Two systems will affect the way providers submit claims and receive payment are:
1. The Colorado interChange - a new claims processing and eligibility verification system
2. The PBMS - a new pharmacy point of sale system
-What’s changing? The Department procured two completely new systems for processing claims, prescriptions, and verifying member eligibility. Both systems are powered by leading technologies that promise to increase access to information and improve provider satisfaction.
-Who’s changing? The Department has teamed up with industry leading companies to assist in the design, build, implementation, and operation of these new Health Care Enterprise systems. Hewlett Packard Enterprise (HPE) will replace Xerox State Healthcare as the Department’s fiscal agent. The new PBMS and contract will be taken over by Magellan.
-How will you stay informed? Look for future updates posted in the monthly Provider Bulletins, At a Glance, Provider Claim Reports (PCRs), and on the Department’s website. Please Sign Up for the email distribution list today and you will receive information specific to your provider type or business, straight to your email inbox.
-Who’s changing? The Department has teamed up with industry leading companies to assist in the design, build, implementation, and operation of these new Health Care Enterprise systems. Hewlett Packard Enterprise (HPE) will replace Xerox State Healthcare as the Department’s fiscal agent. The new PBMS and contract will be taken over by Magellan.
-How will you stay informed? Look for future updates posted in the monthly Provider Bulletins, At a Glance, Provider Claim Reports (PCRs), and on the Department’s website. Please Sign Up for the email distribution list today and you will receive information specific to your provider type or business, straight to your email inbox.
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