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On October 31, 2016, Hewlett Packard Enterprises (HPE) will assume fiscal agent operations on behalf of Health First Colorado (Colorado’s Medicaid program) and Child Health Plan Plus (CHP+). These operations include the transition to the Colorado interChange (a new claims payment system) and a new provider Web Portal.
In order to submit batch claims to the Colorado interChange system, you MUST enroll as a Trading Partner for the Colorado interChange, and pass test transactions for HIPAA compliance.
Only one Trading Partner application needs to be completed per Trading Partner, even if the Trading Partner represents multiple providers. Accurate and timely completion of the profile form will prevent delays in testing and approval for production processing.
Please download and review this Getting Started Guide for enrollment instructions.
Complete your Trading Partner enrollment.
Download this Testing Packet, complete the testing process and receive approval to submit production transactions.
Register for the new provider Web Portal as a "Billing Agent" and assign a Trading Partner Administrator.
After you are approved for production transactions, send your TPID to the providers you submit for. For your convenience, we’ve provided these suggested instructions for your providers. We recommend that you download and customize these instructions prior to sending them to the providers you submit for.
Providers you submit for add you as a Registered Billing Agent/Clearinghouse/Switch Vendor (see instructions in step 5).
Submit production batch claims on or after October 31, 2016.
Questions may be directed to the EDI Helpdesk at 1 (844) 801-8482
Getting Started Guide
Suggested Instructions - download, customize, and send to the provider(s) you submit batch claims for
Trading Partner Agreement
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The Department's fiscal agent, EDI Services, offers technical assistance to providers who electronically submit Colorado Medical Assistance Program claims. This assistance includes:
Our Support Unit can provide you with detailed information that will make your transition to an electronic environment an easy one. EDI Support is available Monday through Friday, 8:00 a.m. - 5:00 p.m. at 1-800-237-0757 (toll free).
Download, complete and submit all pages of the Provider Application for EDI Enrollment. Providers should follow the instructions carefully to avoid EDI processing delays.
After processing, EDI Services will fax or mail your trading partner information to you. The State will follow-up on the enrollment process and send you the necessary user names and passwords for accessing the Web Portal.
EDI Submitter Enrollment Form (05/15)
All switch vendors that submit electronic transactions to the Colorado Medical Assistance Program are required to complete the Switch Vendor Submitter Enrollment Application (05/15). Please download, complete and submit the application to the address on the last page of the application.
Providers already enrolled for EDI
DSH EDI Documents
Please mail completed DSH EDI forms to:
DSH EDI Enrollment
Colorado Medical Assistance Program
DSH EDI Submitter Services
P.O. Box 1100
Denver, CO 80201-1100
The HIPAA implementation guide for Pharmacy NCPDP version 5.1 can be found in the Pharmacy Billing Manual, under "NCPDP Version 5.1 Payer Sheet - B1/B3 Transactions.
The NCPDP Version 5.1 Payer Sheet - B1/B3 Transactions allow providers to program their systems for transactions that are HIPAA compliant and work with the Colorado Medical Assistance Program.