Senate Joint Resolution 16-029 Summary

• Recognizes the accomplishments of the Colorado "Medical Clean Claims Transparency and Uniformity Act" Task Force, which spent five years developing uniform payment rules and claim edits to reduce administrative costs in health care.

• Commends approximately 25 expert participants from health plans, software vendors, and health care providers who donated thousands of volunteer hours working by consensus through a transparent process.

• Recommends the federal Department of Health and Human Services (DHHS) accept the task force's work product, adopt its rules as the basis for a national common edit set for professional claims, and provide oversight and funding.

• Requests DHHS adopt the task force's collaborative and transparent process for identifying and challenging problematic or clinically incorrect edits and make the resulting edit set available in a downloadable, usable format.

• Recommends DHHS support adoption of the process, rules, and edits for use across all states following either a state-specific or national pilot program.