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Contact Information


Provider Administrative Policy

Section
Information
Policy Date
November 2007
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


Policy

Contact Information

Medicare Advantage Customer Service Hours:  8 a.m. - 8 p.m., MT seven days a week

 

Local

Toll-Free

Member Contact Center

1-208-395-8200

1-888-494-2583

The hearing impaired can call 1-800-377-1363.
Non-English speaking members can call the numbers listed above 

Provider Contact Center Hours:  8 a.m. - 5 p.m., MT (Monday, Tuesday, Thursday, Friday)
                       8:30 a.m. - 5 p.m. MT (Wednesday)

Interactive voice response (IVR) provides instant answers 24/7 to your questions about claim status, eligibility and prior authorizations.

Provider Contact Center
Medicare Advantage Line of Business

Local 

Toll-Free 

Fax 

Pre-service benefits 

208-286-3656 

1-866-482-2250 

1-208-387-6811 

Post Service Claims

Submit secure on-line inquiries for post-service claims on the secure provider portal on our website 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.

Credentialing/Re-credentialing Local Toll-Free Fax
Hours:9 a.m. - 5 p.m. MT, Monday-Friday 1-208-387-6860 1-800-627-6655 Ext. 6860 1-208-387-6818

Mailing Address
Blue Cross of Idaho
P.O. Box 8406
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:  1-208-286-3602 or 1-866-283-5723

When the automated system asks for a specific extension, use the following contact information based on your geographic area:

Internal Provider Relations Representative
For questions regarding coding or contracting, you may contact one of the following provder relations representatives.

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
866-283-5723 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
One to One for Healthcare Provider Newsletter, Administrative Policies for Commercial and Medicare Advantage, Provider Alers and 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

Medicare Advantage                                                                  Natalie Cook CPC, CPC-H

E:
PR6650@bcidaho.com
P: 208-286-3602 Ext. 8312
     866-283-5723 Ext. 8312
F: 208-286-3559

External Provider Relation Representative
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 electronic billing errors and your Error and Acceptance Report, contact the help desk at: edihelpdesk@bcidaho.com

Prior Authorization Contacts:

Care Coordination
Changes to Existing Authorizations
Prior Authorizations
Utilization Management
208-331-7535
800-743-1871
Professional Medical Records Fax:  208-395-8204
Facility Medical Records Fax:  208-286-3553
Quality Management 208-331-7327
800-274-4018 Ext. 7327
CVS Caremark 855-344-0930
American Imaging Management (AIM)
bcidaho.com (AIM Portal)
866-714-1105

  Local Fax
North Idaho Health Network (NIHN) 208-666-3212 208-666-3227


Policy History

Date Action Reason
February 2014 Revised Updated External Reps Regional Coverage
December 2013 Revised Updated PO Box from 7408 to 8406
June 2013 Revised Updated Relations Representatives Regions
May 2013 Revised Updated post-service process
January 2013 Revised Removed PBM contact information and added CVS and phone number, updated for email contacts vs phone
August 2012 Revised Removed EDI contact phone numbers replaced with email address
April 2012 Revised Administrative Updates
January 2012 Revised Removed reference to Flexi Blue
October 2011 Revised Updated Regional Coverage for Internal/External Reps
January 2011 Revised Phone numbers updated
August 2010 Revised Phone numbers updated
July 2009 Revised Phone extensions updated
March 2009 Revised Phone numbers added and reformatted
November 2008 Revised Phone numbers added
August 2008 Revised Flexi Blue phone number added
May 2008 Revised Contact information added

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