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Provider Alerts

These documents are emailed, faxed or mailed to providers in a timely manner to assist in notifing if a change or new process is going to be made soon. Provider Alerts are to designed to be emailed to all providers that have a email address attached to their registration to bcidaho.com.

Publish DateTitleAudience
1/26/2015 Blue Cross of Idaho Enrollees with Renewing ACA-Qualified Plans All Providers
1/05/2015 Advanced Premium Tax Credit (APTC) Extended Grace Period Information All Providers
12/11/2014 Clinical Practice Guidelines Physicians, Mental Health
12/11/2014 Provider Directory Physician Assistants, Service Extenders, Non-Covered Providers
12/08/2014 Testosterone Replacement Physicians
11/25/2014 Digital Breast Tomosynthesis Physicians, Facilities
11/24/2014 IDAPA 18, Title 01, Chapter 26 Balance Billing All Providers
11/19/2014 Washington Vaccine Association Claims Contracting Washington Providers
11/13/2014 Direct claim Entry Application Template Functionality All Providers
11/06/2014 Out-of-network Laboratories Physicians, Behavioral Health
11/05/2014 Tribal Health Referrals All Providers
10/31/2014 Fall 2014 Newsletter All Providers
10/15/2014 Sleep Testing and Therapy Program All Providers
10/03/2014 MMCP Expanded Mental Health CBRS and TCM Billing MMCP Providers
10/01/2014 Provider Administrative Policy Updates- Commercial and Managed Care All Providers
8/25/2014 Direct Claims Entry Long Term Care Facilities
8/19/2014 2nd Notice Prior Authorization Reconsiderations All Providers
8/15/2014 Echocardiography Program All Providers
8/15/2014 Sleep Testing and Therapy Program All Providers
8/13/2014 Optum Medicare Advantage Chart Review Audit Medicare Advantage Contracting Providers
8/08/2014 Prolonged Services CPT 99354-99357 Physicians, Mental Health Providers
8/07/2014 Measurable Treatment Goals Mental Health Providers
8/06/2014 Summer 2014 Newsletter All Providers
7/30/2014 Design Changes in the Chiropractic Quality Initiative Plan Chiropractors
7/25/2014 Optum Partnership Announcement Medicare Advantage Contracting Providers
7/24/2014 Modifier 52 and Time Based Codes All Providers
7/16/2014 Medicare Medicaid Coordinated Plan Mandatory Training Access Code Error All Contracting True Blue Dual Special Needs Plan Providers
7/09/2014 Truven Report Physicians
6/30/2014 Direct Claim Entry (DCE) All Providers
6/30/2014 Design Changes in the Chiropractic Quality Initiative Plan Chiropractors
6/26/2014 Prior Authorization Reconsiderations All Providers
6/25/2014 Changes to Review Timeframes for Radiology Services Second Notice Physicians, Hospitals, Radiology
6/24/2014 Updated Medicare Advantage Prior Authorization Requirements All Medicare Advantage Contracting Providers
6/16/2014 Delayed Implementation of National Coverage Determination 250.1 Treatment of Psoriasis Dermatology
6/05/2014 Changes to Review Timeframes for Radiology Services Physicians, Hospitals, Radiology
5/12/2014 Online Prior Authorization Tools All Providers
5/12/2014 ICD-10 Update All Providers
5/07/2014 Clarification Diagnosis Indicators All Providers
5/05/2014 Diagnosis Indicators All Providers
5/01/2014 Spring 2014 Provider Newsletter All Providers
4/30/2014 Provider Financial Liability Change for BlueCard Claims Hospitals
4/21/2014 PAP 234 Coordination of Benefits Updates All Providers
4/21/2014 2014 IHCC Registration All Providers
4/11/2014 Customer Service Closure All Providers
4/03/2014 Provider Administrative Policy Updates- Commercial and Managed Care All Providers
