Public Data

CO APCD Out Of Network Data

Increasing access to transparent health care data.

During the 2019 Colorado legislative session, House Bill 19-1174 was passed to help protect patients from surprise out-of-network (OON) bills. The bill identifies provider reimbursement requirements for out-of-network emergency and non-emergency visits. The Colorado All Payer Claims Database (CO APCD) is identified in the bill as a data source to provide statewide and geographic commercial allowed (paid) amounts. During the summer and fall of 2019, Center for Improving Value in Health Care (CIVHC) collaborated with the Division of Insurance (DOI), providers, and payers to determine how to most accurately analyze and provide information from the CO APCD to support implementation of the bill. The first datasets were provided publicly in January 2020 and are updated on an annual basis.

To access the datasets with allowed amounts for the most recent year, visit the Division of Insurance (DOI) Out-of-Network webpage