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CODE OF COLORADO REGULATIONS 10 CCR 2505-10 8.100 Medical Services Board

255 reimburse any claim from any provider or entity or make any payment to an entity that fails to disclose information related to business transactions as required by 42 CFR § 455.105 beginning on the day following the date the information was due and ending on the day before the date on which the information was supplied. 42 CFR § 455.105 (2024) is hereby incorporated by reference. The incorporation of 42 CFR § 455.105 (2024) excludes later amendments to, or editions of the referenced material. Pursuant to § 24-4-103(12.5), C.R.S., the Department maintains copies of this incorporated text in its entirety, available for public inspection during regular business hours at 303 E. 17th Avenue, Denver, CO, 80203. Certified copies of incorporated materials are provided at cost upon request. Incorporated materials may also be obtained from the original issuer at https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-C/part-455/subpart- B/section-455.105. Any payment made to a provider or entity that is not reimbursable in accordance with this section shall be considered an overpayment. 8.125.15.F. The Department may terminate the agreement of any provider or entity or deny enrollment of any provider that fails to disclose information when requested or required by 42 CFR § 455.100-106. 42 CFR § 455.100-106 (2024) is hereby incorporated by reference. The incorporation of 42 CFR § 455.100-106 (2024) excludes later amendments to, or editions of the referenced material. Pursuant to § 24-4-103(12.5), C.R.S., the Department maintains copies of this incorporated text in its entirety, available for public inspection during regular business hours at 303 E. 17th Avenue, Denver, CO, 80203. Certified copies of incorporated materials are provided at cost upon request. Incorporated materials may also be obtained from the original issuer at https://www.ecfr.gov/current/title-42/chapter- IV/subchapter-C/part-455/subpart-B/section-455.106. 8.126 COLORADO NPI RULE 8.126.1 Definitions A. Billing Provider Field means the data field on a Claim that reflects the Health Care Provider to which the payer issues payment.