017, a claim for DOS of December 1, 2016 will again be outside the timely filing limit of 120 days, and will need to submit additional documentation to request a timely filing extension.
n
n
n
nThis article was originally posted on Colorado.gov.