Colorado interChange: Resources for your Membership
Week of October 19, 2017
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 for providers and others:
There is a system issue which prevents the Colorado interChange from processing some retroactive changes to a Health First Colorado (Colorado's Medicaid Program) and Child Health Plan Plus (CHP+) member's eligibility span.
If the member has already contacted the Member Contact Center and obtained the Proof of Insurance, the provider can accept this as eligibility verification in good faith and render services. The eligibility update will take 2-3 business days to appear in the Colorado interChange. Once the fix is made, the provider can verify eligibility in the provider web portal and will be able to submit or resubmit claims for services to the member.The Proof of Insurance does not need to be attached to the claim as proof of eligibility.For more detailed information, please refer to this fact sheet.
Financial assistance in the form of interim payments is still available to enrolled providers experiencing billing difficulties. Providers experiencing hardship should request these payments by calling the Provider Services Call Center at 1-844-235-2387, selecting option 2 to "speak with an agent" and then option 4 to learn about interim payment options. The Department has developed a detailed FAQ to assist providers in learning more about interim payments.
At this point, nearly all providers should be submitting all claims -- including those claims with attachments -- electronically. Providers who submit less than five claims each month may continue to submit a request form. For those providers continuing to have issues with their use of the portal, the Department has lengthened the timely filing deadline extension through May 2018.
News You Can Use
Here's some content for membership newsletters:
Resources available to assist with Colorado interChange questions
There are many resources available to help you learn more about the Colorado interChange, see more about known issues with the system and receive updates on fixes and additional information. The primary areas you can find this information include:
The Known Issues & Updates web page is frequently updated with known system issues and work arounds. Issues are categorized by service type so you can more easily find issues affecting your business. While this is not an all-inclusive list of all system issues, it is regularly updated and includes the vast majority of known issues and updates.
The Provider Resources web page is an archive of all Colorado interChange related email blasts previously sent to providers, which contain helpful resources and information.
