Colorado workers’ comp case management billing —
Rule 16, 120 days, both directions.

Your week, in Colorado’s documents.

A 1987 repeal, a 2026 e-billing mandate, and a caseload that still generates the same documentation it always did.

• 7:50 a.m.
  Telephonic case calls before the drive over the pass.Entered as they end, each with the claim number and adjuster attached.
• 11:15 a.m.
  Appointment attended. Wait time, then 92 mountain miles.Three lines. In Colorado the miles are not a rounding error.
• 2:25 p.m.
  Monthly report for the TPA.Written once from the entries; nothing reconstructed from a calendar.
• 4:40 p.m.
  Billing out inside the 120-day window, with proof filed.Every bill becomes a receivable with its send date attached.

One check, four claimants, one short-pay caught at $16.14, $674.07 still owed. Invented names, real workflow — and the same screen whether you invoice a TPA in Colorado or an MCO in Ohio.

Every one of those rows is typed once, as it happens. The daily log writes itself as you go, the weekly narrative log builds in your own Word template, the invoice fills with the right units and the right payer block, and the receivable exists the moment the bill leaves. The whole chain →

Who pays you in Colorado.

Pinnacol Assurance is the dominant name in Colorado, with the national carriers and TPAs behind it. Everything moves under Rule 16, which sets the format expectations more than it sets yours.

One check, many claimants. Whichever of these names is on the envelope, the check covers a dozen files at once. You record it once, tick the bills it pays, and anything short is flagged with the exact gap and the original form attached, ready to rebill. How that screen works.

Payer fax numbers and billing addresses go stale faster than any page can keep up, so we publish them only where we keep them current — today that is Ohio’s nine MCOs. Your Colorado payers, their submission addresses and their quirks get set up during onboarding, from your own files.

Case files, adjusters, mileage, invoices.

Nurse case management billing works in Colorado today: the activity grid, the itemised invoice, the mileage and wait-time lines, and aging by payer inside a 120-day clock.

It is the same week Dana works in Ohio with different nouns: case files instead of claimants, adjusters instead of MCO coordinators, billable hours and mileage instead of W-codes. The nurse case manager page has the whole workflow.

Questions, answered.