Jump to navigation
On March 1, 2017 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 or batch eligibility files, or in order to receive batch files (such as the 835) 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 submits for 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 March 1, 2017.
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
v5010 X12 820 Companion Guidev5010 X12 278 Companion Guidev5010 X12 276 277 Companion Guidev5010 X12 270 271 Companion Guidev5010 X12 837I Companion Guidev5010 X12 837P Companion Guidev5010 X12 837D Companion Guidev5010 X12 835 Companion Guidev5010 X12 834 Companion Guide
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).
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.