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Provider Resources

Find the provider manual here, as well as information about how to contact your provider relations representative.

Contact Your Provider Relations Representative

We assign you a provider relations representative to help you navigate issues like:

  • Complex claims questions
  • Contract issues, including reimbursement
  • Credentialing
  • Office orientation and other trainings as well as education
Renee Fletter
Manager, Provider Relations
Provider Relations for Federally Qualified Health Centers (FQHC) (Excluding Denver Health Authority) Community Mental Health Centers (Includes Asian Pacific Center)
renee.fletter@coaccess.com
720-744-5208
800-511-5010 ext 5208
Elina Navarro
Physical Health Provider Relations
elina.navarro@coaccess.com
720-744-5202
800-511-5010 ext 5202
Sandy Rangel
Physical Health Provider Relations
sandy.rangel@coaccess.com
720-744-5334
800-511-5010 ext 5334
Gretchen Hess
Behavioral Health Provider Relations
gretchen.hess@coaccess.com
720-744-5255
800-511-5010 ext 5255
Sunnie Franzen
Behavioral Health Provider Relations
sunnie.franzen@coaccess.com
720-744-5276
800-511-5010 ext 5276
John Salvino
Hospital Systems Provider Relations (includes Banner Health, University Colorado Medicine)
john.salvino@coaccess.com
720-744-5360
800-511-5010 ext 5360
General questions:

Fax:
303-755-2368

Provider Manual

From claim appeals to authorizations and referrals, our provider manual includes information you need to know. This provider manual is revised as needed. As such, some policies and procedures may have changed since that time. If you have any questions regarding any of the information in this manual, please contact your provider relations representative.

Important Updates & Provider Newsletters

We send out periodic newsletters to our providers by email. You can also find recent editions below. Each edition contains important news related to Colorado Access and our members. If you are not already receiving our provider newsletter, please send an email to ProviderRelations@coaccess.com that includes the following information:

  • Practice/Provider name
  • Email address (preferably a practice email address, not a staff email)

2018 Provider Bulletins

September 2018

August 2018

July 2018

June 2018

May 2018

April 2018

March 2018

2017 Provider Bulletins

Winter 2018

Provider Frequently Asked Questions

How do I get Synagis for my patients?

Complete prior authorization forms and fax them to Navitus at 855-668-8551. All approved Synagis requests will be dispensed by Avella Specialty Pharmacy. If you wish to have a home health agency administer Synagis to your patient, please indicate that the medication will be shipped to the patient’s home. Upon prior authorization approval, Navitus will notify Avella, who will fax a home health request to set up the services. Our utilization management team will work to set up a home health agency to visit the patient’s home and administer the medication.

Is Synagis covered by Colorado Access?

Synagis is covered for eligible patients through the Colorado Access pharmacy benefit. The specific criteria for approval can be found here. Prior authorization forms should be faxed to Navitus at 855-668-8551.