Colorado law mandates specific time frames for the administrative management of workers' compensation claims. The Colorado Division of Workers' Compensation Rules of Procedure defines the filing and response time requirements for forms, reports, records requests, appeals, and billing for providers.
Network-contracted providers must comply with specific standards associated with each component of case management. The SelectNet Provider Manual and network contracts identify the requirements for primary care physicians, specialists, urgent care facilities, mental health providers, and rehabilitation service providers.
By providing the appropriate documentation and communicating with the Pinnacol claims management team, we can optimize clinical outcomes so injured workers receive appropriate, timely and cost-effective care.
The number of business days for a response is summarized in the tables of this handout.