Blue Cross of Idaho at a glance
| Legal name | Blue Cross of Idaho Health Service, Inc. |
|---|---|
| Also known as | BCI, Blue Cross Idaho, BCBS Idaho |
| Category | BCBS affiliate |
| Parent organization | Blue Cross of Idaho Health Service, Inc. |
| Claims payer ID | 00061 — registry reference; verify the member product, transaction and clearinghouse |
| Eligibility (270/271) payer ID | 00061 — registry reference; verify the member product, transaction and clearinghouse |
| ERA (835) payer ID | 00061 — registry reference; verify the member product, transaction and clearinghouse. Not verified: Stored ERA identifier 00061 was not independently verified by the checked filing and contact policies; confirm product and clearinghouse enrollment instructions. |
| NAIC company code | Not established in this registry |
| States covered | Idaho |
| Members covered | ~700k members |
| Provider resource entry point | https://providers.bcidaho.com/policies-and-procedures/pap/pap100.page |
| Provider phone | 1-866-283-5723PAP100 labels 866-283-5723 toll-free Provider Relations for all lines; this is not a universal clinical-authorization contact. |
Always verify claims-routing details against the member ID card and the payer's current EDI companion guide before submission.
Timely filing & appeals for Blue Cross of Idaho
PAP206 specifies medical initial claims within 180 days of service when Blue Cross of Idaho is primary, subject to contract and listed exceptions; corrected claims/adjustments use 12 months from the original decision. DPAP202 dental claims use 12 months with member-contract differences. Confirm the product; do not convert calendar months into 365 days or apply the medical window to dental/Medicare.
| Submission type | Window |
|---|---|
| Initial claim reference | Medical initial 180 days; dental contract rules differ |
| Out-of-network initial claim | Verify the member's plan and applicable out-of-network rules |
| Secondary / coordination of benefits | Verify the allowed window and start event; a primary EOB does not automatically restart filing |
| Corrected claim | Verify correction instructions; do not substitute an appeal deadline |
| Reconsideration / appeal | Use the applicable denial or decision notice and the process below |
This registry has not established a payer-specific appeal ladder for Blue Cross of Idaho. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
Source: Blue Cross of Idaho provider policy. Always confirm before disputing a TFL denial — payer policies are versioned and product-specific.
Prior authorization with Blue Cross of Idaho
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
CMS-0057-F decision-timeframe requirements and exclusions
Verify Blue Cross of Idaho electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable. Authorization requirements and submission channels depend on the product, service and delegated reviewer. Verify the applicable policy before scheduling; a portal listing is not proof of X12 278 connectivity.
This registry does not provide a current prior-authorization code list for Blue Cross of Idaho. Start with the provider resources or the policy documents below, then confirm the applicable product, service and effective date. A resource link does not establish that a live code-lookup tool is available.
Top denial reasons for Blue Cross of Idaho
Per-payer denial benchmarks publish here once the QuickIntell anonymized ETL pipeline ingests sufficient Blue Cross of Idaho volume. Until then, see the broader CARC reference for industry-wide remediation guides.
Electronic claims, eligibility & ERA
| Transaction | Registry indication — not verification | Routing reference |
|---|---|---|
| 837P / 837I claims | Listed in registry; verify current scope | 00061 — registry reference; verify the member product, transaction and clearinghouse |
| 270 / 271 eligibility | Listed in registry; verify current scope | 00061 — registry reference; verify the member product, transaction and clearinghouse |
| 278 prior authorization | Listed in registry; verify current scope | Verify X12 278 routing separately |
| 835 ERA | Verify support and enrollment separately | 00061 — registry reference; verify the member product, transaction and clearinghouse. Not verified: Stored ERA identifier 00061 was not independently verified by the checked filing and contact policies; confirm product and clearinghouse enrollment instructions. |
Payer IDs vary by clearinghouse — confirm against your clearinghouse payer list (Availity, Change Healthcare/Optum, Waystar) before configuring submitter routing.
What revenue cycle teams should verify before submitting claims
- The checked medical and dental policies do not substantiate copied 00061 eligibility/ERA values or whole-product capability certification.
- The full appeal ladder and transaction-specific enrollment remain unverified.
Source checks and remaining limits
The latest partial comparison is dated . Retained earlier findings keep their original dates below. This is a partial source check, not a whole-page, clinical or legal review. It does not refresh the legacy review date above.
timely_filing_days, provider_phone, filing_rule — Blue Cross of Idaho: PAP206, medical claims
Source comparison: 2026-09-18
Stored 365 days conflates medical and calendar-month product rules. PAP206 gives medical initial claims 180 days; DPAP202 gives dental claims 12 months. Current Provider Relations contact differs from stored 208-331-7347. Source scope: Medical initial claims: 180 days; corrected claims: 12 months from original decision. These are not all-product limits. Locator: Timely filing reminder; Policy History. Version: Revised July 2026.. Retrieval: content_read; public_web_content_read. This is a partial comparison, not whole-field or whole-record approval.
