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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.

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.

BCBS has a 365 day timely filing limit. That means that you have 365 days to submit the claims for your client to BCBS and are eligible for processing.

(c) Providers may bill a patient accepted as a Medicaid patient only in the following situations: (1) for allowable deductibles, co-insurance, or co-payments as specified in the Medicaid State Plan; (2) before the service or supply is provided, the provider has informed the patient that the patient may be billed for a ...

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.

8.043 TIMELY FILING REQUIREMENTS 01 Effective 10/1/93, all claims for services provided to eligible Medicaid recipients must be received by the fiscal agent within 120 days from the date of service or 120 days from the Medicare processing date for all Medicare Crossover claims.

Timely filing is when you file a claim within a payer-determined time limit. For example, if a payer has a 90-day timely filing requirement, that means you need to submit the claim within 90 days of the date of service.

Health First Colorado (Colorado's Medicaid program) Every Health First Colorado member has a primary care provider. Members and primary care providers belong to a regional organization that helps make sure Health First Colorado members get the health care and services they need.

You do not need a card to get services. You do need your date of birth and either your Social Security number or your Health First Colorado ID Number (member ID). Your ID Number is a letter plus 6 numbers. For example, A123456.