Colorado interChange: Resources for your Membership
Week of August 24, 2017
Each week, we'll use this newsletter to provide you with updates on the implementation of the Colorado interChange, including topics you might be hearing from your members as well as content for your membership newsletter and general updates on progress. 
Provider Buzz
Here's a look at hot topics from providers and others:
  • You might have heard from providers that an issue with co-pays not being deducted on claims billed by clinic providers has recently been resolved. This issue was posted to the Known Issues & Updates web page on May 24, 2017 notifying providers that claims were being reprocessed and funds would be recouped to resolve the co-pay issue. To create a permanent fix for the issue, there were two separate system updates. Clinic providers have been alerted that impacted claims will be reprocessed on August 25, 2017.
News You Can Use
Here's some content for membership newsletters:
 
Interim payment assistance still available for struggling providers

Financial assistance is still available from the Colorado Department of Health Care Policy and Financing to enrolled providers experiencing billing difficulties. If you are an enrolled provider experiencing financial hardship, you can request interim payments by calling the Provider Services Call Center. Simply call 1-844-235-2387 and select option 2 to "speak with an agent." Then select option 4 to learn about interim payment options.
 
Interim payments are paid at 80 percent of a provider's historic weekly payment average over a three-month period prior to the March 1st launch of the new system. Interim payments are meant to give providers temporary financial relief until claims are processed correctly.These payments are not intended to pay outstanding claims billed.
 
Once claims are processing correctly, an accounts receivable will be set up and the interim payments will be recouped from future payments. The Department cannot issue interim payments to providers who are not enrolled or who have not yet completed the revalidation process. If you are having trouble with reenrollment or revalidation resources are available to help.
Colorado interChange Numbers
Since March 1, 2017...
  • More than $3.6 billion paid to providers
  • 20,139,591  claims have been processed 
  • 49,174  enrolled providers
In our latest financial cycle on Friday, August 18th...
  • $118,507,132 million paid to providers
  • 770,115 claims processed
  • 64 percent paid
As a reminder, the Department frequently updates its  Known Issues & Updates web page with new issues, work arounds and resolution ETA.
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