Blue Cross of Idaho Logo

Express Sign-on

Thank you for registering with Blue Cross of Idaho

If you are an Individual or Family Member under age 65, please register here.

If you are an Medicare or Medicare Supplement member, please register here.

New Options for Affordable Health Insurance

DPAP 100

Contact Information


Provider Administrative Policy

Section
Information
Policy Date
January 2012
Status/Date
Revised/February 2014
Provider Type(s)
All Providers  

Disclaimer

Our provider administrative policies contain information regarding claims submission, reimbursement, and other information in order to achieve an efficient relationship with our providers. These policies are not an authorization or explanation of benefits. Blue Cross of Idaho retains the right to add to, delete from and otherwise modify this policy in accordance with our provider contracts.

Blue Cross of Idaho works diligently on behalf of our members to develop contracting relationships with Idaho dental providers and Blue Cross Blue Shield dental affiliates (national Dental Grid).

 


Policy

Contact Information

Provider Contact Center for Dental Services

Hours:  8 a.m. - 5 p.m. ST (Monday, Tuesday, Thursday, Friday)
              8:30 a.m. - 5 p.m. MST (Wednesday)

Interactive voice response (IVR) provides instant answers 24/7 to your questions about claim status, eligibility, deductible status and predeterminations. The IVR system does not provide FEP claim status information.

Type of Business

Local Direct

Toll-Free

Fax

Pre-service benefits for Commercial and FEP Lines of Business

 208-286-3656

 866-482-2250

 208-363-8748

For the Hearing Impaired

 TTY-800-223-3131

 TDD-800-377-1363


Post Service Claims

Submit secure on-line inquiries for post-service claims and predeterminations on the secure provider portal of our Web site www.bcidaho.com, using one of the two options below:

Option 1

  1. Log onto our secure Web site, www.bcidaho.com
  2. Select Eligibility and Claims
  3. Select Claims, then search for the claim in question and view your claim
  4. If you have a question, select Provider Contact Center
  5. After typing your question, select Continue

With option 1, the form auto populates the appropriate member, provider and claim information. Simply type your question in the notes field. The system will securely deliver your submission to a Customer Service Agent following HIPAA compliancy guidelines.

Option 2

  1. Log onto our secure Web site, www.bcidaho.com
  2. Select Contact Us
  3. In the notes field type: your question, member name, member ID, DOS and claim number
  4. Select Continue

With option 2, the form auto populates your contact information based on your user name and password. The system securely delivers your submission to a Customer Service Agent following HIPAA compliancy guidelines.

Mailing Address
Blue Cross of Idaho
P.O. Box 7408
Boise, ID 83707

Automated System
Blue Cross of Idaho has an automated system that allows you to enter the extension of a provider relations representative or access a department directory by calling 208-286-3602 or 866-283-5723.

When the system asks for a specific extension, use the following contact infromation based on your geographic area.

Internal Provider Relations Representative

For questions about coding or contracting.

Benewah, Bonner, Boundary, Clearwater, Idaho,
Kootenai, Latah, Lewis, Nez Perce and Shoshone Counties,
North Idaho, Washington and Montana

Leah Hulse CPC

E: PR8326@bcidaho.com
P: 208-286-3602 Ext. 8326
     866-283-5723 Ext. 8326
F:  208-286-3575
 

Adams, Boise Canyon, Elmore, Gem, Owyhee,
Payette, Valley and Washington Counties,
St. Alphonsus Health Systems Statewide and Oregon

Pam Roach CPC

E:  PR7541@bcidaho.com
P:  208-286-3602 Ext. 8306
      866-583-5723 Ext. 8306
F:  208-286-3556

Ada County and St. Lukes Health Systems Statewide

Heidi Lowman

E:  PR7560@bcidaho.com
P:  208-286-3602 Ext. 8304
      866-283-5723 Ext. 8304
F:  208-286-3558

Bannock, Bear Lake, Bingham, Blaine, Bonneville, Butte,
Camas, Caribou, Cassia, Clark, Custer, Franklin, Freemont,
Gooding, Jefferson, Jerome, Lemhi, Lincoln, Madison,
Minidoka, Oneida, Power, Teton and Twin Falls Counties,
South Central, Southeastern and Eastern Idaho, HCA,
Nevada, Utah and Wyoming

Jenn Lucy

E:  PR7205@bcidaho.com
P:  208-286-3602 Ext. 8310
      866-283-5723 Ext. 8310
F:  208-286-3560

 

Provider Communications

Administrative Policies for Commercial, Medicare Advantage and Dental, Provider Alerts and Provider website communications.

Melissa Johnston                                                                     E:  PR8317@bcidaho.com
P:  208-286-3602 Ext. 8317
     866-283-5723 Ext. 8317
F:  208-286-3592

Provider Appeals Representative

Commercial and Dental                                                             

Debbie Gossage CPC

E:  PR6987@bcidaho.com
P:  208-286-3602 Ext. 8311
      866-283-5723 Ext. 8311
F:  208-286-3559

Commercial and Dental

Kathy Root CPC

E: PR8315@bcidaho.com
P: 208-286-3602 Ext. 8315
     866-283-5723 Ext. 8315
F: 208-286-3581

External Provider Relation Representatives

For questions about EDI Plus, Blue Cross of Idaho's free clearinghouse and secure provider portal website training contact: 

Adams, Benewah, Bonner, Boundary,
Clearwater, Idaho, Kootenai, Latah, Lewis,
Nez Perce, Shoshone, Valley and Washington
Counties, North Idaho, Montana, Oregon and Washington

Kathy Brock CPC-P

E:  PR7329@bcidaho.com
P:  208-286-3602 Ext. 8307
      866-283-5723 Ext. 8307
F:  208-286-3561

South, South-Central Idaho and Nevada - The cities
of Eagle, Garden City, Kuna, Meridian, Star and the following
counties:
Blaine, Butte, Camas, Cassia, Custer, Elmore, Gooding,
Jerome, Lemhi, Lincoln, Minidoka, Owyhee and Twin Falls

Diane Mortensen CPC

E:  PR7450@bcidaho.com
P:  208-286-3602 Ext. 8308
      866-283-5723 Ext. 8308
F:  208-286-3562

Treasure Valley West - City of Boise, all Ada County St. Lukes
Health Systems and the following counties: Boise, Canyon,
Gem and Payette Counties

Jamie Hunihan

E:  PR6668@bcidaho.com
P:  208-286-3602 Ext. 8309
      866-283-5723 Ext. 8309
F:  208-286-3563

Eastern Idaho, Wyoming and Utah - Bannock, Bear Lake,
Bingham, Bonneville, Caribou, Clark, Franklin, Fremont,
Jefferson, Madison, Oneida, Power and Teton

Angie McCormick

E: PR7032@bcidaho.com
P: 208-286-3602 Ext. 7032
     866-283-5723 Ext. 7032
F: 208-331-7502

 

Electronic Billing
For questions about billing errors and your Error and Acceptance Report, contact the help desk at: edihelpdesk@bcidaho.com


Policy History

Date Action Reason
February 2014 Revised Updated Regions for External Reps
June 2013 Revised Updated Representative Regions
May 2013 Revised Update process for post-service claims
January 2013 Revised Added pre-service/post-service, updated PCC email address
August 2012 Revised Removed EDI contact phone numbers, replaced with email address.
April 2012 Revised Updated provider contact center phone number
March 2012 Revised Updated hours of operation and phone numbers.