Non-contracting Durable Medical Equipment
To be considered a "Non-contracting" provider with Blue Cross of Idaho, please submit the following documentation for review. Any missing items may result in the return of incomplete documents or a delay in processing.
- Provider information sheet
- Medicare supplier #, PTAN or legacy (DMERC#)
- Current Idaho DME, Limited Service or Community Pharmacy licensure where required (attach a copy)
NOTE: Non-contracting providers must meet Blue Cross of Idaho licensing and/or accreditation standards but are not required to sign a contract with Blue Cross of Idaho. Blue Cross of Idaho pays our members directly for covered services provided by non-contracting providers.