Notice of Adoption - Regulation 4-2-79 Concerning the Requirements for Provider Data Requests and Carrier Responses Confirming Out-of-Network Payment Methodology Utilization

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The Division would like to provide notice that the Commissioner has adopted the following new regulation:

The purpose of this regulation is to establish the requirements for provider and health care facility submitted requests for out-of-network payment methodology data from carriers pursuant to § 10-16-704(13), C.R.S., as well as the fields that must be supplied in any response provided by a carrier pursuant to that same statute.

This regulation will become effective on January 15, 2022.

Find this regulation and other regulations that have been adopted, but are not yet effective, at Regulations Adopted But Not Yet Effective.

Division bulletins and regulations can be found at Statutes, Regulations & Bulletins.

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