4/02/2014 2014 IHCC Registration Information All Providers
3/24/2014 Submission of Claims when Medicare is Primary All Providers
3/19/2014 Changes to CMS 1500 Claim Form All Providers
3/17/2014 National Coverage Determination 250.1 Treatment of Psoriasis All Providers Medicare Advantage Contracting and Non-contracting
2/26/2014 Compensation for Hospital-based Anesthesia Physicians, Anesthesiologists,CRNAs
2/24/2014 Provider Relations External Coverage Changes All Providers in Eastern Idaho, Wyoming, Utah and Select Counties
2/24/2014 Provider Relations External Coverage Changes All Providers in Eagle, Garden City, Kuna, Meridian and Mountain Home/Elmore County
2/21/2014 Identifying True Blue Connected Care Members All Providers
2/20/2014 Advanced Premium Tax Credit (APTC) Extended Grace Period Information All Providers
2/11/2014 Value Code Requirements for Private Room Claim Submissions Hospitals
2/11/2014 Drug Screen Testing All Providers
2/07/2014 Intra-articular Injections of Hyaluronan Family Practice, General Practice,Physical Medicine/Rehabilitation and Rheumatology
2/05/2014 ICD-10 All Providers
2/03/2014 Winter 2014 Provider Newsletter All Providers
1/29/2014 Idaho Board of Pharmacy Licensure & Registration DME Supplier, DME Supplier - Mail Order, Prosthetics/Orthotics
1/27/2014 CMS 1500 Changes All Providers
1/17/2014 Chiropractic Services MA Contracting Chiropractors
1/17/2014 Advanced Imaging Accreditation Requirements Physicians
1/10/2014 Customer Service Phone and Email Response Times All Providers
1/09/2014 Q HCPCS Codes Home Health
1/08/2014 BlueCard Alpha Prefix Tool All providers
1/07/2014 Affordable Care Act Information All Providers
1/02/2014 Provider Administrative Policy Updates- Commercial and Managed Care All Providers
12/31/2013 New Blue Cross of Idaho Members without ID Cards All Providers
12/24/2013 2014 Medicare Advantage Changes Clarification All Providers
12/09/2013 Psychotherapy Add-On Codes Mental Health
12/09/2013 2014 Medicare Advantage Changes All Providers
12/02/2013 Choosing Wisely® All Providers
11/27/2013 DaVita Dialysis Centers Physicians
11/25/2013 Medical Policy 7.01.124:Treatment of Varicose Veins/Venous Insufficiency Physicians
11/25/2013 Follow up After Hospitalization for Mental Illness Mental Health Providers
11/06/2013 Credentialing Update Physician, Ancillary Providers Treasure Valley
11/05/2013 Fall 2013 Provider Newsletter All Providers
10/30/2013 Advanced Imaging Accreditation Requirements/Cone Beam CT Physicians
10/14/2013 Blue Cross of Idaho Clearinghouse Changes All Providers
10/02/2013 Provider Administration Policies - Commercial and Managed Care All Providers
10/01/2013 New MAPAP244, Bilateral Billing for ASCs Ambulatory Surgery Centers
9/26/2013 Vertebroplasty and Kyphoplasty Radiology
9/26/2013 Psychological Evaluation for Lumbar Fusion Neurological and Orthopedic Surgeons
9/23/2013 Outpatient Therapy Reporting Requirements for Medicare Advantage All Providers
9/12/2013 Credentialing Update Physicians, Ancillary Providers SE Idaho
9/03/2013 Medicare Primary BlueCard Claims Filing All Provider
8/19/2013 Behavioral Health Online Portal All Mental Health Providers
8/08/2013 Summer 2013 Provider Newsletter All Providers
8/07/2013 Drug Screen Testing All Physicians
7/23/2013 Massage Therapy Chiropractor, Physical, Speech, Occupational and Massage Therapist
7/02/2013 Provider Administration Policies - Commercial and Managed Care All Providers
7/01/2013 Consumer Transparency Program All Providers
7/01/2013 Medicare Advantange Non-covered Services All Providers
6/20/2013 Customer Service Email Enhancements All Providers
