Source state·20 tracked subjects · 20 ready for review · current
hash d776c9… ⤓
the parent record — every packet beneath it · 2026-07-10

Independent Colorado Insurance Review Record

Colorado · DOI review record · published-filing evidence · review-only

an independent public record built by TrustNav from the carriers' own published machine-readable filings and public reference files — not affiliated with the Division · contact ben@trustnav.health

what the public filing record says — and what can be independently checked before the next decision deadline

We compared a defined set of Colorado insurance filings and published files with what was publicly observable after filing. Some aligned. Some did not. This page shows exactly what was checked, what remains unresolved, and what the Division could verify next.

if you read nothing else
  • Thirteen of the 128 rate-file links on the Division’s own January 2026 submission tab have been desk-checked — all thirteen returned HTTP 403 on every dated request since July 8, while the sheet lists them as valid through 2027. the availability record →
  • The other 115 remain outside this point-in-time review. We have not identified a complete, single-vintage, dated review of the remaining 115 — from this record or elsewhere. A gap in what has been observed, never a claim about anyone’s compliance.
  • Sixteen of the twenty Colorado Option plans filed in SERFF match the rate files their carriers actually published; four are filed but not observed — each stated with its SERFF anchor, reproducible from the underlying public record. the CO Option packet →
  • Nothing here determines compliance; the Division alone does that. Postures on this record are coverage states of the evidence, never findings about any carrier.

The important question is not whether one broken link matters — it is whether the Division can know, on a dated basis, what was filed, what remained observable, and what changed.

The register's links, desk-checked and dated

what we observedThirteen rate-file URLs from the Division's January 2026 submission tab — the UnitedHealthcare Insurance Company and Surest set — tested on ten dated attempts since July 8: HTTP 403 on every URL, every attempt, with a negative control that bounds what a refusal can and cannot mean.

why a reviewer would careA filing register is useful only if the underlying material remains reachable and identifiable when someone needs to review it.

what this does not establishThe condition of the other 115 URLs; whether any unavailable link reflects carrier noncompliance; why the links refuse; anything about the files behind them.

what would answer the next questionRun the same dated check across the complete published register.

the availability record →

Filed in SERFF, beside what was publicly observable

what we observedTwenty Colorado Option plans filed in SERFF, joined to the observed public rate files by HIOS plan id: sixteen aligned, four filed-but-not-observed — each gap stated with its SERFF filing anchor and revision date.

why a reviewer would careFiled-vs-observed is the Rates & Forms question in its native shape, pre-loaded — and every row recomputes from the public record.

what this does not establishConformance or compliance. The join is an identification, never a conformance finding; a filed-not-observed row is a question, not a defect.

what would answer the next questionThe same join at the next filing cycle — and the four gaps as the data-call-shaped questions they already are.

the CO Option packet →

Same clinicians, two issuers, different published rates

what we observedFor the same 14,684 clinicians on two issuers' rosters, published 60-minute psychotherapy rates differ by $50.95 per provider at the paired median — while office visits sit near parity.

why a reviewer would careSame clinicians on both sides, so the difference is not who is on the roster — it is a fact about the published rate structures themselves.

what this does not establishMember out-of-pocket cost, plan value, or compliance. A negotiated rate is a contract term, not a price paid.

what would answer the next questionThe same paired computation on the next filing vintage, classified against the sealed baseline — change, not re-review.

the cross-issuer grid →

Together, these findings show that the same public filing estate can be turned into a dated exception record: what aligned, what did not, what changed, and what still needs a reviewer’s judgment.

what this could make easier for the Division
Know what was actually observable on a date

Instead of reopening old filings manually, preserve the filed record, destination, status and evidence together.

Review exceptions instead of rereading the whole population

Surface filed-not-observed, observed-not-filed, changed and mismatched records for human review — without making the regulatory determination.

See change over time

Once a baseline exists, show the Division what changed since the last review rather than making staff reconstruct history.

what this record does not decide
  • whether a discrepancy is legally material;
  • whether the carrier supplied information outside the public record;
  • whether an observed difference warrants enforcement;
  • whether a particular filing satisfies every applicable requirement;
  • why a particular filing changed, unless the record says so.

Those judgments belong to the Division. TrustNav’s job is to make the underlying record easier to inspect and reproduce.

what would be worth checking next

The register publishes 128 rate-file URLs; this record has desk-checked 13; 115 remain outside the current review. The natural next question is whether the same pattern exists across the complete register — and, separately, whether filed-vs-observed differences persist across the PY2027 population the Division is currently reviewing.

Walk through the current record with us — pick one finding, and every observation behind it can be recomputed from the public filing while we are on the call.

Walk through this record →

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Everything above is meant to be understood quickly. Everything below exists so you do not have to trust us.

verify this record
⤓ export record bundle (hashed json)
state of the record — right now

Six issuers publish the same mandated product in incompatible formats — this record makes 7 of 11 books comparable, and says plainly why the rest are not.

