In Colorado, healthcare providers use the CMS-1500 (HCFA) Form to file original workers' compensation medical bills.
Article Contents |
Navigation Link |
CMS-1500 (HCFA) |
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Reporting Requirements |
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Timely Filing |
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Filling out the Form |
CMS-1500 (HCFA) Services
The following table provides a link to the Colorado rules which require a provider to use the CMS-1500 (HCFA) for billing purposes.
Service |
Rule |
All Professional Services |
Division of Workers’ Compensation 7 CCR 1101-3 Rules of Procedure; Rule 16 Utilization Standards |
DME | |
Ambulance Services (Except for Dental) |
CMS-1500 Required Billing Documentation
For a complete bill, Colorado requires the provider to submit the following supporting documentation with the CMS-1500 Form, when applicable.
CMS-1500 Medical Bill |
Required Supporting Documentation |
Treatment |
Copies of the examination, surgical, and/or treatment records. |
For additional information on medical billing please refer to daisyBill’s Colorado Billing Guide.
Timely Filing
Provider must submit medical bills within 120 days of the date of service.
Form |
Timely Filing |
Rules of Procedure |
Rule |
CMS-1500 |
120 days from Date of Service |
CMS-1500 (HCFA) Form Instructions
The state of Colorado requires providers to submit a complete CMS-1500 Form, but Colorado offers no further instructions.
To make workers’ comp easier, daisyBill created this NUCC CMS-1500 Instructions Table listing the requirements of the National Uniform Claim Committee (NUCC), the entity which created and maintains the CMS-1500 form. This information is provided for educational purposes only and is not intended to represent state-specific requirements.
For additional information, review the complete NUCC Manual:
1500 Health Insurance Claim Form Reference Instruction Manual for Form Version 02/12
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