All arbitrators participating in the arbitration program must apply to the Commissioner for inclusion and are reviewed by the Division to ensure they meet the necessary qualifications and requirements. The arbitrator appointed by the Commissioner must:
- Be independent, not affiliated with a carrier, health care facility, or provider, or any professional association of carriers, health care facilities, or providers;
- Not have a personal, professional, or financial conflict with any parties to the arbitration;
- Demonstrate experience with health care billing and reimbursement rates;
- Demonstrate completion of arbitration training;
- Demonstrate that they are in good standing with a state agency that regulates attorneys in a state in which they practice; and
- Provide an expense and fee schedule for what they will charge to complete an arbitration.
Apply HERE to become an Arbitrator for the Out-of-Network Arbitration Program
If you have any additional questions, please contact the Division at dora_doi_arbitration@state.co.us
Federal "No Surprises" Act
The federal No Surprises Act will go into effect on January 1, 2022 and applies to self funded and fully insured plans. This new law will have some overlap with Colorado’s Out-of-Network Health Care Services law, put into place by HB19-1174. Know that the Division is working to evaluate the intersection between the state and federal laws. Both laws protect consumers from surprise out of network bills. If you receive a surprise bill and have questions about which law is applicable, contact our Consumer Services Division for assistance.
303-894-7490 / 800-930-3745 (outside the Denver Metro area) / DORA_Insurance@state.co.us
Monday - Friday, 8:00 a.m. - 5:00 p.m.
If you want to learn more about the federal No Surprises Act, please visit the No Surprises Act website (from the Center for Medicare & Medicaid Services) to see fact sheets on what No Surprises Act rules cover, as well as additional details about consumer protections.