Counts differ by layer, by design: the negotiated-rate corpus spans every filing carrier; directory-accuracy cross-checks are materialized for a subset of them so far; the DOI transparency list holds 12 entities as 11 evidence books; the Colorado Option product has 6 issuers. Each measures a different thing — the record keeps them distinct rather than collapsing them into one number.

carrier-level records vs filed rate profiles

9 carrier-level records are represented across 11 filed rate profiles. The two figures differ because two carriers file under two profiles each — Anthem (commercial and Colorado Option) and Kaiser (Kaiser and KPIC) — so the profile count is the larger. Grouping the profiles by filing carrier is what produces the carrier count; the record keeps both rather than publishing one and hoping the other never surfaces.

metric ids carrier_records_rate_profiles · filed_rate_profiles — both as of 2026-08-06, derived by SELECT carrier_profile FROM trustnav_co.tic_rate_group_fact GROUP BY 1

6
Colorado Option issuers
12 DOI-listed entities · 11 books held
1
carrier record composed
add a carrier = one registry entry
20
review subjects tracked
reviewer log (F3) open — awaiting first external review
20
subjects ready for review
each opens with one click from its packet
7 of 11
professional-comparable books
grain/class flags ride the rest
3
declared voids
absence is never evidence

materialized — rate dataset 2026-07-09 · record registry 2026-07-10 · dated computations 2026-07-13 (same-provider cross-issuer · per-issuer roster slice) · current record, version-ready architecture

cadence receipts — 48 state links receipted per-URL and dated (Anthem 32 · UHC family 16), all 48 HTTP 403 at the last full-register test 2026-08-25 · the thirteen UnitedHealthcare Insurance Company + Surest links carry ten dated tests each (2026-07-08 → 2026-08-31) · day-one retest committed at the July publication · every recompute locked against the sealed 2026-07-09 baseline before a new test runs

Colorado Option — by issuer (the mandated-product question, answered per carrier)
Anthem
federal 2026-07
comparable · professional per-NPI — resealed 2026-07-27 (correction trail in §02)
Cigna
federal 2026-07 · state 2026-01
comparable · professional per-NPI · both regimes
SelectHealth
2026-07
comparable · professional per-NPI
Elevate (Denver Health Medical Plan)
2026-06
limited · thin — 7–12 NPIs per code
Kaiser Permanente Health Plan
2026-07
not comparable · group-grain · no plan attribution
Rocky Mountain HMO (RMHP)
2026-07
not comparable · institutional-only filing

cross-issuer grid + identification method + rate checks vs regulation: the Colorado Option packet →

carrier review records
Cigna
CO state DOI (Jan-2026) + federal (Jul-2026) — both loaded, same-provider comparable

Cigna is the only carrier we currently hold in both Colorado's state filing regime and the federal regime with enough provider-level detail for a same-provider comparison. That lets us test whether the filing regime itself changes the answer.

additional carriers assemble from the same registry — one entry per carrier, no new build.

rate benchmark
Colorado Option — Rate & Roster Answerability Packet

6 issuers · SBE identification · state-vs-federal consistency test · roster integrity context

review · not reviewed⤓ proof packet
Cross-carrier statewide benchmark

comparability matrix · %-of-Medicare grid · availability + posture record

review · not reviewed⤓ proof packet
network adequacy
Network adequacy — statewide pattern report

the systemic pattern report above the atlas (common vs isolated)

review · not reviewed⤓ export · review-only
Colorado adequacy atlas (cross-carrier)

county × provider-type coverage, per-carrier maps beneath

review · not reviewed⤓ export · review-only
provider liveness / directory
Provider Liveness Atlas (cross-carrier)

every loaded carrier's liveness roster on one comparison surface

review · not reviewed⤓ export · review-only
Network Integrity Record — WITHDRAWN (2026-08-04)

withdrawn in full — all 189 published findings retracted (7 on 2026-07-31, the remaining 182 licence-gap findings on 2026-08-04, after our own audit found the class had no discriminating power). Nothing in it stands; the notice, the reasons, and the edition chain are on the page

Why this matters: a failed method cannot remain quietly embedded in later work — the withdrawal is public, dated, and sealed on the same URL that carried the findings.

review · not reviewed
Archive holdings — the coverage inventory

19,030 registered captures by family with date ranges, as of 2026-07-28 — what the record HOLDS, stated before any conversation; the full per-capture inventory is a hash-pinned artifact

review · not reviewed
carrier examination records
Carrier examination index

per-carrier exam packages: dossier, cross-filing, roster reconciliation, directory accuracy

review · not reviewed
gate 6 — admissibility · a standing control, not a promise

After the Network Integrity Record withdrawal, no edition of a finding-bearing record publishes here without passing Gate 6 — eight preconditions, run per edition, ending in a recorded human determination and a served-content parity proof. The status below is derived from the append-only edition-lifecycle log that /verify itself is exported from; this page cannot assert a pass the log has not declared.

