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Submitter Resources

The Colorado All Payer Claims Database (CO APCD) is the state’s most comprehensive source of health care claims information; representing the majority of covered lives in the state, including commercial health insurance plans, Medicare, and Health First Colorado (Colorado’s Medicaid program).

With the exception of Medicare Fee-for-Service and ERISA-based self-insured employer plans, the CO APCD statute and rule require payers to submit claims data on a monthly basis. ERISA-based self-insured employers can voluntarily submit claims to the database, and CIVHC receives Medicare Fee-for-Service claims through the state agency request program.

Submitter Resources

Payers submitting data to the CO APCD must adhere to the latest Data Submission Guide (DSG), which is updated annually through a collaborative payer rule change process with the Colorado Department of Health Care Policy and Financing (HCPF). Click here for more information on the annual DSG rule change process.

Payer Claims Data Submission Resources:

Data Submission Guide v17 New Data Elements Collected (Fall 2026) 2025 CO APCD Rule HCPF CO APCD Rule Change Process Data Submitter Request Form: Waiver of Annual File Submissions Payer Submission Compliance Policy

Annual File Submissions

On an annual basis beginning in 2019, payers are required to submit annual files related to drug rebates and Alternative Payment Models (APMs). Payers should populate the fields in the template files for the Alternative Payment Model, APM Control Total, and Drug Rebate submissions. Please remember to enter the relevant file name, payer code and performance period dates in the header and footer. In addition, please create a file name using proper naming conventions, as outlined in the Submission Manuals.

Data Access and Privacy Information

CO APCD Privacy, Security, and Data Release Fact Guide Medicare Data FAQs

If you are a submitter to the CO APCD and have questions,
please email submissions@civhc.org

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