Primary source for timely_filing_days, provider_phone, filing_rule — blue cross of idaho: pap206, medical claimstimely_filing_days, provider_phone, filing_rule — Blue Cross of Idaho: DPAP202, dental claims
Source comparison: 2026-09-18
Stored 365 days conflates medical and calendar-month product rules. PAP206 gives medical initial claims 180 days; DPAP202 gives dental claims 12 months. Current Provider Relations contact differs from stored 208-331-7347. Source scope: Dental primary claims: 12 months, subject to member-contract differences; not the medical 180-day rule. Locator: Timely filing reminder. Version: Revised July 2026.. Retrieval: content_read; Actual primary HTML page read; Timely Filing Reminder lines 210-218 and July 2026 policy history.. This is a partial comparison, not whole-field or whole-record approval.
Primary source for timely_filing_days, provider_phone, filing_rule — blue cross of idaho: dpap202, dental claimstimely_filing_days, provider_phone, filing_rule — Blue Cross of Idaho: PAP100, contact information
Source comparison: 2026-09-18
Stored 365 days conflates medical and calendar-month product rules. PAP206 gives medical initial claims 180 days; DPAP202 gives dental claims 12 months. Current Provider Relations contact differs from stored 208-331-7347. Source scope: 866-283-5723 is toll-free Provider Relations; clinical product routes remain separate. Locator: Automated System / Provider Relations. Version: Revised June 2026.. Retrieval: content_read; public_web_content_read. This is a partial comparison, not whole-field or whole-record approval.
Primary source for timely_filing_days, provider_phone, filing_rule — blue cross of idaho: pap100, contact information
Not checked in this pass: Other fields in the immutable 43-field research inventory remain unverified unless expressly scoped in these findings; Whole-record approval, current legal entity/ownership, enrollment and complete insured geography; Every provider agreement, product, claim type, filing/appeal exception and clinical authorization policy; Current transaction-specific enrollment/capabilities and authenticated portal behavior; unknown does not mean unavailable; QuickIntell integrations/outcomes and historical April 2026 DataForSEO demand; Accountable reviewer approval; last_reviewed and reviewed_by remain unchanged.
Sources used for this guide
State coverage
Blue Cross of Idaho operates in the following states. Each link opens state-level Medicaid program details, dominant commercial payers, and state-specific RCM regulations.
Evaluate QuickIntell workflow fit for Blue Cross of Idaho
These module references are evaluation starting points, not evidence of a validated connection, supported transaction or customer deployment. Confirm the actual member plan, data access and product scope first.
- QuickRCM
Evaluate claim preparation, follow-up and denial worklists for Blue Cross of Idaho; verify the actual plan rules and available connections before implementation.
- QuickAuth
Assess authorization-packet and status workflows for Blue Cross of Idaho; confirm product, service, delegated reviewer and permitted submission channels.
- QuickERA
Verify the actual 835 files, posting exceptions and reconciliation requirements for Blue Cross of Idaho before evaluating automation. An ERA identifier alone does not establish supported ingestion or posting.
Frequently asked questions about Blue Cross of Idaho
Where is the Blue Cross of Idaho provider portal?
Use https://providers.bcidaho.com/policies-and-procedures/pap/pap100.page as a starting point for Blue Cross of Idaho provider resources. This link may open a directory or contact page rather than a transaction portal. Select the applicable product and administrator, then verify the available functions, enrollment and access requirements. QuickIntell is not the official payer portal.
What is the timely filing limit for Blue Cross of Idaho?
PAP206 specifies medical initial claims within 180 days of service when Blue Cross of Idaho is primary, subject to contract and listed exceptions; corrected claims/adjustments use 12 months from the original decision. DPAP202 dental claims use 12 months with member-contract differences. Confirm the product; do not convert calendar months into 365 days or apply the medical window to dental/Medicare.
What is the Blue Cross of Idaho payer ID?
Claims: 00061 — registry reference; verify the member product, transaction and clearinghouse. Eligibility (270/271): 00061 — registry reference; verify the member product, transaction and clearinghouse. ERA (835): 00061 — registry reference; verify the member product, transaction and clearinghouse. Not verified: Stored ERA identifier 00061 was not independently verified by the checked filing and contact policies; confirm product and clearinghouse enrollment instructions.. Do not substitute a claims ID for an unverified transaction ID. Check current source findings and the member ID card before submitting.
Does Blue Cross of Idaho accept electronic claims?
Verify Blue Cross of Idaho electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable.
How do I appeal a Blue Cross of Idaho denial?
This registry has not established a payer-specific appeal ladder for Blue Cross of Idaho. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
How long do Blue Cross of Idaho prior authorization approvals take?
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
What is the Blue Cross of Idaho provider phone number?
This registry lists 1-866-283-5723 as a contact reference for Blue Cross of Idaho. PAP100 labels 866-283-5723 toll-free Provider Relations for all lines; this is not a universal clinical-authorization contact.
Automate workflows around Blue Cross of Idaho requirements
Connect eligibility, prior authorization, pre-submission claim checks, and remittance routing in one governed workflow. Payer and plan configuration is confirmed during implementation.
Disclaimer
This page is operational reference for medical-billing professionals. It is not legal, clinical, or contractual advice. Payer policies change without notice — always verify against Blue Cross of Idaho's current published documents before submission. CPT® is a registered trademark of the American Medical Association.