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HB18-1282

Health Care Provider Unique Identification Per Site Or Service

Concerning a requirement that a health care provider include certain identifying information on all claims for reimbursement for health care services.
Session:
2018 Regular Session
Subjects:
Health Care & Health Insurance
Insurance
Public Health
Bill Summary

Health care providers - claims for payment for services - use of unique provider identifier. The act requires an off-campus location of a hospital to apply for, obtain, and use on claims for reimbursement submitted on or after January 1, 2020, for health care services provided at the off-campus location a unique national provider identifier, commonly referred to as "NPI". The off-campus location's NPI must be used on all claims related to health care services provided at that location, regardless of whether the claim is filed through the hospital's central billing or claims department or through a health care clearinghouse.

Additionally, all medicaid providers that are entities are required to obtain and use, on and after January 1, 2020, a unique NPI for each site at which they deliver services and for each provider type that the department of health care policy and financing has specified. Entity medicaid providers must use on all claims the unique NPI that identifies both the site where the services were provided and the provider type rendering the services, regardless of whether the claim is filed through the entity's central billing or claims department or through a health care clearinghouse.


(Note: This summary applies to this bill as enacted.)

Status

Introduced
Passed
Became Law

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Bill Text

Pursuant to HJR20-1007, the Second Regular Session of the 72nd General Assembly is Temporarily Adjourned until 10:00 a.m., Monday, March 30, 2020. 

COVID-19 Resources

Temporary Guidelines for Review and Comment Meetings

The legislature will meet in limited session on Monday, March 30th. The Capitol will be open for the duration of the session for those with essential business related to the session. The building will not be available for public tours. People without essential business are encouraged to access the session through the General Assembly website and Colorado Channel.  Anybody with essential business related to the session will be required to practice appropriate social distancing measures.