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Colorado Medicaid E-Claims  

Colorado Medicaid is an E-Claims Direct Carrier.  Website: http://www.colorado.gov/cs/Satellite/HCPF/HCPF/1197364127336.

In the Main Menu, click Setup, Family/Insurance, Clearinghouses, then click Add and set up as follows:

1. Enter the Trading Partner ID in the Tax ID Number field. Colorado Medicaid assigns the provider a Trading Partner ID once the provider is enrolled in Colorado Medicaid EDI.  To locate the ID, log in to the Colorado Medicaid web portal at https://sp0.hcpf.state.co.us/Mercury/MainMenu.aspx. The Trading Partner ID is displayed in the upper left corner.
2. For all Colorado Medicaid insurance plans, set the Filing Code to "Medicaid" on the Edit Insurance Plan window.
3. For all Colorado Medicaid claims that will be submitted electronically, the Carrier associated with the insurance plan must have a carrier name of "CO Medicaid".
4. Send the claim. A new file will be generated in the clearinghouse export folder. The claim has not been sent to Colorado Medicaid at this point. To finish sending, you must manually send the file over dialup modem. The phone number to send to, as well as the login information for the dialup session, can be found on the welcome letter sent to the provider from Colorado Medicaid.

 

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