HCPF Provider News - Resources for provider enrollment, claims and reimbursement questions

“Colorado Medicaid contracts for many important provider-related services.  While we enjoy working with you directly, our goal is to connect you to the appropriate resource as quickly as possible to resolve your questions and concerns. Here is a brief summary of resources available to you:

Xerox State Healthcare 1-800-237-0757

• Medicaid Billing and Bulletin questions
• Medicaid Claims and PAR submissions
• Correspondence, Inquiries and Adjustments
• Enrollment, Changes, Signature Authorization and Claim Requisitions

CGI 1-888-538-4275 or Helpdesk.HCG.centra.us@CGI.com

• Colorado Medicaid Web Portal technical support
• Web Portal Password resets
• Web Portal End User training

ColoradoPAR 1-888-454-7686

• Prior authorization requests for: diagnostic imaging (non-urgent CTs, MRIs, PETs); durable medical equipment/supplies; pediatric home health; medical/surgical services; EBI bone stimulator; EPSDT; surgical 2ndopinions; PT/OT; out-of-state transportation and non-emergency surgery; organ transplants; private duty nursing, vision.

DentaQuest 1-855-225-1731

• Dental and orthodontia PARs
• Dental billing and claims questions

These kinds of questions should be brought to Provider Relations or other Department staff if the appropriate contractors have been unable to resolve your issue. We will do our best to move things forward.  We are also happy to help direct you to other resources, as needed, and to research policy or program questions that are not covered by our contractors. Our Provider Help Page is available online at:  https://www.colorado.gov/hcpf/provider-help.” [Source: HCPF]