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Provider Administrative Policy

Provider Information
Policy Date
May 2008
Revised/September 2012


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.


Request for Member Education

It is very important to Blue Cross of Idaho that our True Blue HMO and Secure Blue PPO members understand their products, benefits and requirements.

Medicare Advantage customer advocates are required to make outbound verification calls to beneficiaries immediately after enrollment in a Medicare Advantage plan.  This telephone call (or letter if the member cannot be reached by telephone on the first try) explains how the Medicare Advantage plan works and answers any questions they may have regarding their new coverage. These calls discuss using network providers, copayments or coinsurances and using the Medicare Advantage identification card rather than the Medicare card.

To maintain and reinforce member education, we ask that you contact Blue Cross of Idaho Provider Relations when your office has contact with a member you believe would benefit from additional education.  We provide printed materials annually to all our members that include notification of coverage changes, evidence of coverage, provider directories and formularies (if applicable).

For contact information see MA PAP102.

Policy History

Date Action Reason
September 2012 Revised Removed reference to Flexi BLue
March 2009 Revised Moved one sentence to the second paragraph
May 2008 Revised Language clarification

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