6/19/2013 Telephone Technology Upgrade All Providers
6/17/2013 Provider Relations Coverage Changes All Providers
6/13/2013 Provider Website Updates All Providers
6/07/2013 Credentialing Update Physicians, Ancillary Providers N. Idaho
6/06/2013 Chiropractic Fee Schedule Update Chiropractors
5/31/2013 Home IV Therapy Billing Home Infusion Therapy Supplier
5/30/2013 Mohs Processing Guidelines All Providers
5/06/2013 AIM Specialty Health Clinical Guidelines All Physicians
5/06/2013 Fecal Bacteriotherapy Internal Medicine and Gastroenterologists
5/02/2013 Spring 2013 Newsletter All Providers
4/19/2013 Sequestration Payment Adjustment All Medicare Advantage Providers
4/11/2013 Contact Us Email Improvements All Providers
4/03/2013 Provider Administration Policies - Commercial and Managed Care All Providers
4/01/2013 Medicare Advantage Multiple Procedure Payment Reductions All Medicare Advantage Contracting Providers
3/27/2013 2013 IHCC Registration Information All Providers
3/25/2013 Physician Advisory Panel Invite All Blue Cross of Idaho Contracting Physicians
3/21/2013 CPT Tips All Behavioral Health Providers
3/13/2013 Billable Units for CPT 41899 Ambulatory Surgical Centers
2/15/2013 CPT Modifier 22 Claim Filing All
2/13/2013 Customer Service IVR Call Flow Update All
2/11/2013 ICD-10 Message Survey All
2/04/2013 Winter 2013 Newsletter All
2/01/2013 Oxygen and Oxygen Equipment DME Suppliers
1/28/2013 Second Notice - Medicare Advantage Dialysis Centers and Skilled Nursing Facility Edits Dialysis Centers, Skilled Nursing Facilities
1/18/2013 Behavioral Health Additional Services Request-Extended Care Mental Health Providers
1/15/2013 Medicare Advantage Dialysis Centers and Skilled Nursing Facility Edits Dialysis Centers, Skilled Nursing Facilities
1/09/2013 2013 Code Changes All Providers
1/07/2013 Duplicate Payments All Providers
1/04/2013 Molecular Pathology Laboratories
1/04/2013 Medicare Advantage Outpatient Therapies Occupation, Physical and Speech Therapist
1/03/2013 Medicare Advantage 2013 Changes All Providers
12/27/2012 Pricing Allowance Changes for Multiple Bilateral Procedures Hospitals
12/26/2012 Customer Service IVR Call Flow Improvements All Providers
12/12/2012 Mental Health CPT Codes All Providers
12/11/2012 New Secure Email Process All Providers
12/06/2012 Fundus Photography Optometrists and Ophthalmologists
12/06/2012 IVR Self Service Update All providers
12/04/2012 Provider Administration Policies - Commercial and Managed Care All Providers
12/02/2012 Automated IVR Self Service Update All Providers
11/29/2012 Behavior Health Prior Authorization Mental Health Providers
11/28/2012 BueCard Claims Submission UPDATE All Providers
11/01/2012 Fall 2012 Newsletter All Providers
10/30/2012 Secure Provider Portal and Automated IVR Self Service System All Providers
10/22/2012 Key Perfomance Indicators Notification MDs/DOs/NPs
10/11/2012 BlueCard Contiguous County Clarification All Providers Except: Home Infusion, DME, Laboratory
9/26/2012 Idaho Oral Health Alliance General Practice, OB-GYNs, Pediatrics
9/10/2012 Provider Administration Policies - Commercial and Managed Care All Providers
8/31/2012 AIM Guidelines All Providers
8/24/2012 New PAP Implantable Device L8699 Ambulatory Surgical Centers
8/02/2012 Provider Newsletter Summer 2012 All Providers
8/01/2012 Chiropractic Quality Initiative Program Updates Chiropractors
7/26/2012 Prior Authorizaion Changes - Clarification All Providers
7/23/2012 Prior Authorization Changes All Providers
7/12/2012 BlueCard Claims Submission All Providers
7/11/2012 ConnectedCare All Providers
