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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

Non-Contracting Free Standing Dialysis 

Submit the following to Blue Cross of Idaho if you wish to be a non-contracting provider vs. a contracting provider with Blue Cross of Idaho. To be considered a "Non-contracting" provider with Blue Cross of Idaho, the following documentation must be submitted for review. Any missing items may result in the return of incomplete documents or a delay in processing.

  • Provider Information Sheet
  • W-9
  • Current state license (attach copy)
  • Medicare Certification or Joint Commission accreditation or operated by a contracting licensed hospital (attach 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.

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Fax:  208-387-6818

Email:  PR2PI@bcidaho.com