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Contact Information


Provider Administrative Policy

Section
Information
Policy Date
January 2012
Status/Date
Revised/August 2014
Provider Type(s)
All Providers  

Disclaimer

Our provider administrative policies contain information regarding claims submission, reimbursement, and other information in order to achieve an efficient relationship with our providers. These policies are not an authorization or explanation of benefits. Blue Cross of Idaho retains the right to add to, delete from and otherwise modify this policy in accordance with our provider contracts.

Blue Cross of Idaho works diligently on behalf of our members to develop contracting relationships with Idaho dental providers and Blue Cross Blue Shield dental affiliates (national Dental Grid).

 


Policy

Contact Information

 

Provider Contact Center for Dental Services
Hours: 8:00 a.m. - 5:00 p.m., MT (Monday, Tuesday, Thursday, Friday)
8:30 a.m. - 5:00 P.m., MT (Wednesday)
Interactive voice response (IVR) provides instant answers to 24/7 your questions about claim status, eligibility, deductible status and prior authorization. The IVR system does not provide FEP or BlueCard claim status information.

 

Type of Business Local Toll-Free Fax
Pre-service benefits for Commercial and
FEP Lines of Business
208-286-3656 866-482-2250 208-363-8748
For the Hearing Impaired TTY - 800-223-3131
TDD - 800-377-1363

 

Post Service Claims

Submit secure on-line inquiries for post-service claims on the secure provider portal on our website bcidaho.com, using one of the two options below:

Option 1

  1. Log onto our secure website, www.bcidaho.com
  2. Select Eligibility and Claims
  3. Select Claims, then search for the claim in question and view your claim
  4. If you have a question, select Provider Contact Center
  5. After typing your question, select Continue

With option 1, the form auto populates the appropriate member, provider and claim information. Simply type your question in the notes field. The system will securely deliver your submission to a Customer Service Agent following HIPAA compliancy guidelines.

Option 2

  1. Log onto our secure website, www.bcidaho.com
  2. Select Contact Us
  3. Select General Information under the Email heading
  4. Select a Question Category for the drop-down list. Select I have a different question, when unable to locate the claim on the website
  5. Complete the required fields marked with a red asterisk
  6. Select Submit Question

With option 2, the form auto populates your contact information based on your user name and password. The system securely delivers your submission to a Customer Service Agent following HIPAA compliancy guidelines,

Automated System

Blue Cross of Idaho has an automated system that allows you to enter the extension of a provider relations representative or access a department directory by calling: 208-286-3602 or 866-283-5723.

When the system asks for a specific extension, use the following contact information based on your geographic area:

Internal Provider Relations Representative

If you have questions regarding coding or contracting, you may contact one of the following provider relations representatives:

Counties: Benewah, Bonner, Boundary, Clearwater,
Idaho, Kootenai, Latah, Lewis, Nez Perce and
Shoshone


States: AK, CO, DE, IN, KY, MN, MT, NJ, OH, SD, TX,
and WA

Leah Hulse CPC

E:  PR8326@bcidaho.com

P:  208-286-3602 Ext. 8326
L:   866-283-5723 Ext. 8326

F:  208-286-3575

Counties: Adams, Boise, Canyon, Elmore, Gem, Owyhee
Payette, Valley and Washington


St. Alphonsus Health Systems statewide

States: AZ, FL, IL, LA, MA, NE, NY, OR, RI, TN, VT, and WI

Pam Roach CPC

E:  PR7541@bcidaho.com
P:  208-286-3602 Ext. 8306
L:   866-283-5723 Ext. 8306

F:  208-286-3556

Counties: Ada

St. Lukes Health System Statewide

States: AR, CT, HI, IA, MD, MS, MO, NH, NM, ND, OK,
and VA

Heidi Lowman

E:  PR7560@bcidaho.com

P:  208-286-3602 Ext. 8304
L:   866-283-5723 Ext. 8304
F:  208-286-3558

Counties: Bannock, Bear Lake, Bingham, Blaine,
Bonneville, Butte, Camas, Caribou, Cassia, Clark,
Custer, Franklin, Freemont, Gooding, Jefferson,
Jerome, Lemhi, Lincoln, Madison, Minidoka, Oneida,
Power, Teton and Twin Falls

