State RegulationsCO specificDifficulty 1/5
A Colorado hospital submits a clean claim to a carrier electronically. Under C.R.S. § 10-16-106.5, the carrier must pay, deny, or settle the claim within:
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Answer & full 3-part explanation (select an option above, or peek)
Why A is correct
C.R.S. § 10-16-106.5 requires Colorado carriers to pay, deny, or settle clean claims within 30 calendar days when they are submitted electronically. Missing the deadline exposes the carrier to 10% annual interest on the amount ultimately allowed and, if the claim is not resolved within 90 days, a penalty of 20% of that amount imposed on the 91st day.
Why the other options are wrong
- B) 45 calendar days is the deadline for claims submitted by any other means, not electronically.
- C) 60 calendar days is not a Colorado prompt-pay deadline.
- D) 90 calendar days is the outside period for claims generally absent fraud, not the clean electronic claim deadline.
Memory hook
Electronic = 30 days; paper = 45.