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

Contracting Independent Clinical Laboratory

  1. Contact your Provider Relations Representative to order your contract. (See PAP100)
  2. Submit the following items. Any missing items may result in the return of incomplete documents or a delay in processing.
    • Current state license or registration Must be registered or licensed in the state which they operate (attach a copy)
    • Malpractice/liability insurance - minimum amounts of $1 million per occurrence, $3 million aggregate (attach a copy)
    • Evidence of accreditation:  Clinical Laboratory Improvement Amendment (CLIA) and participate with Medicare.
    • Provider information sheet 
    • W-9
    • Exhibit 1
    • Provider tax ID or ownership update (This is only required when a new contract on an existing provider is required due to a tax ID or ownership updated.)

 

Return to:

Fax:  208-387-6818

Email:  PR2PI@bcidaho.com