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Colorado prompt pay law dental

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Under C.R.S. §10-16-106.5, the Colorado payment deadline is 30 calendar days (electronic) and 45 calendar days (any other means). A carrier that misses the deadline owes the insured or the health care provider, with proper assignment, interest at 10 percent annually on the total amount ultimately allowed, accruing from the date payment was due (§10-16-106.5(5)(a)). Dental applicability: The statutory text points toward dental claims being inside the scheme. A self-funded private-employer (ERISA) plan is generally beyond this statute's reach and runs on the federal claims-procedure clock instead — but that comes from the courts reading 29 U.S.C. § 1144, not from its text, and it is not categorical: a self-funded governmental or church plan is not an ERISA plan at all, § 1144(b)(6) leaves multiple employer welfare arrangements open to state insurance law, and nothing in § 1144 bars a state from reaching the third-party administrator or the network contract.

Last verified
2026-08-30
Reviewer
None — owner-published

Dentovio is an independent publisher, not a law firm, insurance department, or government agency. This page was drafted with AI assistance and read against the primary sources linked here, with a per-claim verification record — quote, statutory pinpoint, and the URL actually opened — behind every deadline, rate, and applicability verdict in all fifty-one jurisdictions. It has not been reviewed by a credentialed attorney or dental billing specialist. These pages summarize state prompt-pay statutes as read against the official sources on the date shown, focusing on how each statute treats dental claims. Statutes change and their application turns on plan type, contract status, and claim facts. Educational reference only — not legal advice; confirm current law with the state insurance department or a licensed attorney before acting on a specific claim.

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Source citations

  • PROMPTPAY-COLORADO-1 C.R.S. §10-16-106.5 — Colorado Revised Statutes 2024, Title 10 (official OLLS PDF, pp. 761–764) (content.leg.colorado.gov)
  • PROMPTPAY-COLORADO-2 Colorado Division of Insurance (DORA) (doi.colorado.gov)

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