7/10/2012 Add-on Codes Physicians, Ambulatory Surgery Centers, Labs, OT/PT/ST, Chiropractor and Imaging Centers
7/03/2012 Chiropractic Quality Initiative Program Updates Chiropractors
7/02/2012 Pre-authorization Requirements for Hyaluronan Injections Physicians and Hospitals
6/26/2012 Automated IVR Self Service System Modification All Providers
6/25/2012 Influenza Vaccine All Providers
6/13/2012 Chiropractic Quality Initiative Chiropractors
6/01/2012 Provider Administration Policies - Commercial and Managed Care All Providers
6/01/2012 Lumbar Back Fusion Neuro, Ortho, MDs, Internal Med, Chiro, Pain Managment, PT, Psych
5/18/2012 FEP Ambulatory Surgery Center Billing Requirements Correction N. ID Ambulatory Surgery Centers
5/01/2012 Provider Newsletter Spring 2012 All Providers
4/24/2012 2012 IHCC Invitation All Providers
4/10/2012 Chiropractic Quality Initiative Chiropractors
4/10/2012 FEP Ambulatory Surgery Center Billing Requirements N. ID Ambulatory Surgery Centers
3/22/2012 2012 IHCC Invitation All Providers
3/13/2012 Commercial Managed Care Physicians, Hospitals and Independent Nurse Practitioners
3/05/2012 Influenza Vaccine All Providers
3/02/2012 Discontinuation of HIPAA 4010 All Providers
3/01/2012 Provider Administration Policies - Commercial and Managed Care All Providers
2/15/2012 Fraud Alert All Providers
2/01/2012 Provider Newsletter Winter 2012 All Providers
1/24/2012 Health Insurance Exchange All Providers
1/18/2012 Health Data Insights Audit All Providers
1/05/2012 National Coverage Determinations Medicare Advantage Contracting and Non-contracting Providers
12/30/2011 Molecular Pathology Codes All Providers
12/29/2011 Walgreens Out-of-Network 2012 MDs, DOs, NPs
12/28/2011 Medicare Advantage Claims Pay Hold 2012 Medicare Advantage Contracting and Non-contracting Providers
12/21/2011 Implementation of Key Performance Indicators MDs, DOs, NPs
12/19/2011 HIPAA 5010 Transition All Providers
12/08/2011 UPDATE Online Prior Authorization Requests Upgrade All Providers
12/07/2011 Behavioral Health Prior Authorization Behavioral Health Providers
12/05/2011 HIPAA 5010 Transition All Providers
12/02/2011 Provider Administrative Policies - Commercial and MA Revisions All Providers
12/02/2011 Update Online Prior Authorization Requests Upgrade All Providers
12/01/2011 Online Prior Authorization Requests Upgrade All Providers
11/14/2011 HIPAA 5010 Transition All Providers
11/04/2011 Provider Newsletter Fall 2011 All Providers
11/01/2011 Home IV Billing Requirements Home IV Providers
10/17/2011 Online Prior Authorization Requests Upgrade All Providers
10/14/2011 Restrictions on Place of Service and Units billed for Behavioral Health Services Behavioral Health Providers
10/14/2011 Regional Coverage Updates Corrected All Providers
10/13/2011 Chiropractic Quality Initiative Contracting Chiropractors
10/12/2011 Implementation of Key Performance Indicators MD’s, DO’s and NP’s
10/05/2011 HIPAA 5010 Updates All Providers
9/30/2011 Provider Relations Coverage Changes All Providers
9/26/2011 Immunizations All Providers
9/23/2011 Capped DME Rental Implementation Medicare Advantange Contracting/Non-Contracting DME Providers
9/19/2011 Medicare Advantage Systems Error For Vision Services Medicare Advantage Contracted Vision Care Specialists, Opthalmologists and Optometrists
9/16/2011 Provider Relations Coverage Changes All Providers
9/12/2011 Medicare Cross-Over Mass Adjusted Claims All Providers
9/12/2011 Kootenai County Healthy Measures Benewah, Kootenai and Shoshone County Physicians
9/06/2011 Healthy Measures Providers in Bingham, Bonneville, Jefferson and Madison counties.
