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Data Accuracy

Provider Administrative Policy

Claims Submission
Policy Date
July 2007
Reviewed/May 2008
Provider Type(s)
All Providers  


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.


Data Accuracy

For the purposes of data accuracy, Blue Cross of Idaho considers standard claim forms
UB-04 or CMS-1500 primary source documents. When submitted, any attached documentation should be consistent with the information on the claim form. In the event of inconsistencies, Blue Cross of Idaho will make payment based on the data found on the primary source document. At the discretion of Blue Cross of Idaho, claims with inconsistencies may require additional investigation or get returned for correction.

Policy History

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