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Changes in Practice


Provider Administrative Policy

Section
Commercial Managed Care
Policy Date
December 2006
Status/Date
Revised/August 2013
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

Changes in Practice

All contracting providers must notify Blue Cross of Idaho via email, fax or letter of any changes of address, office hours, providers joining or leaving practice, change of status of call-share providers or change in status of physicians accepting new members.

Please Note:  If numerous Blue Cross of Idaho legacy numbers have been assigned to your providers at different addresses and a provider is moving from one legacy location to another, a provider information sheet is necessary to add the provider to the new address/legacy number.  Written notification is still required terminating the provider from the old address. 

All providers must accept new members until Blue Cross of Idaho receives the following:

  • Change in status when physicians accept new members. This may include opening or closing of new patient panel. 30-day advance written notice is required before the change goes into effect.
  • Change in patient limitation such as an age or gender limitation.

 

Send notifications by mail, email or fax to:

Blue Cross of Idaho
Attn: Provider Relations
PO Box 7408
Boise, ID 83707

Internal Provider 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

 

 

 


Policy History

Date Action Reason
August 2013 Revised Updated Internal Reps contact/region information
October 2011 Revised Updated Internal/External Reps Regional Areas
October 2009 Revised Provider representative phone numbers and email addresses added

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