9/01/2011 Provider Administrative Policies - Commercial and MA Revisions All Providers
8/29/2011 Healthy Measures Caribou County
8/24/2011 Provider Newsletter Summer 2011 All Providers
8/24/2011 Healthy Measures Mountain Home Providers
7/08/2011 Medicare Crossover Retro Adjustments All Providers
7/01/2011 070111 Chiropractic Quality Initiatives Program Chiropractors
7/01/2011 07/01/11 Facility Editor Update Facilities
6/27/2011 Accumulators Provider Letter June 2011 All Providers
6/14/2011 MA 2011 Business Rule Clarification Medicare Advantage Providers
6/09/2011 060911FacilityEditorUpdate Facilities
6/07/2011 5010 NPI Letter and Questionaire North East Idaho Region 6
6/02/2011 Provider Newsletter Spring 2011 All Providers
6/02/2011 Provider Newsletter Spring 2011 All Providers
5/26/2011 Provider Admin Policy Updates August 2011 All Providers
5/19/2011 Healty Measures Provider Letter Region 4, 5, 6 GP, FP, IM, and OB/GYN
5/04/2011 Healthy Measures Provider Letter Region 3 GP, FP, IM, and OB/GYN
4/29/2011 042911 NCCA 835 change notification May 9 implementation All Providers
4/21/2011 2011 IHCC Invitation Correction All Providers
4/15/2011 Facility Editor Update Facilities
4/12/2011 Salivary Hormone Testing All Providers
4/07/2011 ESRD Claims Processing Dialysis Providers
4/06/2011 5010 letter All Providers
3/28/2011 IHCC invitation 2011 All providers
3/28/2011 Salivary Hormone Testing All providers
3/18/2011 Healthy Measures North Idaho - General Practice, Family Practice, Internal Medicine, OB/GYN
3/18/2011 Health Data Insight Audits All Contracting Providers
3/16/2011 Notice of Medicare Non-Coverage (NOMNC) for Home Health All Home Health Agencies
3/16/2011 Notice of Medicare Non-Coverage (NOMNC) for Inpatient Skilled Nursing Services All Skilled Nursing/Sub-Acute Services
3/14/2011 NCCA 835 Update Providers using Electronic Remittance
3/09/2011 iCES FE Update Hospital Administration or Patient Financial Services Staff
3/04/2011 HIPAA 5010 Mandate Providers using electronic transactions
3/03/2011 Revised Additional Services Request - Extended Care Form All Behavioral Health Providers
3/01/2011 Provider Administrative Policies Update - Commercial and Medicare Advantage All Providers
2/18/2011 835 Electronic Remittance Advice Changes Providers using Electronic Remittance
2/14/2011 Implantable Hormone Pellets Family Practice, General Practice and OB/GYN
2/14/2011 Digital Imaging Systems for the Detection and Evaluation of Diabetic Retinopathy Ophthalmologists and Optometrists
1/26/2011 Medicare Advantage Provider Education Invitation South Central Providers
1/17/2011 Depression Management Webinars General Practice, Family Practice, Internal Medicine and OB/GYN physicians
1/10/2011 Depression Management General Practitioners, Family Practitioners, Internal Medicine, OB/Gyns
12/29/2010 New Policies All Contracting Facilities
12/01/2010 Provider Administrative Policy Revisions - Commercial and Medicare Advantage All Providers
11/22/2010 Computerized Dynamic Posturography - 92548 Contracting Physical therapists and Rehab facilities
11/04/2010 Claims Correction Application All Providers
11/01/2010 Clinical Editor - Facility All Providers Billing with UB04
11/01/2010 Behavioral Health Medication Management All Prescribing Providers
10/20/2010 Modifiers 25, 57 and 59 Professional and Surgical Center Providers
10/12/2010 Medicare Advantage Home Health Payment Change All MA Home Health
9/27/2010 Electronic Submission of Corrected Claims/Secondary Coordination of Benefit Claims Professional Providers or Providers billing on CMS1500
9/01/2010 Provider Administrative Policy Revisions - Medicare Advantage and Commercial All Providers
9/01/2010 Baclofen Injections All Providers
9/01/2010 New Medicare Advantage Drugs Requiring Prior Authorization All Providers
8/23/2010 New Tool - Generic Prescribing Rates MDs and DOs - Hospital and Clinic Settings
