|REMINDER: Carriers, TPAs, & Self-Insured Businesses please refrain from submitting duplicate admissions in response to a request for a position statement. Please call customer service at 303-318-8700 to see if it has been received before resubmitting. If responding to an error letter, please remember to update the certificate of mailing date pursuant to Rule 1-4(B). Any document that is certified as mailed, including admissions, must be placed in the U.S. mail or delivered on the date of certification. Documents may not be filed via e-mail unless specifically permitted by the division. Duplicate submissions can also result from the vendor sending the admission twice: first through an automated portal and then through a follow-up email.|
When a worker is injured or has an occupational disease that results in more than three days/shifts of lost time, permanent impairment, or death, the insurance carrier must file a First Report of Injury. All first reports of injury and notice of contests must be filed electronically either through a vendor, Secure File Transfer Protocol (SFTP), or Division website.
This multi-function calculator can assist you through common workers’ compensation calculations, including lifetime present value, interest, and lump sum requests.
Desk Aids have been created to assist claims adjusters to ensure they comply with all statute and rule requirements when admitting and paying benefits. These documents are updated as needed to stay current with statute and rules. Adjusters are free to download a copy of these desk aids for repeated use and guidance each time they adjust compensation benefits.
Surcharge is a levy on workers' compensation premiums paid by insurers who underwrite workers' compensation insurance coverage in Colorado and employers who are authorized to self-insure. The bi-annual collected surcharge funds are used by the Division of Workers' Compensation to offset the costs of administering the system.
This peer review program is designed to evaluate a health care provider's treatment of an injured worker. Any insurer, self-insured employer, or claimant may request a Medical Utilization Review.
Rule 18 sets the maximum fees and associated payment policies for services provided in connection to treatment of an injured worker. Stakeholders are afforded the opportunity each year to provide input into this process. The 2020 and 2021 Medical Fee Schedules are available here.
Medical Treatment Guidelines develops clinical practice guidelines based on the most up-to-date evidence. Our nine guidelines address occupational injuries that frequently occur in the Colorado workers’ compensation system and that are expensive to treat.
Rules 5-7 and Legislative Update Webinar
**Please note: Bill HB21-1050 is effective September 7, 2021. For more, please visit https://cdle.colorado.gov/legislative-update
The Claims Unit is requesting that all of the following be submitted to firstname.lastname@example.org:
- General Admissions (WC 2)
- Final Admissions (WC 4)
- Petitions to Modify, Terminate, or Suspend (WC 54)
- Request for Lump Sum Payment (WC 62)
- *Motions to Close (WC 192) will be accepted only if you are able to provide email addresses for all parties, including the claimant, regardless of representation.*
The email should include:
- Only one document
- For example, FA with attachments, GA with Support for Return to Work
- Do not attach multiple attachments
- The subject line should include in this order:
- WC#, Claimant first and last name, the type of document (FA, GA, Petition, Req for LS, MTC)
- The Certificate of Service will be the date it was emailed to the Division of Workers' Compensation
We will not be requiring a hard copy to be submitted once you have access to regular mail as previously instructed
Please send the following to email@example.com:
- Entry of Appearances (WC 6)
- Worker's Claim for Compensation (WC 15)
- Objections (WC 4 and WC 54)
- Address changes (Claimant and Attorney)
- State of Colorado Holiday Calendar
- Provider Directories
- Quick Reference Guide
- 2021 Maximum Benefits Order
- 2020 Maximum Benefits Order
- 2019 Maximum Benefits Order
- Guide to Adjusting Workers' Compensation Claims
- Employer Guide
- Injured Worker Guide
- Legislative Update
- Workers' Compensation Quarterly Workshops
- Rule 5-15 - Claims Adjusting Requirements - Surveys
- Injured Worker Exit Surveys & Change of Physician Surveys
- ICD-9 vs ICD-10
- Claimant Brochure
- At the time a position statement is mailed, the insurance carrier must provide the claimant with a copy of the Claimant Brochure describing the claims process and informing the claimant of his or her rights.