Out-of-Network Payment Arbitration Program
An arbitration program for out-of-network provider and facility carrier reimbursement disputes
House Bill 19-1174 - Concerning out-of-network health care services provided to covered persons, established an arbitration program for out-of-network providers and out-of-network facilities who believe that the payment they received from a carrier was not sufficient given the complexity and circumstances of the services provided. The Division of Insurance (DOI) is tasked with managing the arbitration program.
Overview of the Arbitration Process
Non-Participating Provider Arbitration Request Form - Use this link to submit a request for arbitration, Division staff will follow-up with next steps.
Arbitration Decision and Reporting Form [Fillable PDF] - to be sent by the arbitrator to the health care provider / facility, insurance company and the Division of Insurance
Apply to be an Arbitrator for the Out-of-Network Arbitration Program (includes requirements) - The Division is currently not accepting applications for additional arbitrators
List of Qualified Arbitrators and Fees for the Out-of-Network Payment Arbitration Program
For questions about this program, please contact the Division of Insurance at dora_doi_arbitration@state.co.us