8/16/2010 Medical Management Web Redesign All Providers
8/03/2010 Behavioral Health Prior Authorization Guidelines All Mental Health Providers
7/19/2010 AIM OptiNet Implemenation All Providers
7/16/2010 iCES Implemenation All Professional Providers
7/01/2010 Fee Schedule Updates All Physicians
6/25/2010 iCES Upgrade All Professional Providers
6/01/2010 Provider Administrative Policies- Commercial Revisions All Providers
6/01/2010 Provider Administrative Policies- MA Revisions All Providers
5/28/2010 Delay - Eliminate Mailing Paper Remittance Advices All Providers
5/17/2010 Eliminate Mailing Paper Remittance Advices - Final All Providers
5/05/2010 Eliminate Mailing Paper Remittance Advices - 3rd Notice All Providers
4/06/2010 5010 Readiness Survey for EDI Claims & Remittance Advices All Providers
3/30/2010 State of Idaho Vaccines for Children Program - 2nd Notice All Providers
3/26/2010 Changes to Provider Phone Call Flow - 2nd Notice All Providers
3/23/2010 Eliminate Mailing Paper Remittance Advices - 2nd Notice All Providers
3/22/2010 State of Idaho Vaccines for Children Program All Providers
3/15/2010 Changes to Provider Phone Notification All Providers
3/01/2010 Provider Administrative Policies-Commercial Revisions All Providers
3/01/2010 Provider Administrative Policies-Medicare Advantage Revisions All Providers
1/12/2010 FEP 2010 Advanced Imaging Authorizations All Providers
12/14/2009 Behavioral Health Prior Authorization Requirements All Mental Health Providers
12/02/2009 Behavioral Health - Federal Employee & U of Idaho Member Changes All Mental Health Providers
12/01/2009 Provider Administrative Policies-Commercial Revisions All Providers
12/01/2009 Provider Administrative Policies-MA Revisions All Providers
11/25/2009 System Problems - EOBs, Remittance Advices, Check Vouchers All Providers
11/20/2009 Behavioral Health Prior Authorization Requirements All Mental Health Providers
10/26/2009 Guidelines for Cervical Fusion All Neurology & Orthopedic Providers
10/15/2009 Update on Electrical Stimulation of the Spine/Adjunct to Spinal Fusion All DME, Neurologists, Orthopedic & Neurology Providers
10/12/2009 Influenza Vaccine Update All Providers
10/09/2009 New Guidelines from AAP regarding Synagis Use All Pediatric Providers
9/24/2009 Area of Expertise Questionnaire All Mental Health Providers
9/18/2009 Update on investigational indications for photodynamic therapy All Providers
9/17/2009 Behavioral Health Workshop Invitation - Boise All Mental Health Providers
9/17/2009 Behavioral Health Workshop Invitation - East All Mental Health Providers
9/17/2009 Behavioral Health Workshop Invitation - North All Mental Health Providers
9/11/2009 REVISED; PAP902 Behavioral Health Prior Authorization Requirements All Mental Health Providers
9/03/2009 Provider Administrative Policies-Commercial Revisions All Providers
9/03/2009 Provider Administrative Policies-MA Revisions All Providers
9/01/2009 New Policies/Section for Behavioral Health Mental Health Providers
8/28/2009 Blue Cross of Idaho Performing System Upgrade All Providers
8/07/2009 Childhood Vaccines Allowances All Providers
8/04/2009 New Policies Section for Behavioral Health All Mental Health Providers
7/15/2009 Childhood Vaccines for Blue Cross of Idaho Members All Providers
7/07/2009 Immunizations for Children Purchasing Cooperative (2nd Notice) All Providers
7/06/2009 Provider Administrative Policy Revision - PAP247 All Providers
7/06/2009 Provider Administrative Policy Update - PAP249 All Providers
6/25/2009 E - prescribing Capabilities All Providers
6/18/2009 Provider Administrative Policy Update - PAP509 Bilateral Procedures All Professional & ASC Providers
6/12/2009 Mental Health Changes All Mental Health Providers
6/01/2009 Provider Administrative Policies-Commercial Revisions All Providers
6/01/2009 Provider Administrative Policies-MA Revisions All Providers