HCA

States: AL, CA, GA, KS, ME, MI, NV, NC, PA, SC, UT,
WV, and WY

Jenn Lucy

E:  PR7205@bcidaho.com

P:  208-286-3602 Ext. 8310
L:   866-283-5723 Ext. 8310

F:  208-286-3560

External Provider Relations Representatives

For questions about EDI plus, Direct Claims Entry and secure provider portal Web site training you may contact one of the following:

Counties: Adams, Benewah, Bonner, Boundary,
Clearwater, Idaho, Kootenai, Latah, Lewis,
Nez Perce, Shoshone, Valley and Washington

States: AK, CO, DE, IN, KY, MN, MT, NJ, OR, SD,
TX, and WA

Kathy Brock CPC-P

E:  PR7329@bcidaho.com

P:  208-286-3602 Ext. 8307
L:   866-283-5723 Ext. 8307

F:  208-286-3561

Cities: Eagle, Garden City, Kuna, Meridian, Star

Counties: Blaine, Butte, Camas, Cassia, Custer,
Elmore, Gooding, Jerome, Lemhi, Lincoln, Minidoka,
Owyhee and Twin Falls

States: AZ, FL, IL, LA, MA, NE, NV, NY, PA, TN, VT,
and WI

Diane Mortensen CPC

E:  PR7450@bcidaho.com

P:  208-286-3602 Ext. 8308
L:   866-283-5723 Ext. 8308

F:  208-286-3562

Cities: Boise

Counties: Boise, Canyon, Gem and Payette

St. Lukes Health Systems statewide

States: AR, CT, HI, IA, MD, MS, MO, NH, NM,
ND, OK, VA, and WV

Jamie Hunihan

E:  PR6668@bcidaho.com

P:  208-286-3602 Ext. 8309
L:   866-283-5723 Ext. 8309
F:  208-286-3563

Counties: Bannock, Bear Lake, Bingham, Bonneville,
Caribou, Clark, Franklin, Fremont, Jefferson, Madison,
Oneida, Power and Teton

States: AL, CA, GA, KS, ME, MI, NC, OH, RI, SC, UT,
and WY

Angie McCormick

E:  PR7032@bcidaho.com

P:  208-286-3602 Ext. 7032
L:   866-283-5723 Ext. 7032

F:  208-331-7502

Provider Communications

One to One for Healthcare Provider Newsletters, Administrative Policies for Commercial, Dental and Medicare Advantage, Provider Alerts and Provider website communications.

Provider Communications Representative                   


Melissa Johnston

E:  PR8317@bcidaho.com

P:  208-286-3602 Ext. 8317
P:  866-283-5723 Ext. 8317

F:  208-286-3592

Provider Appeals

Commercial and Dental                                           

Debbie Gossage CPC

E: PR6987@bcidaho.com

P: 208-286-3602 Ext. 8311
P: 866-283-5723 Ext. 8311

F: 208-286-3559

Commercial and Dental

Kathy Root CPC

E: PR8315@bcidaho.com

P: 208-286-3602 Ext. 8315
P: 866-283-5723 Ext. 8315

F: 208-286-3581

Electronic Billing

For questions about electronic billing errors and your Error and Acceptance Report, contact the help desk via Email: mailto:edihelpdesk@bcidaho.com.

Mailing Address

Blue Cross of Idaho
PO Box 7408
Boise, ID 83707


Policy History

Date Action Reason
August 2014 Revised Removed free clearinghouse language, added states to PR reps regions.
February 2014 Revised Updated Regions for External Reps
June 2013 Revised Updated Representative Regions
May 2013 Revised Update process for post-service claims
January 2013 Revised Added pre-service/post-service, updated PCC email address
August 2012 Revised Removed EDI contact phone numbers, replaced with email address.
April 2012 Revised Updated provider contact center phone number
March 2012 Revised Updated hours of operation and phone numbers.