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.
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
For questions about this program, please contact the Division of Insurance at firstname.lastname@example.org