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  • Blue Cross Of Idaho Health Qualification Form

Get Blue Cross Of Idaho Health Qualification Form

Health Qualification Form Instructions to Member: Please complete and sign your portions of this form and obtain the necessary information and signature from your healthcare provider. Refer to your.

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When submitting electronic claims to Blue Cross of Idaho, enter BLUEC as the payer ID for professional, institutional and dental claims.

Call us at 1-888-494-2583 after hours. Leave a message, we will call you back the next day. Follow simple prompts for automated prior authorizations or to check the status of a claim. Log in to review claims and check prior authorization status.

Contracting and noncontracting providers are required by Blue Cross of Idaho Medicare Medicaid Coordinated Plan and Blue Cross Idaho Medicaid Plus member policies to file claims, corrected bills and adjustments within 12 months of the date of service.

The Blue Cross of Idaho Behavioral Health Management Program provides members with: Expert customer service. Appropriate handling of behavioral health cases.

Blue Cross of Idaho Health Service, Inc. is an independent licensee of the Blue Cross and Blue Shield Association.

You can submit claims electronically or use the the direct claims entry link on our provider portal at providers.bcidaho.com....It is important your submission contain the following information: Member name date of birth, ID number. Provider name, address and provider number. Information about other insurance coverage.

Visit BlueCrossNC.com/Claims for prescription drug, dental and international claim forms, or call the toll-free number on your ID card. Important Notes When Completing the Claim Form: Type or use blue or black ink to complete. Complete a separate claim form for each covered family member.

Blue Cross of Idaho may process a claim filed after 180 days but will deny all claims older than 12 months. We must receive corrected claims or request for payment adjustments within 12 months following the original claim decision.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232