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. 

Here's a look at hot topics for providers and others:

• Providers may be confused by the fact that some claims show as paid on the interChange portal, but don't show as paid on their remittance advice. That happens when a claim is caught in a pre-payment cycle that checks for errors but may also cause problems with the financial cycle. The claim is reviewed before being released and could take a few weeks to review. More information for providers is available.

• To continue to support providers as we work through the interChange transition, the Department will be further extending the grace period already established for timely filing. You may recall that on system launch, the Department increased the timely filing limit from 120 days to 240 days. That extension was slated to end, but will now be in place until May 1, 2018.

• 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. Interim payments are paid at 80 percent of a provider's historic weekly payment average over a three-month period prior to March 1, 2017. 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 these payments will be recouped from future payments. We cannot issue interim payments to providers who are not enrolled or who have not yet completed the revalidation process.

• Seven of the eight total regional field representatives are getting the necessary training to begin working with providers learning the Colorado interChange. The fastest way to address your individual claims questions will still be the Provider Services Call Center. These field representatives will also be providing provider training sessions later this year. Providers can influence the content of those educational sessions in their area by contacting their regional representative. 

Tips for better understanding provider claim numbers in interChange

 

Providers can find resources to find important facts about when a claim was received by the Department as well as other key topics by taking a moment to learn more about the way the system uses Internal Control Numbers and Region Code Information.

 

These simple tracking numbers provide the date and year the claim was received as well as the type of claim submission. All of these data points can be helpful in understanding everything from where claims stand in the process to pinpointing potential reasons for claim denial. The Department has developed new quick guides to help provides use these tracking numbers more easily. The Internal Control Number (ICN) Information Sheet  and the Region Code Information Sheet have been posted to the DXC and interChange Resources web page, under Quick Guides - Reading Your Remittance Advice (RA).

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