Medical Provider

Billing

• Accompanying documentation
  • WC 164 Rule 16-7(E)(1)

  • WC 164 Rule 18-6(G)(2)

   

  • Supporting documentation Rule 16-7(E)(4)

   

  • Hospital documentation Rule 16-7(E)(5)

   

  • Contest of payment Rule 16-7(E)(6)

   

• Balance Billing Claimant C.R.S. 8-42-101(4)
• Balance Billing Claimant C.R.S. 8-42-101(3)(a)(I)
  • Billing for services after loss of accreditation C.R.S. 8-42-101(3.6)(h)

   

  • Billing for Services not identified in fee schedule Rule 16-6(B)

   

• Contest of payment Rule
  • Timeline for billing Rule 16-11(A)(1)

   

  • Use of inaccurate forms or codes Rule 16-7(D)

   

• Medical fees established by Director C.R.S. 8-42-101(3)

• Timely Billing Rule 16-11(A)(1)

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