  1. M1 — claim–evidence contract replay. Every finding's rendered sentence is re-checked against its own payload AND by direct re-read of the source tables its claimed absences quantify over. Zero violations, at both layers.
  2. M2 — governed templates + the slot contract. Every reader-facing sentence comes verbatim from a versioned template; the class token printed for a finding must be derivable from that finding's own evidence. Hand-written subject prose is a refusal.
  3. M3 — severity by rubric, never by hand. The displayed severity must equal what a versioned, content-hashed rubric derives from the finding's own payload. Missing inputs are an explicit abstention — never a defaulted tier. Manual overrides do not exist.
  4. M4 — audience permission, then posture. Every load-bearing source must permit the intended audience; the most restrictive source governs, and no disclaimer can cure a prohibited use. Where publication is review-only, the prescribed posture wording must render verbatim.
  5. M5 — staged lifecycle + ledger registration. The edition must be declared in the append-only lifecycle log (draft → mechanically admissible → human admitted → candidate sealed → canary served → production pinned) and registered in /verify. An edition invisible to the log cannot proceed.
  6. Human determination, bound to the exact candidate. A named reviewer records three separate answers — claim admissible, severity admissible, audience admissible — against the candidate's content digest. Any drift in evidence, templates, rubric, or audience policy invalidates the admission automatically.
  7. Gate 6B — served-content parity at the canary. The candidate is served at a nonpublic preview origin first; the served semantic content envelope must be digest-identical to the admitted candidate before the public pin may advance.
  8. Production parity, before and after the pin. The same parity check runs against production as a precondition of declaring the pin, and again after activation. Any mismatch blocks or withdraws the pin.
passed through gate 6
edition root 5518bb79b3955c751391dd22236ff2fac0b9b641dc57c7426d99d591ce05273a:e5:public-aggregate — lifecycle state: production_pinned (verify at /verify)
audience edition …:e5:co-doi-review (co_doi_review) — manifest status: candidate_sealed; not pinned, not served. Each audience edition is admitted independently; a pass for one never implies a pass for the other.
edition five — public aggregate edition

Edition Five passed Gate 6 for the public-aggregate audience. The public edition contains no subject-level finding, provider identifier, adverse class, or severity. A separate review-only edition is governed independently for an authorized regulatory audience.

statement derived from lifecycle_state=production_pinned (v_nir_edition_status via /verify registry)
public_aggregate edition — production pinned (served bytes re-hashed against the pin manifest on every render)
# Gate 6 — Edition Five, public aggregate edition

- edition_id: `ghost-provider-audit-batch:5518bb79b3955c751391dd22236ff2fac0b9b641dc57c7426d99d591ce05273a:e5:public-aggregate`
- audit_batch_id (evidence root): `ghost-provider-audit-batch:5518bb79b3955c751391dd22236ff2fac0b9b641dc57c7426d99d591ce05273a`
- audience: `public_aggregate`
- method versions: policy `publication-release-gates/v2` · severity rubric `gate6-severity-rubric/2.3.0` (content sha256 `b6f1bdb9dd152e975afb92d20c2ad4d7b25097e370830a5e2eac40ea4a538293`) · audience policy `gate6-audience-policy/2.0.0`

## What this edition is

Edition Five passed mechanical Gate 6 review for the public-aggregate audience and was submitted for human determination. The public edition contains no subject-level finding, provider identifier, adverse class, or severity. A separate review-only edition is governed independently for an authorized regulatory audience.

Edition Five of the Network Integrity Record was split into two independently admitted audience editions under the adopted Gate 6 ceremony review (decision (b)). A pass for one edition never implies a pass for the other, and this page speaks only for the public aggregate edition.

## Process history

An earlier Edition Five candidate was mechanically admitted under the wrong audience and was invalidated before any public serving (reason: audience mismatch and post-admission artifact change). The invalidation record is preserved in the append-only lifecycle log; the replacement editions were evaluated from the start of the sequence. The invalidation is part of the evidence that the gate works.

## Small-cell rule

Subject-level class and severity counts below 11 are suppressed or reported as "fewer than 11" on public aggregate surfaces — a count of one never becomes a public adverse descriptor.

## Source-derived counts: deliberately not included

Source-derived aggregate counts are not included in this edition: the Colorado licensing source's machine-readable manifest grants review-only publication and does not affirm a public-aggregate audience, so this panel limits itself to TrustNav lifecycle and gate metadata. Permission never transfers between audience classes by assumption, and neither a disclaimer nor a template can cure a prohibited use.

## Non-conclusions

This edition does not establish anything about any provider, carrier, network, or person. Gate status describes TrustNav's own publication controls — which editions passed which mechanical checks and human determinations — never a determination about the subjects of the underlying evidence. Subject-level evidence is available only through the authorized review workspace, after its own independent admission.
declared voids — what this record does not yet hold

Complaints and enforcement history (operator-gated source, not loaded) · essential community provider data (loader dormant) · APCD claims (walled source). A declared void is a statement about this record's coverage — absence of a loaded source is never evidence about any carrier.

review queue

The review chips above are the queue: every packet carries an append-only review log, and anything without a recorded state is open work. Queue views and assignments compose onto these same objects — same record, same proof.

record state · review-onlyproof state · content-hashed + tamper-evident signature (Ed25519) on exportreview state · append-only reviewer logrecord registry · 2026-07-10built by TrustNav — independent, from the carriers' own published filings · ben@trustnav.health