During the 2019 Colorado legislative session, House Bill 19-1174 was passed to help protect patients from surprise out-of-network (OON) bills. The bill identifies provider reimbursement requirements for out-of-network emergency and non-emergency visits. The Colorado All Payer Claims Database (CO APCD) is identified in the bill as a data source to provide statewide and geographic commercial allowed (paid) amounts. During the summer and fall of 2019, Center for Improving Value in Health Care (CIVHC) worked collaboratively with the Division of Insurance (DOI), providers, and payers to determine how to most accurately analyze and provide information from the CO APCD to support implementation of the bill. The first dataset was provided publicly in January 2020 and will be updated on an annual basis.
Resources Related to HB 19-1174
- Division of Insurance Resources Webpage
- CO APCD OON Data Downloadable Excel Files:
- CO APCD OON Data Supporting Documents:
Please contact CIVHC staff at ColoradoAPCD@civhc.org if you have additional questions.