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Billing for Services

Send Claims to:
Colorado Health Networks
Attn: Claims Processing
7150 Campus Drive, Suite 300
Colorado Springs, CO 80920

All claims for care must be submitted on an approved claim form and must contain the actual address, including zip code, where the services were provided, regardless of the provider's preferred billing address.

Approved claim forms are:

  • Health Insurance Claim Form - Colorado 1500 or HCFA 1500 (physician services)
  • UB-92 (Universal Institutional Billing Form)

Claims should be submitted for payment subsequent to services being rendered. Providers are responsible for submitting claim forms for reimbursement. Claims for services submitted by Colorado Health Networks providers must be received by Colorado Health Networks no later than 90 days after the services were delivered.

Provided all necessary information is received to process the claim, claims shall be paid within 30 days of receipt.

Tips for Getting Your Claim Paid

  • Check the validity of the authorization
  • Verify the authorized provider
  • Verify eligibility
  • Use the correct claim form
  • Sign the claim form
  • Submit claim forms to the primary insurance company first.
  • All claim payments are contingent upon the receipt of a fully completed Colorado Client Assessment Record (CCAR), at the time of admission to treatment, discharge and annually if indicated.
  • Medicare/Medicaid clients are not part of Colorado Health Network's capitation project. Payment consideration is made by Medicare and the state's fee for service plan.

For answers to questions about Billing for Professional and Facility/Program Services, call the Access to Care Line, 1-800-804-5008.
 
 
 
 
 
 
   
   
  
   
         
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