Starting January 1, 2026, Colorado’s Division of Workers’ Compensation is mandating electronic billing for workers’ compensation medical services. Under CCR § 1101-3, Rule 16-8-1, both providers and payers have new responsibilities to ensure a faster, more secure, and more efficient billing process, and Jopari Solutions is here to help you every step of the way
What the New Colorado Rule Requires
For Providers:
- Mandatory Electronic Billing: Providers who submit 25 or more workers’ compensation bills per month must send medical bills electronically using HIPAA-compliant transactions (X12 837 format).
- No Duplicate Paper Submission: If you submit electronically, you may not also submit a paper copy.
- Timely Filing Rules Remain: Bills must still be submitted within 120 days of service (no change).
- Exemptions: Providers submitting fewer than 25 workers’ comp bills per month are exempt but are encouraged to adopt eBilling best practices.
For Payers:
- Mandatory Acceptance of eBills: All payers (excluding self-insured employers) must accept electronic X12 837 (bill) transactions
- Acknowledgement Requirements: Payers must send an X12 277CA Acknowledgment transaction within 2 business days of receiving an eBill.
- Remittance Advice Requirements: Payers must issue an X12 835 Electronic Remittance Advice within 30 days of receiving the eBill or within 5 days of issuing payment.
- Payment Methods: Payers must offer at least one fee-free payment option to providers and disclose any fees if offering options such as electronic funds transfer and or virtual credit cards.
Why Jopari?
Jopari Solutions, as a technology solution company and a national clearinghouse, has over 22 years of workers’ compensation experience processing compliant HIPAA X12 transactions in all 50 states. Whether you’re a provider needing a smooth path to compliance or a payer setting up acknowledgment and remittance workflows, Jopari ensures you meet every regulatory requirement—accurately and on .
- Proven industry expertise with EDI and X12 Transactions Processing
- End-to-end electronic workflow support
- Trusted by payers and providers nationwide
- Full compliance with Colorado’s upcoming rules
- Experienced eBill Customer Implementation/ Support Team
Start Preparing Now
Although January 2026 may seem far away, implementing a compliant eBilling system takes planning and testing. Now is the perfect time to partner with a trusted solution provider like Jopari to ensure your systems, processes, and people are ready.
Questions? Contact your Jopari Account Manager or call us at (800) 630-3060.
