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Appendix B

Colorado Medical Assistance Program Fiscal Agent
Gainwell Technologies
P.O. Box 30
Denver, CO 80201
Telephone Numbers
Health First Colorado Provider Services   1-844-235-2387
Electronic Data Interchange (EDI) Support Unit   1-844-235-2387
Health First Colorado Eligibility Response System (CMERS)   1-844-235-2387
Mailing Addresses
Paper claims   PO Box 30
Denver, CO 80201-0030
Correspondence & Adjustment Requests   PO Box 30
Denver, CO 80201-0030
Colorado Indigent Care Program
Fiscal Agent
Gainwell Technologies
P.O. Box 30
Denver, CO 80201

Appendix B Revisions Log

Revision Date Appendix Made by
12/01/2016 Updated Appendix B – Fiscal Agent HPE (now Gainwell)
12/27/2016 No changes required in Colorado iC Stage II Provider Billing Manual Comment Log v0_2.xlsx HPE (now Gainwell)
1/10/2017 Updates based on Colorado iC Stage II Provider Billing Manual Comment Log v0_3.xlsx HPE (Now Gainwell)
1/26/2017 Updates based on Department 1/20/2017 approval email HPE (now Gainwell)
5/22/2017 Updates based on Fiscal Agent name change from HPE to DXC Gainwell
6/7/2022 Converted PDF to web page HCPF