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Both professional billers and facilities have 120 days from the date of the service to submit a clean claim to Colorado Community Health Alliance (CCHA) for processing when CCHA is the primary payer. If CCHA is the secondary payer, the time period is 365 days.

The simplest answer to this question is that you'll want to file a car insurance claim, personal injury claim, and/or property damage claim as soon as possible after a vehicle accident. In the state of Colorado, the statute of limitations is three years for auto accidents.

CORRECTED CLAIMS Providers may resubmit claims for reprocessing within 120 days of the date of service or the timeframes outlined in the Provider's contract or 60 days from the date of the last denial recorded on a voucher.

What It Covers Doctor's visits, including primary care doctors, specialists, home health services, and telemedicine. Vision care. Dental services. Emergency room visits and ambulance services. Transportation to appointments. Urgent care. Outpatient hospital services and surgery. Inpatient medical care or surgical care.

If you're a Health First Colorado member. Contact your health care provider. They can guide youMoreIf you're a Health First Colorado member. Contact your health care provider. They can guide you through the prior authorization.

Reconsiderations are not required for denied claims. The provider can make the necessary corrections and resubmit as a new claim. The resubmission does not need to be billed on paper.

With few exceptions, Colorado Medicaid claims must be submitted electronically through the Automated Medical Payments (AMP) system. Providers consistently submitting fewer than 10 claims per month may submit paper claims using the information and instructions in the Medicaid Provider Manual.

The Administrative Simplification Compliance Act (ASCA) requires that Medicare claims be sent electronically unless certain exceptions are met. Providers meeting an ASCA exception may send their claims to Medicare on a paper claim form. (For more information regarding ASCA exceptions, refer to Chapter 24.)

You may need a referral from your PCP or health plan to see other providers, such as specialists. You can call your PCP or health plan to find out. You do not need a referral to see behavioral health, dental or family planning providers. You have the right to a second opinion.