Colorado Parity Resources
Depending on whether you are filing a complaint or appeal, the contact information below should be able to help you if you have any questions.
Consumer Advocates
For general information about filing a parity appeal for mental health or addictions services, you cannot go wrong with contacting one of the consumer advocates below. Each has years of experience helping consumers in the state of Colorado.
Colorado Division of Insurance
To file a complaint: https://www.colorado.gov/pacific/dora/ask-question-make-complaint-division-insurance
Health Plan Contacts
When filing an appeal for the first time, you should contact your health plan’s customer service support line or check out their information online.
If you choose to appeal an adverse benefit determination concerning your mental health or substance use treatment or benefits, please keep in mind that the timeframe to do so varies by state, plan type, and other factors. Contact your state’s department of insurance for additional information.
Here is some contact information for Colorado Health Plans:
Anthem Blue Cross Blue Shield
Call Member Service number on the back of member ID card
Mail:
Anthem Blue Cross and Blue Shield or HMO Colorado
Customer Service Department
PO Box 5747
Denver, CO 80217-5747
Anthem Blue Cross and Blue Shield or HMO Colorado
Appeals Department
700 Broadway CO010-0430
Denver, CO 80273-0001
Bright Health Plans
10333 E Dry Creek Road
Englewood, CO 80112
855-827-4448
Humana
Call the Customer Care phone number found on your Humana ID card
Click here to find Grievance/Appeals request forms
Kaiser Permanente
Member Services:
Denver/Boulder: 800-632-9700
Mountain Colorado: 844-837-6884
Northern Colorado: 844-201-5824
Southern Colorado: 888-681-7878
Kaiser Permanente
Member Services Department
2500 South Havana Street
Aurora, Colorado 80014-1622
Rocky Mountain Health Plans
Call Customer Service: 888-282-1420
Rocky Mountain Health Plans
Member Appeals
PO Box 10600
Grand Junction, CO 81502-5600
UnitedHealthcare
Call the number on the back of your insurance ID card
State Regulators
Insurance Commissioner
Colorado Division of Insurance
Insurance Commissioner
1560 Broadway, Suite 850
Denver, Colorado 80202
(303) 894-7499
Utilization Management Appeals
Department of Regulatory Agencies, Division of Insurance
Life and Health Section
1560 Broadway, Suite 850
Denver, Colorado 80202
Phone: (303) 894-7499
Fax: (303) 894-7455
External Review Appeals
Colorado Division of Insurance
Program Assistant
1560 Broadway, Suite 850
Denver, Colorado 80202
Phone: (303) 894-7531
Parity Appeals
Colorado Division of Insurance
Insurance Commissioner
1560 Broadway, Suite 850
Denver, Colorado 80202
(303) 894-7499
Additional Colorado Insurance Administration Contacts, click here
Federal Regulators
U.S. Department of Health and Human Service’s website on the Affordable Care Act health reform law
U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration (SAMHSA)
(SAMHSA) Implementation Mental Health Parity Addiction Equity Act
U.S. Centers for Medicare and Medicaid Services (CMS) U.S. Department of Labor, Employee Benefits, Security Administration (EBSA) or toll-free hotline: 1.866.444.EBSA (3272)
For the U.S. Department of Health and Human Services & Centers for Medicare and Medicaid Services list of exempt state and local plans, please email NonFed@cms.hhs.gov. You may ask them if any particular state and local plan has opted out of MHPAEA.
Information on requirements of employer-based insurance coverage and self-insured health plans. EBSA has benefit advisors who are available to answer questions and provide assistance in obtaining your benefits.
Consumer Guide to Disclosure Rights: Making the Most of Your Mental Health and Substance Use Disorder Benefits
Veteran and Military Resources
Health Net Federal Services
A grievance is a written complaint or concern about a medical provider. Click here for specific information regarding who, what and how to file.TRICARE
View the recently released Tricare Mental Health Fact Sheet.The appeal process is different based on the benefit issue. Depending on your issue, you can file a:
- Factual appeal
- This is if you were denied payment for services or supplies you received, or if payment was stopped for services or supplies previously authorized.
- Medical necessity appeal
- This is if prior authorization for care or services was denied because it was not deemed medically necessary. Medically necessary means it must be appropriate, reasonable, and adequate for your condition.
- Pharmacy appeal
- This is if you don't agree with a decision made about your pharmacy benefit. For example, Express Scripts denies your pharmacy claim.
- Medicare-TRICARE appeal
- This is if you're eligible for both TRICARE and Medicare, and Medicare denies your services or supplies.
If your care is denied, you should receive a letter with details about how to file your appeal.